Doctor insights on:
Amitriptyline Tramadol Pain
Controversial: There are studies on both sides of this issue, with some researchers finding that tramadol did reduce withdrawal, while others finding that it either did very little, or in some cases actually made it worse. A problem is that doses of ultram in the therapeutic range (300-400 mg/day) can cause seizures. My patients have told me mostly that ultram did very little for them, but a few got + results. ...Read more
Which tcas is more potent for sciatica pain relief, amitriptyline(or nortriptyline), imipramine(or desipramine)?
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. ...Read moreSee 1 more doctor answer
Sciatica pain 8wks severe muscle spasms thigh and calf no foot reflex. what pain relief?. codeine,naproxen tramadol paracetamol endep (amitriptyline) no effect
See below: All medicines may cause side effects, but many people have no, or minor, side effects. Check with your doctor if any of these most common side effects persist or become bothersome when using percocet: constipation; dizziness; drowsiness; flushing; light-headedness; nausea; vomiting. ...Read more
I took percocet (an opioid analgesic pain killer) and Zanaflex (tizanidine) (a muscle relaxant). Will I be okay?
You will be OK: There is no interactions between these 2 drugs. ...Read more
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
No but......: Narcotic is more a legal term than a medical term. It does not necessarily refer to just opiate type medications. In general i think Lyrica (pregabalin) is a very helpful medicine, and i rarely see any addiction problems, however i did have a recent case of Lyrica (pregabalin) dependence. With that said most patients even with addiction history may still try this med if indicated and monitored. ...Read moreSee 2 more doctor answers
Any interactions between Adderall and : cymbalta, xanax, (alprazolam) amitriptyline, hydrocodone, and cyclobenzaprine?
Adderall (dextroamphetamine and racemic amphetamine) combo: Safe if taken as prescribed.Get a more detailed answer ›
I have MS and trigem neuralgia and have terrible pain. Tried gaba, baclofen, norco, (hydrocodone and acetaminophen) elavil, tegretol, otc, etc...What is the best pain med for this?
Trigeminal neuralgia: Sadly trigeminal neuralgia is a poorly understood disease that has an even worse track record for treatment. Most patients suffer from this disease without much relief. There is a growing body of evidence looking into Lamotrigine as a treatment. Ask your prescribing doctor if this is an alternative. ...Read moreSee 3 more doctor answers
It's not so much: a matter of strength. They work differently and are used for different types of pain. Tramadol is usually prescribed for acute or temporary pain and can be taken as needed. Sometimes this is not the case, but that's generally the idea. Cymbalta is prescribed when pain is long term or chronic, and needs to be taken daily. If it's not taken as prescribed it will be much less effective. ...Read more
Yes.: They can.Get a more detailed answer ›
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