Jess, The Dr. put me on a 12 hour morphine and an instant release for breakthrough pain. He put me on 100 mg. but it was way too strong, so i asked him for 15 mg. capsules, so I can take 1 or 2 if my pain is not as bad, or 3 or 4 if it's more severe. you are groggy with it for the first couple of weeks, then your body adjusts and it just neutralizes the pain. I don't think the few weeks of grogginess on this stuff was as bad as the grogginess of anti-seizure meds. I am blessed to have found a doc to help with these meds. I suffered for 20 years in fanatical little town that didn't believe in pain meds except for after surgery or during cancer.
I know so many people can't even get the weakest of the strong pain meds, a Tylenol 3 with codeine. Also, morphine has fewer side effects compared to Lortab (hydrocodone) or Vicodin (oxycodone). Also less damage to your liver, because the others have Tylenol (acetaminophen) in them. After a few years of me taking lots of regular Tylenol for lupus pain, I got some liver damage. It shows up again quickly if I use Tylenol for a few days, or anti-seizure meds or more than 2 or 3 prescriptions. Yes there's no comparison in how much better it works compared to Tegretol and other drug combinations.
I know people fear addiction, but there's a difference between addiction and dependence. Also, having such severe pain for so long damaged my heart, so dependence is safer than dying from side effects of pain. Most literature states that if opiate pain medicine is given to people in severe chronic pain in the right doses, less than 5% get high or addicted, because it just neutralizes the pain. I have never felt "high" from any meds, I don't know what it feels like, because my brain needs pain control so much that the meds do that and only that.
If your Dr. isn't willing to help you that way, there are so many different anti-seizure meds, and other meds like muscle relaxants, creams and Tylenol 3 (weaker pain med) that might work. There are so many different combinations and dosages to keep trying, so don't give up. Some people here take anxiety meds with other meds, and not for anxiety, but because those meds work on nerve endings.
There are also many discussions that include many tips of things people do at home/work to lower the pain level some, so if you try a few of them, you might get a lot of relief. Here's one such discussion.
Important message for all: Also realize that there are various causes of TN, so if you can find the right cause and seek treatment for the cause, you could get a cure. Also, many of us have periods of remission, even years of remission. So don't give up hope! If a Dr. ever says "there's nothing that can be done", that just means HE has reached the limit of his knowledge. There are other doctors and various alternatives you can still look into.
So...Hang in there...like this...