A member asked:

I have atypical neuralgia and so far just take advil which doesn't help. is there a more effective pain med without tylenol as i'm allergic to it?

A doctor has provided 1 answer

NSAIDS do not help: Neuralgia (neuropathic pain) does not respond well to anti inflammatory medicines. True neuralgia first line med should be low dose Amitriptyline an hr before bed. OR Gabapentin slowly increasing the dose over 1 month with meals to tolerate side effects OR lyrica (pregablin) start at bed time low dose. DIet exercise no alcohol no cigarettes, 8 -10 hrs of sleep/ night. See your primary care f

Answered 1/12/2017

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