I'm not sure if I have occipital or Trigeminal - I have been taking Tegretrol as a mood stabilizer which now is doing double duty in terms of my pain management dr, and dermatologist and therapist "think" is going on. I'm at the point where I don't think these electric pains that shoot across my scalp will end. I woke up last night scratching or rather clawing my scalp.
I've taken Lyrica and it drove me crazy - Nortriptilyn (sp) which made me feel horrible, at least the only side effect of the Tegretrol is sleepiness throughout the day (which actually can be a problem since I am a teacher)
I am thinking of changing my neurologist because i honestly don't think he takes this seriously.
In the NYC area there should be a center, or hospital that treats the diagnosis and treatment of neuralgia.........
it's been 5 years and is slowly wearing me down..