In my experience, anything which affects the area served by the T nerve is fair game for aggravating it. Each time I get a sinus infection, cold, or flu it wreaks havoc with my TN. Also, stress does me in too. I can't give you a scientific explanation for the cold stuff - just that it happens and others with the condition report the same things. The stress makes sense to me - arteries or veins compressing the nerve, increase in blood pressure results in more pounding on the nerve, leading to more damage. Anyway, I can't recommend anything to take. Maybe you should see your doctor to see if antibiotics would do you any good. Take care, Ellena