Doctor insights on:
Citalopram Good Treatment Neuralgia
Citalopram is a ssri medication used to treat anxiety and depression disorders, it's also used to treat ptsd and ocd. It takes 4 to 6 weeks to be fully effective. Side effects; sedation, minor temporary stomach issues, delayed orgasm in males and rarely weight gain. It is ...Read more
Paxil (paroxetine): Of the two drugs you mention, Paxil (paroxetine) would be better for anxiety and ocd. It is in the ssri class, which is known to treat these conditions. Nefazodone is a sedating antidepressant. It might decrease anxiety via sedation, but is not directly anxiety-relieving. Nor does it treat OCD to the best of my knowledge. ...Read moreSee 1 more doctor answer
Niether: Niether have strong evidence supporting their use in anxiety. Neurontin's effects on anxiety are thought to be mediated through its effects on the inhibitory neurotransmitter gaba (similar to, but much more subtly than, benzodiazepines). Lamictal is still being investigated for use in anxiety because it can reduce activity of the excitatory neurotransmitter glutamine. ...Read more
Is amytriptiline appropriate for person with MI and using hypertension drugs for postherpetic neuralgia? Is pregabalin better alternative?
What is an option to lyrica (pregabalin) and cymbalta for treating comorbid major depressive disorder and neuropathy seconday to surgical errors at l5-s1?
Other med regimens: There are multiple options but you will need to discuss with your physician to see if appropriate for you. Effexor can replace Cymbalta but works in a similar manner, some people prefer one verse the other. Lyrica (pregabalin) and Gabapentin are similar and comparable. Topical pain creams, especially those including small amounts of ketamine can help a great deal. Try adjunct therapies like contrast baths also. ...Read moreSee 1 more doctor answer
OCD help: Lexapro (escitalopram) is one of many SSRI (serotonin-boosting) meds commonly used to treat OCD. It may be effective for some. There is no one 'best' med to treat OCD. Some variables that may influence response to Lexapro (escitalopram) and similar meds are: life stresses, other medications taken, co-existing depression. Good overview of OCD: http://www.nimh.nih.gov/health/topics/obsessive-compulsive-disorder-ocd/index.shtml#part_145350 I hope this helps. ...Read moreSee 1 more doctor answer
Cymbalta (duloxetine): Yes, it's average daily dose.Get a more detailed answer ›
Complex question: There are many good medications for migraine treatment. Migraine is a serious and complex neurologic disorder. Today effective management of migraine involves three specific strategies: 1) patient education 2) non-pharmacological management (diet, sleep hygiene, acupuncture) and 3) pharmacological (triptans, topamax, (topiramate) etc) management. Rec.:see orofacial pain or headache specialist. Hope it helps. ...Read more
Tramadol as long term treatment for fibromyalgia? Cymbalts made me miserable. Cannot afford lyrica, (pregabalin) am already on neurontin. Is this viable treatment
Postherpetic neuralg: Severe options, thankfully. Medications such as gabapentin, pregabalin, Lidocaine patches . Nerve blocks and treatments with pulsed radiofrequency. Spinal cord stimulation if nothing helps. It is a painful and difficult to treat condition. See an expert for proper evaluation. It has central as well as peripheral components so the treatment may vary depending on that. ...Read moreSee 1 more doctor answer
I heard a good combonation therapy for trigenial neuralgia syndrome is gabapentin and oxycodone is that true? This personally worked for me
Yes and no: The gabapentin, or other antiseizure medications like it, will usually do a good job preventing the shocks in your face. Oxycodone is a very addictive narcotic. If your symptoms are so bad you need narcotics, then you should consider surgery. I do a "keyhole microvascular decompression" which allows most of my patinets to go home the day after surgery, with over 90% cure rate and no numbness. ...Read moreSee 2 more doctor answers
Many: Over the counter remedies include zostrex cream-a cayenne pepper extract that will burn your eyes like tear gas. There are a number of medications including Lidoderm patches-a local anesthetic applied to the unbroken skin, a number of different meds of the anti-epileptic class like lyrica, (pregabalin) neurontin; snri antidepressents like Cymbalta and Pamelor work at the spinal cord level, . ...Read moreSee 1 more doctor answer
Can someone suggest the best place for treatment of glossopharyngeal neuralgia in India? Any place with proven successful treatment cases?
Neuralgia: Tegretol (carbamazepine), Trileptal (oxacarbazepine), baclofen, Neurontin (gabapentin). Amitriptyline, Cymbalta (duloxetine), Lyrica (pregabalin), Keppra (levetiracetam) (leveriracetam). In severe cases of trigeminal neuralgia a surgical procedure(micro vascular decompression) & radiofrequency ablation of the nerve are very successful. Topical compound products may be helpful in arms, legs and body neuralgia. ...Read more
Is there anything otc that can help pain from trigeminal neuralgia, something without caffeine? I'm not getting treatment for it yet from my neuro.
Vit B-50 or B-100: 21y/o female asks, Is there anything otc that can help pain from trigeminal neuralgia, something without caffeine? I'm not getting treatment from my neuro. Since one has a Neurologist, the diagnosis is most likely correct and he/she will treat one when considered appropriate. For Now Vitamin B-Complex B-50 or B-100 tab daily, for a few weeks could be helpful ...Read more
Just been diagnosed with trigeminal neuralgia, and started on a treatment course, will the pain still get worse over time? Will my anxiety decrease?
What is the treatment of trigeminal neuralgia?
please reply me with the name of the the hospital where this treatment is possible!
I'm on carbamazepine(300 mg) for the treatment of trigeminal neuralgia can it lead to elevated GGT level?
Not conclusive : First of all, a single blood test in isolation do not provide enough information to form any definitive conclusions. A number of tests must be performed to have any meaning. Carbamazepine may cause an elevated GGT level, but also NSAIDs OTC may. Talk to your treating physician to find out what the test could mean for you. Carbamazepine 300mg for TN is a very small dose. ...Read more
Is a stellate ganglion block appropriate treatment for post herpetic neuralgia, along the trigeminal nerve. ?
Possibly: Stellate nerve blocks are often used to treat peripherial nerve problems caused by injuries or trauma. They are designed to block sympathetic nerves. The trigeminal nerve is a cranial nerve, that does not go through the spine or neck, so i don't know if the stellate block would help. The sympathetic nerves do contribute to eyelid motion and facial flushing, so it may be worth a try. ...Read moreSee 1 more doctor answer
Is peripheral nerve stimulation a viable treatment for trigeminal neuropathy (not trigeminal neuralgia) when medications are not working? If so what us doctors/hospitals offer this procedure?
Can two ssri's be used alongside each other ? I'm currently on Citalopram but hasn't kicked in yet. 4 weeks in to treatment.
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