A 62-year-old describes brief, electric-shock-like attacks of pain in the right lower lip and chin, set off by lightly touching the skin or brushing the teeth. The dental examination and radiographs are normal. Which drug is the first-line treatment?
- Correct answer
Carbamazepine
-
Amitriptyline
-
Ibuprofen
-
Amoxicillin
This question is one of 15 in AFK practice: Oral surgery, trauma and orofacial pain. Test yourself on all of them.
Practice quiz FlashcardsExplanations
Paroxysmal, shock-like unilateral pain set off by light touch is typical of trigeminal neuralgia, and carbamazepine is the first-line treatment. Amitriptyline is used for other chronic neuropathic pain, but it is not first-line for trigeminal neuralgia.
Source: Okeson, Bell's Oral and Facial Pain — oneguy
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