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Doctor insights on: Amitriptyline Good Neurontin Nerve Pain

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Nerve (Definition)

The brain and spinal cord communicates with what is occurring in the internal organs and limbs by nerve fibers where are like electrical wires with insulation (myelin) and the "copper" (axon). Within brain and spinal cord these nerves connect to other nerves via synapses on both axons and dendrites. A nerve can carry information regarding sensations, and ...Read more


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Gabapentin vs amytriptyline for nerve pain?

Gabapentin vs amytriptyline for nerve pain?

Neuropathy: They are different. Often they can used in combination. I tend to reserve Amitriptyline for use at night for patients who are also having trouble with insomnia. Gabapentin must be titrated to minimize side effects. The most common problem i see is practitioners titrating to a high enough dose to get a reduction in pain. ...Read more

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Is amitriptyline as good as Neurontin (gabapentin) for nerve pain?

Is amitriptyline as good as Neurontin (gabapentin) for nerve pain?

Yes: They work on different receptors and one might work better for a specific pain or a specific patient. They can also be taken together. If amitriptylene helps but causes too much side effects consider switching to desipramine. ...Read more

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Can drugs for nerve pain like amitriptyline be so good that discontinuation of painkillers is possible?

Can drugs for nerve pain like amitriptyline be so good that discontinuation of painkillers is possible?

Pain and adjuvants: In the treatment of pain, we use many medicines from vitamins, medical foods, nutraceuticals, and pharmacologics. Often but not always, opioids are necessary, but patient desires and cooperation do help,on choosing correct treatment approaches. Tricyclics, like amitriptyline, treat let pain in diabetes very well, and help,prevent migraine headaches. Duloxitine helps treat 4 pain indications ...Read more

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Is amitriptyline good for idiopathic nerve pain in legs ?

Is amitriptyline good for idiopathic nerve pain in legs ?

Yes, but...: Zoloft (sertraline), (sertraline) tramadol and amitriptyline all increase serotonin levels. Amitriptyline also potentiates this effect of Zoloft (sertraline). BTW, Zoloft (sertraline) decreases the effect of tramadol by affecting hepatic metabolism. Gabapentin has no drug interactions at all. Adding amitriptyline at LOW doses may help, with CLOSE monitoring. Read up on serotonin syndrome. It's rare and usu. not life-threatening but be aware of it. ...Read more

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What is a good pain reliever for nerve pain? I've tried cymbalta, lyrica, (pregabalin) and neurontin. Nothing has worked. I have tn too, and im losing hope.

What is a good pain reliever for nerve pain? I've tried cymbalta, lyrica, (pregabalin) and neurontin. Nothing has worked. I have tn too, and im losing hope.

Additional Rx: Effexor, (venlafaxine) tricyclic antidepressants, ssnri's, local Lidoderm patch, a Butrans patch, all have some chance of success. However, if you possess an underlying small fibre neuropathy, or a large fibre neuropathy caused by autoimmune mechanisms, infusions of ivig may be amazingly helpful. Lastly, a medical food metanx is also of value. ...Read more

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How does Amitriptyline work for nerve pain ?

How does Amitriptyline work for nerve pain ?

Still unknown: We used to think that amitriptyline acted on the brain at the level of the thalamus or other pain interpretive centers but recent evidence points to a peripheral action site blocking C-type pain fibers- specifically, nicotinic acetylcholine receptors carrying neuropathic pain. More cool (and PRACTICAL) stuff if you want to talk about it: www.healthtap.com/drsaghafi ...Read more

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Could olanzapine be used along side amitriptyline to treat nerve pain ?

Could olanzapine be used along side amitriptyline to treat nerve pain ?

Recommended: and used in many chronic pain disorders. There is no problem in taking those drugs together and often recommended. They work on separate nerve receptors and do not affect each other. However, always ask your doctor for more information about your individual situation and always present your current drug list. ...Read more

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Which is better for treating nerve pain ? Olanzapine or amitriptyline ? Currently taking 5mg of olanzapine for only a few days.

Which is better for treating nerve pain ? Olanzapine or amitriptyline ? Currently taking 5mg of olanzapine for only a few days.

Nerve pain Rx: Amitriptyline is superior for treatment of many kinds of nerve pain, and it is often prescribed to treat this condition. OIanzipine is not likely to help nerve pain, in my opinion. Gabapentin is also a popular treatment for nerve pain. ...Read more

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Reducing and stopping elavil (amitriptyline) to see if my nerve pain from disc extrusion has eased or is just being masked. How long after stopping will I know ??

Reducing and stopping elavil (amitriptyline) to see if my nerve pain from disc extrusion has eased or is just being masked.  How long after stopping will I know ??

Not on your own...: Do not do it on your own. Stopping Elavil (amitriptyline) suddenly can give you significant adverse reactions which may include irritability, agitation, sleep disturbance, flu-like symptoms and, rarely, cardiac arrhythmia and should be tapered down with the supervision of the doctor prescribing this medication. ...Read more

Dr. James Marx
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Neuralgia (Definition)

Neuralgia is a condition in which there is a sharp, unexpected pain along a nerve that is due to the irritation and damage of that nerve. Chemicals, diseases such as diabetes, medications, previous surgery, and trauma are potential causes of neuralgia. Numbness and weakness of the muscles supplied by the ...Read more


Gabapentin (Definition)

Also called neurontin, (gabapentin) is an anticonvulsant medication used to treat seizure, also for post-herpetic neuralgia & other neuropathic pains, as well as restless leg syndrome. It works by lowering excitation ...Read more