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Doctor insights on: Citalopram Good Treatment Neuralgia

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Dr. Alan Ali
926 doctors shared insights

Citalopram (Definition)

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


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Is lyrica (pregabalin) a good treatment for nerve pain?

Is lyrica (pregabalin) a good treatment for nerve pain?

Yes: Lyrica (pregabalin) is an effective medicine for treatment of various neuropathic or nerve generated pain such as post herpetic neuralgia (shingles). As with all anti-neuropathic medicines the response varies from patient to patient. ...Read more

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Is pamelor (nortriptyline) a good pain medication?

Is pamelor (nortriptyline) a good pain medication?

NO!: No. Pamelor (nortriptyline) is used to treat depression but if the pain is associated with or made worse by depression, the pain may decrease if depression responds to treatment with pamelor (nortriptyline). ...Read more

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What is a better treatment for anxiety and ocd, Paxil (paroxetine) or nafazodone?

What is a better treatment for anxiety and ocd, Paxil (paroxetine) or nafazodone?

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 more

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What is better for chronoc anxiety lamictal or neurontin (gabapentin)?

What is better for chronoc anxiety lamictal or neurontin (gabapentin)?

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

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Is Amitriptyline and venlafaxine a good combo for neuropathic pain ?

Sometimes these help: Sometimes amitriptyline is helpful for neuropathic pain. It may or may not help to add venlafaxine. Some people feel it helps, some people feel it does not. Everyone responds to the medicines differently. In principle these can both help, and they are worth a try. ...Read more

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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 more

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What is the best treatment for anxiety disorder besides zoloft (sertraline)?

What is the best treatment for anxiety disorder besides zoloft (sertraline)?

Combination: Psychotherapy and medication are most effective in combination. Regarding antidepressants such as zoloft, (sertraline) there is no consistence that one is superior to another. Treatment must be individualized to ensure adequate relief. ...Read more

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What antidepressant meds good for major depression?

What antidepressant meds good for major depression?

Many: Selective serotonin reuptake inhibitors (ssri's), serotonin–norepinephrine reuptake inhibitors (snri's) and wellbutrin (bupropion) are all good options. ...Read more

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Is Prozac (fluoxetine) 40 mg good for treatment of ocd?

Is Prozac (fluoxetine) 40 mg good for treatment of ocd?

It can be: All the ssri antidepressants, including prozac, (fluoxetine) may be helpful in ocd. Work on this with your doctor; dose is adjusted according to response. ...Read more

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Is Lexapro (escitalopram) an effective treatment for ocd?

Is Lexapro (escitalopram) an effective treatment for ocd?

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 more

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How accurate can lyrica (pregabalin) tablet with armotriptyline cure nerve problem and shingles?

How accurate can lyrica (pregabalin) tablet with armotriptyline cure nerve problem and shingles?

Nerve pain: Lyrica (pregabalin) can be very effective for nerve pain. The mechanism can be to stabilize the nerve from irritability. Once the nerve is slowly stabilized then less burning and shooting type pain will occur. ...Read more

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What is a good pain med for migraine while taking Paxil and Buspar (buspirone)?

What is a good pain med for migraine while taking Paxil and Buspar (buspirone)?

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

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Is it good to combine Prozac with wellbutrin (bupropion) for treatment of depression?

Is it good to combine Prozac with wellbutrin (bupropion) for treatment of depression?

May be: Wellbutin blocks the uptake of norepinephrine & Dopamine while Prozac (fluoxetine) is a ssris so they effect different neurotransmitters & may work 4 u. ...Read more

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Is lyrica (pregabalin) good for controlling anxiety?

Is lyrica (pregabalin) good for controlling anxiety?

Not sure: As a neurologist, Lyrica (pregabalin) has no FDA indication for anxiety. I had seen it used for anxiety, but this is not my expertise. ...Read more

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Is Prozac (fluoxetine) a good medication for depression?

Is Prozac (fluoxetine) a good medication for depression?

Excellent: Inexpensive also but like anything else, it's all about you and what works for you. Talk to your doctor. Sometimes we try several until we find what works best for you. ...Read more

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Is there a good treatment for post herpetic neuralgia?

Is there a good treatment for post herpetic neuralgia?

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 more

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I heard a good combonation therapy for trigenial neuralgia syndrome is gabapentin and oxycodone is that true? This personally worked for me

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 more

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Any treatment for post-herpetic neuralgia?

Any treatment for post-herpetic neuralgia?

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 more

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Can someone suggest the best place for treatment of glossopharyngeal neuralgia in India? Any place with proven successful treatment cases?

Can someone suggest the best place for treatment of glossopharyngeal neuralgia in India? Any place with proven successful treatment cases?

Possibly: Professor Prakash Narain Tandon is co author of the famous neurosurgical textbook: "Ramamurthi And Tandon's Textbook of Neurosurgery " I would suggest trying to ask his advice. His Email address is [email protected] ...Read more

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What is the best treatment for herpes zoster neuralgia?

Unclear : The treatment of postherpetic neuralgia is difficult and needs to be individualized. ...Read more

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What is the treatment for neuralgia?

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

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What are your treatment options for trigeminal neuralgia?

Management of TN: All patients should be treated initially with medication. But if a patient becomes refractory to medical management or develops serious side effects to medication, surgical intervention should be considered. ...Read more

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Is there a clear top treatment for trigeminal neuralgia? What is it?

See below: I would try a medication for neuropathic pain like Lyrica (pregabalin) or gralise. I have had great success with cumbalta as well.See a pain specialist who had do an x-ray guided injection of the nerve. ...Read more

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What is the most effective treatment for the pain of trigeminal neuralgia?

Tough Problem: This problem is tough to treat. But the approved treatments which may or may not be the "best" treatments usually involve tegretol, the "spinal cord" muscle relaxants, nerve blocks and ablation. ...Read more

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A trigeminal neuralgia treated with radiofrecuency and present, there is another treatment ?

Yes.: Medication management is often sufficient to treat trigeminal neuralgia and should be used as a first-line treatment. When this fails other invasive treatments can be tried such as radiofrequency lesioning or a gamma knife procedure. ...Read more

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My father age 72 suffering from postherpetic neuralgia. What's best available treatment?

My father age 72 suffering from postherpetic neuralgia. What's best available treatment?

Some choices: Most older pts do best when they use meds that lack drug interactions, such as Gabapentin or lyrica (pregabalin). Local compounded creams may work and Lidoderm patches also. ...Read more

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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

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Just been diagnosed with trigeminal neuralgia, and started on a treatment course, will the pain still get worse over time? Will my anxiety decrease?

Just been diagnosed with trigeminal neuralgia, and started on a treatment course, will the pain still get worse over time? Will my anxiety decrease?

No: trigeminal neuralgia, although it can be very painful, can be treated. There is no reason it should get worse over time, especially if you find the right treatment. Once you are no longer in pain, your anxiety might decrease. ...Read more

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What is the treatment of trigeminal neuralgia? please reply me with the name of the the hospital where this treatment is possible!

Medication: The most common treatment for trigeminal neuralgia is a medication called carbemazepine. If this first line therapy doesn't work there are several alternatives. Surgical treatments are reserved for the rare cases which do not respond to any medical treatments. ...Read more

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I'm on carbamazepine(300 mg) for the treatment of trigeminal neuralgia can it lead to elevated GGT level?

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

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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 more

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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.

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.

I only do that: when I am titrating off one and going on to another. Although it could theoretically be done - it may ^ risk for Serotonin Syndrome. ...Read more

Dr. Jeffrey Cohen
1,931 doctors shared insights

Neuralgia (Definition)

Can also be described as neuropathic pain or "nerve pain" which can occur anywhere in the body. It can also be due to many disorders such as direct nerve damage, diabetes, ...Read more


Dr. Stephen Scholand
842 doctors shared insights

Nerve Pain (Definition)

Neuralgia is a sharp, shocking pain that follows the path of a nerve and is due to irritation or ...Read more