Doctor insights on:
Arthritis And Gabapentin
Which is better for severe RA pain and swelling and fibromyalgia, Celebrex or cymbalta (duloxetine)? Which one has less side effects?
Taking cymbalta, lyrica, (pregabalin) dilaudid and oxycontin for avn and peripheral neuropathy any ideas on drug changes or resistances?Thank you in advance.
See neurologist.: I recommend that you have to cut back on the Oxycontin and Dilaudid because they are not just addictive but eventually you need to use more to achieve the degree of pain control you have. The Cymbalta and Lyrica (pregabalin) have been used a lot for chronic pain which is also experienced in pn. I would suggest that you consider other pain control besides the opiates for a long term basis through a pain clinic. ...Read moreSee 1 more doctor answer
Does Lyrica (pregabalin) have a lot of side effects? Will Lyrica (pregabalin) help with the numbness of the feet associated with neuropathy pain?
Likely beneficial: No medication is without any side effect but if your doctor prescribes it try it. Benefits are likely to outweigh risks. ...Read more
Sometimes: It is certainly worth a try if other therapies have failed. ...Read more
Chronic pain in both ankles, back, neck, knee joint. Father has diabetes and psoriasis. Nsaids/vit. B both help. No swelling/redness. Nerve or psa?
No matter what, do..: No matter what have been happening to you, practice healthy low-risk lifestyle without overindulgence and obsession as the foundation of healthcare and the key to longevity. Besides, bring the feature, degree, and progress of the symptoms with their detailed sequence of event to see doc for analysis, more hx, physicals, and possible tests as needed timely; at least once, that would be worthwhile. ...Read more
"Also"?: Are you taking gabapentin? If so, for treatment of what? (It matters, you know.) Gabapentin is not FDA-approved for musculoskeletal pain. The similar pregabalin is approved for fibromyalgia, but that's a brain disorder, not a musculoskeletal disorder. GBP may be worth trying if first-line agents don't work, but don't get your hopes up. ...Read more
At what dose does Cymbalta (duloxetine) relieve neuropathy and pain.Would a combo of gabapenten and cymbalta (duloxetine) work together synergistically.
Have fibro and arthritis uppper arms muscle spasms would cymbalta help more than lyrica (pregabalin) need pain med?
Apples & oranges: While both medications have indications from the fda for the treatment of fibromyalgia, they are very different. Cymbalta is an serotonin-norepinephrine reuptake inhibitor also indicated for the treatment of major depression as well as generalized anxiety disorder. Lyrica (pregabalin) works through GABA and is also indicated for seizure disorder. Your physician should be able to help you decide. ...Read more
I take gabapentin for my fibromyalgia, but the helpful effects seemed to have worn off. I'm in excruciating, constant pain. Any suggestions?
Fibromyalgia & arthritis & pain levels are very high with 8 mg. Of exalgo, 1500 mg. Of gabapentin & 1 to 2 tablet of tramadol 3 x a day. Any thoughts?
Can mild arthritis of the lower back cause significant sciatica pain? Mri done in july. Pain is getting worse. On gabapentin and meloxicam. Thanks!
Pinched Nerve: Sounds like you have a pinched nerve in your back. I would suggest seeing a pain/spine specialist to evaluate you further to evaluate what level and what can be done to treat you. There are interventional treatments besides medications and surgeries that might reduce or eliminate the pain altogether. ...Read moreSee 2 more doctor answers
Vibrating feeling in leg. Painful joints new onset. Recently quick taking gabapentin after a microdiscetomy (May not be related to symptoms) Help!!
My doctor has tried naproxyn tramadol flexirel cymbalta (duloxetine) and Neurontin for my fibromyalgia and arthritis. Nothing has helped. Now what?
How about referral: If your doctor is unable to find the right medication or intervention to adequately treat your pain you may ask for a referral to either a rheumatologist (who are the recognized experts when it comes to diagnosing and managing fibromyalgia) or pain medicine specialist. ...Read moreSee 4 more doctor answers
Good Question: Most substances to be addictive must be shown to be associated with a Dopamine release in the brain's reward centers. I'm not aware of evidence for that with Gabapentin but nonetheless it is for some a potent anti-anxiety agent, so it doesn't surprise me that addictive like patterns can emerge. If that's the case it is time to look for other ways to safely and effectively address the anxiety. ...Read more
Gabapentin : Gabapentin is used to treat partial seizures, pain related to post herpetic neuralgia as well as neuropathic pain. While it does modulate the activity of the major inhibitory neurotransmitter in the brain, gaba, it's mechanism of action is significantly different from that of a benzodiazepine or barbiturate. As a result does not result in physiologic dependence. ...Read moreSee 1 more doctor answer
Relaxant & analgesic: Gabapentin (marketed as neurontin) is a drug used for the treatment of epilepsy (anticonvulsant), chronic nerve-related pain (analgesic), and conditions like fibromyalgia. Its side effects include dizziness, fatigue, weight gain, drowsiness, & swelling of extremities. A structurally related compound is gaba, a supplement that has a calming, relaxing, & anti-anxiety effect on the body. ...Read moreSee 1 more doctor answer
Gabapentin SEs: Sedation is a common side effect of gabapentin. Each person will be somewhat different in their sensitivity to this SE -- but it does occur. Some patients may adjust to the medication dose, and find sedation less problematic with time. Or perhaps taking most of the dose at bed would help. Contact your prescribing MD to arrive at the best solution for your particular case & be well! :) ...Read more
No, it is not: Both are central nervous system depressants. They can both suppress the breathing centers in your brain. You could get super drunk, uncoordinated, black out, pass out, or stop breathing with the combo. Increased risk of falls, accidents, drunkenness, and embarrassing or shameful social behaviors you may or may not recall. ...Read more
Most likely Okay: Evaluation of aqueous and ethanolic extracts of saffron, crocus ... www.ncbi.nlm.nih.gov/pubmed/22484092? by b amin - ?2012 - ?cited by 9 - ?related articles mar 28, 2012 - evaluation of aqueous and ethanolic extracts of saffron, crocus sativus l., ... Crocin; safranal; gamma-aminobutyric acid; acetone; gabapentin. ...Read more
No studies: There are no human studies of Gabapentin use during pregnancy, but animal studies have shown fetal problems. There have been delayed ossification in skull bones, vertebrae, and extremities. Hydroureter and hydronephrosis have also been reported in animal studies. These results mean Gabapentin should only be used in pregnancy when benefit clearly outweighs risk. Discuss with your doctors. ...Read moreSee 1 more doctor answer
If tested for: Neurontin (gabapentin) is a non-controlled/non-scheduled/non-addictive medication that is not metabolized by the liver at all and excreted unchanged by the kidneys/renal system. If there is a reason to measure the level, Gabapentin can be measured in the urine. Because it is not controlled there would be no basis for it to be part of a standard urine drug screen. ...Read more