I've had it about 16 or so yrs (who's counting, anymore?). Several yrs ago, I had a Gamma Knife tx and was pain free for about 5-5 1/2 yrs.
I really have no worthwhile tips for a "newbie"--how can you give someone a tip about living in Hell?
I will tell you to try to isolate your "trigger" and try to avoid touching or coming into contact with that area as much as is humanly possible (for years, I could not wash one side of my face with any pressure--I may have had the dirtiest left side of a face on this planet!).
If you need any dental work, find a dentist who is experienced in patients with TN. There are certain anesthetics (actually a cocktail of a few) that are recommended to use with TN.
Realize that your Tegretol may not always be effective and you will need to increase your dose and your neuro may add other meds to the Tegretol.
See your doctor on a regular basis for bloodwork--a CBC and a liver function panel. Tegretol is hard on the liver. One of the newer drugs-Lyrica- is not damaging to the liver at all. I don't take it because it's considered a Tier 3 drug with my insurance and the monthly cost made me
Take your medicine on a regular basis. Tegretol must maintain a certain level in your bloodstream to be therapeutic.
Understand that the meds used to tx TN may make you feel spacey or "out of it". This might pass as you grow accustomed to the drug. If not, talk to your doctor and try a new med (I never could take Neurontin. I used to bounce off of walls--literally--while taking it. My first neuro told me that Neurontin HAD to work. He would not believe that I could not function on it. I changed neuros and the new told me I was "super sensitive" to it and he had other patients who reacted the same way to it).
It's a sad fact that narcotics do not affect TN. There has been some relief reported with Oyxcontin, but the jury is still out on that.
You may notice that you have periods of time (some people have reported years) that you are pain free with no treatment, but, in the vast majority of cases, TN worsens the longer you have it (as the damage to the nerve worsens).
If you find you are no longer getting relief with your meds, it's time to think about a procedure. Some are invasive (Macrovascular Decompression, Severing the nerve), Some are not (Gamma Knife, electric current). Then, there are several semi-invasive procedures (glycerol injections, alcohol injection, balloon compression).
Good luck and as you can see, you are not alone.
