A member asked:

Which tcas is more potent for sciatica pain relief, amitriptyline(or nortriptyline), imipramine(or desipramine)?

4 doctors weighed in across 2 answers
Dr. Nathaniel Drourr answered

Specializes in Pain Management

TCA: Tca are classic for neuropathic pain - sciatica for example. Any of the ones u mentioned may be quite eefective - and cheap. They are not without side effects - dry mouth, constipation, sedation. Any of the ones u mentioned can be effective. I personally like amytryptilline - 10mg at night - as mentioned all will work. Additionally other meds such as lyrica, (pregabalin) neurontin, Cymbalta are options.

Answered 8/7/2016

4.2k views

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Dr. Qamar Khan answered

Specializes in Pain Management

Hard to say: generally though nortriptyline seems to have less side effects than the others.

Answered 2/12/2015

3.9k views

Thank

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