Medication Management

Medication can be very effective in treating orofacial pain, often working best when used in combination with other therapies. Using medicine for the management of pain requires a highly personalized approach to find the right balance of protocols that reduces pain without interfering with daily life.

How It Works

An array of medications can help manage orofacial pain, reduce symptoms, and promote healing. Patients may be prescribed a combination to target the underlying cause of their pain. 

Medications can be tailored to the specific type and severity of a person’s orofacial pain, so that they receive the most appropriate and effective care for their individual needs. Often the proper dosing is determined by gradually increasing the amount used and carefully monitoring effects and side effects.

Medication as Part of an Integrative Approach

Medication therapy can be part of a multifaceted treatment plan that may include physical therapy, counseling, lifestyle changes, and other interventions. In some cases, medication may be used to provide temporary relief that enables participation in another treatment. This integrative approach typically enhances the overall effectiveness of a treatment plan.

By helping to manage pain, medications can contribute to overall well-being, reducing stress and anxiety that often exacerbate chronic pain.

Types of Medication

The type (or types) of medication prescribed varies based on the patient’s specific need or condition. Prescription medication may be covered by health insurance, depending on the individual’s diagnosis and details of their plan.


 This class of medication works directly on pain. Types of analgesics used in orofacial pain include:

  • Non-opioid analgesics including NSAIDs (nonsteroidal anti-Inflammatory drugs)
  • Opioid analgesics
  • Topical corticosteroids

Adjuvant Analgesics

Some medications not primarily designed for pain relief can be used for that purpose. Adjuvant analgesics include:

  • Anticonvulsants
  • Anxiolytics
  • Sedatives
  • Antidepressants
  • Beta blockers
  • Benzodiazepines

Skeletal Muscle Relaxants (SMRs)

Medications that can help treat muscle-related symptoms related to TMJ disorder, bruxism, or myofascial pain include:

  • Antispastics
  • Antispasmodics

Anti-Migraine Medications

Prescription medications specifically designed to treat migraines and other headaches include:

  • Triptans
  • CGRP (calcitonin gene-related peptide) inhibitors
  • Ergotamines

Our Approach

Facial Pain Specialists providers are board certified in Orofacial Pain treatment and have extensive experience prescribing a wide variety of medication interventions.  We use a personalized, iterative approach to medication management, often in conjunction with other forms of treatment, to assure patients find the right combination to provide pain relief, reduce symptoms, and foster improvement of their disorders. This multifaceted approach to pain management enhances the overall effectiveness of treatment of orofacial pain conditions.