Going off AD trigger?

I haven’t had TN in years so I am new to this specific community but active in occipital neuralgia because I also deal with that on a near-daily basis. So hi! I had TN more frequently in my 20s but suddenly I think I am having an attack now. I have been tapering off Pristiq because it caused hypertension for me after many years of being on it. The good part is that my BP is back to normal but the bad thing is that suddenly after my final dose, I woke up the other day with a sore jaw on one side. It has been getting worse—at first it was mainly when I bit down or chewed or opened my mouth too far. But it’s gotten progressively more pronounced and now spreading to my upper cheekbone and under my ear.

I have suspected sjogrens and have had salivary gland inflammation before so I thought it might’ve been that. But my husband pointed out that it was behaving more like nerve pain and sure enough, when I press on pressure points like just under the temple, the pain subsides at least 80%. Like my ON, ice is helping with the pain but NSAIDs aren’t affecting it.

So that’s why I think it’s a TN attack. Usually in the past I’ve had more of the shock pains than the chronic burning pain but who knows. I was thinking it could be related to eliminating the Pristiq bc I know SNRIs are used sometimes for nerve pain. I wondered if this rings a bell for anyone else?? Is it worth a trip to the doc? This is a loaded question bc although I have a neurologist, I am currently in rural South America and we do have a public clinic nearby but I would be surprised if TN is something they see, so a “trip to the doc” means a literal trip, a drive and $$ appointment with a private doc.

Currently sitting with my faithful frozen water bottle in the nook of my neck under my ear and it’s feeling ok but it’s not really a convenient way to go about my day!

ETA: forgot to mention that a previous MRI shows I have entanglement of the trigeminal nerve with blood vessels in my brain.