The treatment of trigeminal neuritis is complex. Mandatory sanitation of the oral cavity and the elimination of inflammation in the nasal cavities, if detected, are corrected if any, any somatic pathology. Direct treatment boils down to eliminating bouts of pain and preventing relapses, if possible, restoring the sensitivity and structure of nerve fibers. 
In case of damage to the trigeminal node and the main branches of the trigeminal nerve, anticonvulsants provide an analgesic effect. The drug of choice is carbamazepine. The effect of its use occurs in 70% of patients suffering from trigeminal neuralgia. The pain usually disappears on the second or third day from the start of the medication. Carbamazepine begins to be taken with low doses. On the first day, a double dose is prescribed in a single dose from 100 to 200 mg. Every day, the patient takes 100 mg more of the drug. The daily dose is increased until the pain disappears due to a more frequent intake of the drug. The patient takes as much as possible three or four times a day, 200 mg each. After achieving pain relief, the dose of the drug is gradually reduced to 100 mg per day, stopping at the minimum effective. The average course of treatment is three to four weeks.
Valproic acid helps some patients. Treatment begins with a daily dose of 3 to 15 mg, divided into two doses. The possibility of increasing the dose at the rate of 5-10 mg per kilogram of patient weight per week, but not more than 3 g per day, is assumed.
Second-line drugs are central muscle relaxants baclofen and tizanidine, antidepressants, for example, amitriptyline.
Empirically selected doses of muscle relaxants are selected so that muscle tone does not decrease until the appearance of motor disorders. Baclofen begins to be taken 2-5 mg three times a day, gradually, every three days, increasing the dose to a minimum effective. The daily dose should not exceed 60-75 mg. Cancel baclofen, also gradually reducing the dose.
Tizanidine begins to be taken with one capsule per day, as a rule, two capsules are enough to stop the pain syndrome. The dose is increased every three to seven days. In some cases, four capsules are required.
Amitriptyline is first taken 25-50 mg at bedtime, with a subsequent increase in the frequency of administration to three and the dose of the drug within five to six days, to 150 mg, and if the therapeutic effect does not occur within two weeks, the dose is increased to 300 mg / day. And most of it is taken before bedtime. After the cessation of pain, they gradually return to the initial maintenance dosage. Treatment can be long, but not more than eight months.
In severe cases, when treated in a hospital, anticonvulsants, muscle relaxants, antidepressants can be prescribed intravenously or drip.
In case of bacterial infections (detection of sinusitis, sinusitis, osteomyelitis, dental infections), intravenous infusions of hexamethylenetetramine, which has the necessary spectrum of antibacterial activity, are recommended.
Antihistamines are also prescribed, preferably also providing sedation (diphenhydramine, suprastin). They enhance the effect of painkillers and antidepressants. Biotonizing agents are prescribed - aloe extract, with severe muscle atrophy - adenosine triphosphoric acid, alcohol-novocaine blockade, and other symptomatic drugs.
With relapses of trigeminal neuralgia, a single drop-by-drop administration of phenytoin gives a good effect. The dose of the drug is calculated in the proportion of 15 mg per kilogram of patient weight. The procedure takes two hours.
Non-narcotic analgesics do not have the expected effect, except in cases of neurostomatological neuritis (damage to the dimpled nerves). Moreover, the desire to quickly relieve a pain attack with a large dose of the drug can lead to the development of such a side effect as abusus syndrome. This applies to taking pills. And the local use of the drug of the same group of dimethyl sulfoxide, better known as dimexide for trigeminal neuritis, was effective. The treatment method is very simple and doable at home. And in comparison with the above drugs, it is also absolutely safe, since side effects with local application are minimal.
Compresses with dimexide for trigeminal neuritis are made on the skin of the face at the exit points of the affected branches - they just apply a napkin dipped in a solution prepared from a mixture of dimexide with lidocaine or novocaine to this area for 20-30 minutes.
So, to make a compress solution, you need to buy a bottle of a standard 98% solution of dimethyl sulfoxide and a 2% solution of any anesthetic - lidocaine or novocaine in a pharmacy. Before starting treatment, it is necessary to make a test for sensitivity to each of the ingredients: moisten the swab with a solution and apply it to the skin. The appearance of a rash, redness and itching at the site of application will indicate the impossibility of using this method. In addition, dimexide is a pronounced conductor. Five minutes after the start of application, it is detected in the blood serum. Therefore, it is better to abstain from treating compresses with dimexidum for pregnant women, people with glaucoma and cataracts, severe violations of the liver, kidneys, heart, and vascular pathologies. In general, it is better to consult with your doctor before treatment. 
If there are no contraindications, we prepare a solution, that is, we mix dimexide with any of the anesthetics in the following ratios: 1: 9 (one part of dimexide to nine parts of anesthetic) or 1: 5 or 3:10. We choose the ratio of ingredients depending on the severity of the pain syndrome - the stronger the pain, the more concentrated the solution. We take a gauze napkin, dip it in the prepared solution and wring it not dry, but so that it does not flow. We apply to the exit point of the affected branch to the surface of the face: the first is the infraorbital notch, located directly above the eyebrow about a centimeter from its beginning; the second is the infraorbital canal; the third is the chin hole of the lower jaw, located under the fourth and fifth lower teeth from the center. Cover with a piece of cling film and a small terry towel. We lie with a compress for about half an hour. The procedure must be done two to three times a day (depending on the intensity of the pain). The course of treatment is from 10 to 15 days.
As part of a comprehensive treatment for both essential and symptomatic neuralgia, vitamin therapy is indicated. Assigned from the first days of treatment, mainly B vitamins, known for their neuroprotective effect, also - ascorbic acid and vitamin D.
Vitamins of group B (B1, B2, B3, B6, B12) are catalysts for the reactions of intermediate metabolism in nerve fibers, have analgesic activity, especially vitamin B12 (cyanocobalamin), its deficiency leads to demyelination of nerve fibers. The course of this intramuscular injection of this vitamin significantly, according to the observations of clinicians, eliminates pain and improves the general condition of the patient.
In clinical studies, the role of B vitamins in the normalization of the nervous system at all levels, reducing the manifestations of inflammation and reducing the level of pain is proved. They participate in metabolic processes, help strengthen the myelin sheaths of nerve fibers, axial cylinders, connective tissues, preserve their integrity and, accordingly, can help restore impaired innervation and normalize the transmission of nerve impulses. Preference is given to complex preparations in tablets, however, injectable forms can be prescribed, and also electrophoresis with vitamins can be prescribed.
Physiotherapeutic treatment is indicated both in the acute period of neuritis and in order to prevent relapse of the disease. During seizures, thermal procedures are prescribed. The use of ultraviolet radiation of the affected half of the face, phototherapy with infrared rays (Sollux lamp) is shown. A moderate heat exposure with an electric heating pad may be helpful. 
Diadynamic therapy is widely used. Treatment with DC pulses has a pronounced analgesic and anti-inflammatory effect. In the acute period, daily procedures are prescribed, two or three ten-day courses are recommended at weekly intervals. Using diadynamic currents, drugs are delivered - a local anesthetic procaine or tetracaine, an epinephrine adrenomimetic, which contributes to rapid pain relief.
The effects of ultrasound and a laser beam on the exit points of the trigeminal nerve branches, sinusoidal modulated currents, drug electrophoresis (for trigger pains - according to the endonasal technique with procaine and vitamin B1) are also used. In case of trigeminal neuritis, d'arsonval is performed by the method of pinpointing on the affected half of the face in the areas where its branches reach the surface, the area under the earlobe, the cervical-collar region, and also the palmar surface of the phalanx of the thumb of the corresponding hand. 
Exercise therapy for trigeminal neuritis is performed in the form of facial gymnastics and helps to restore the mobility of the affected part of the jaw, improve trophism and normalize reflexes. For the same purpose, massage is prescribed for trigeminal neuritis.
In complex treatment, a special place is given to reflexology. Acupuncture helps some patients recover completely without medication.
Mud therapy, ozocerite and paraffin baths, radon, sea, sulfide baths are also prescribed as additional therapeutic methods and for the purpose of relapse prevention.
Official medicine denies the possibility of curing trigeminal inflammation using alternative medicine. Of course, if you need to re-fill the tooth canal, then such treatment is unlikely to be successful. And in other cases, when radical interventions are not required, according to the testimony of the patients themselves, alternative remedies help faster and better. In addition, they do not have serious side effects. The disease does not apply to those where the delay in death is similar, so you can almost immediately begin to help yourself with the help of healers, which does not exclude a visit to the doctor and examination. After all, facial pain can be caused by various reasons.
Let's start with the simplest recipes for eliminating pain. According to those who have tried, they help relieve pain right away, and not on the second or third day like carbamazepine.
- Take the old teapot, put in it five cloves of garlic, cut into large (2-3) parts. Pour boiling water and breathe through the nose of the nostrils from the affected side until the pain subsides. Literally several such procedures help in the initial stage. The pain goes away and never comes back. Procedures are carried out if necessary to eliminate the pain syndrome.
- Take a freshly boiled steep chicken egg, peel, cut in half, apply to the points of the most intense pain. When the halves of the egg on the face have cooled - the pain syndrome will go away for a long time.
- Apply a freshly picked leaf of home geranium along the pain (it has an anti-inflammatory effect). 
- You can smear areas of the face along the pain with black radish juice or apply grated horseradish wrapped in a piece of gauze. These substances have a local irritating effect, that is, they stimulate blood flow to the surface of the skin, and activation of blood flow in the right direction, as practice shows, leads to a normalization of the condition.
- It is also good to lubricate the skin in areas of pain with fir oil, if necessary. Three days of such treatment for a long time relieve pain.
- Contrast procedure: wipe the pain zones with a piece of ice, and then massage them until they are warmed up. In one procedure, you need to do wiping → massage three times.
Herbal treatment occupies a large place in alternative medicine. Mint decoction will help cope with the pain: a tablespoon of mint is poured with a glass of boiling water and simmer in a water bath for 10 minutes. Insist until it cools down to a temperature of about 40 ℃, filter, divide in half and drink in the morning and evening. The second portion needs to be slightly warmed up.
Yarrow infusion is prepared in the same proportion, it is drunk during the day in three to five receptions.
And the infusion of chamomile (a teaspoon of dry chopped herbs in a glass of water) is recommended to rinse your mouth with neuro-dental problems.
Homeopathic treatment is often effective in cases in which official medicine fails. It should be carried out by a professional homeopath, then its success is guaranteed. The homeopathic medicine kit has an extensive arsenal for treating neuritis.
With the defeat of the second and third branches of the trigeminal nerve, alveolar mandibular processes, buccal nerve, the use of Aconite can be effective. Severe pain, causing the patient anxiety and fear, paresis, convulsive twitching of the muscles of the affected area, loss of sensitivity, are characteristic. Aconite copes well with pain of inflammatory origin. In cases of hyperemia of the affected part of the face, it is taken alternately with Belladonna, with traumatic genesis - with Arnica, and neuro-dental problems are well stopped by the combination with Brionia. The same drugs are suitable in some cases for monotherapy of trigeminal neuritis.
With right-sided defeat of the first branch, Helidonium is used. With complications of the organs of vision, and from any side, Quininum sulfuricum can be effective.
Coffey, Hypericum, Ignation and other drugs are also used. Only a doctor can accurately prescribe treatment, having studied the medical history and propensities of the patient. In this case, you can count on success, and quite fast.
In the absence of the effect of conservative therapy, intolerance to drugs or their pronounced side effects, the question of surgical intervention is raised.
Modern neurosurgery has many methods of gentle surgical treatment. Currently resorting to:
- microsurgical release of a nerve site at the exit of the brain stem;
- puncture destructive operations;
- partial sensory transection of a nerve or its peripheral blockade by excision of its part and replacing it with muscle or fascial tissue.
Neuroectomy is performed by gentle methods using ultra-low temperatures (cryodestruction), using ultra-high temperatures (diathermocoagulation), and high-frequency radiation.
A promising area is laser treatment of trigeminal neuritis. The dissection or removal of part of the nerve root with a laser beam ensures the absence of direct contact and blood, rapid healing and recovery.