Table 4

Summary of randomised controlled trials for pharmacological treatments in trigeminal neuralgia

Number of RCTsNumber of patientsDose range
(mg/day)
Responder rate
Carbamazepine3138800–120068%–100%
Oxcarbazepine148600–1800100%
Lamotrigine114200–40085%
Gabapentin*161156Up to 3600Reportedly similar to carbamazepine
Baclofen11030–6070%
Botulinum toxin type A417825–100 units68%–86%
Pimozide1484–12100%†
Tizanidine1121820%
  • Pregabalin: no RCTs available.

  • *Gabapentin: all RCTs are in Chinese language and results difficult to access.

  • †Pimozide trial has been heavily criticised for methodological pitfalls.

  • RCTs, randomised controlled trials.