I take lyrica and trileptal for my trigeminal neuralgia. After about a year and a half, in one of doc's neurological exams he asked me about numbness in arm and loss of strength in hand. He later did emg. proved tos. Started physical therapy, was working o.k., TN was getting stirred up, was extremely tired. Doc did nlood work, tested positive for Epstein Barr. Went to Ent to check my chronic sinuses. Was not sinuses, was tonscils, 45 having tonscils out sucked, but let me tell you they had been infected for years, and guess what, mt tos has improved 90% little problems occasionally with thumb and first tho fingers. Removal of tonscils made space in bracioplexus. If I could cure my Tn like that I'd bottle it up and sell it. It's worth a try. Jen