Top
25
Doctor insights on: Cymbalta Elavil Nerve Pain

Share
1

1
Can I take both cymbalta (duloxetine) and elavil for nerve pain?

Can I take both cymbalta (duloxetine) and elavil for nerve pain?

Yes, but...: You need to be careful of something called serotonin syndrome. The combination of these two drugs (both of which act to increase serotonin levels) can in rare situations cause a severe bad reaction. ...Read more

See 1 more doctor answer

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


3

3
Does elavil (amitriptyline) start working on bad nerve pain immediately?

No: Elavil (amitriptyline) is a tricyclic medication that can often have side effects when a high dose ismstarted immediately. Starting at a low dose 10-25 mg and titrating only every 5-7 days can help patients tlerate the side effects until reaching a dose that helps with pain. ...Read more

4

4
Will I get more pain relief from nerve pain if I use a combination of both drugs like elavil and Lyrica, (pregabalin) than if I used just one ?

Will I get more pain relief from nerve pain if I use a combination of both drugs like elavil and Lyrica, (pregabalin) than if I used just one ?

Most likely: Since they attack "nerve" pain by different mechanisms then there is a potential for additive benefit. They are often used in combination for that purpose. Keep in mind that medications like this do not work right away, so if you can tolerate as they "get into your system" over the course of a few weeks you will be able to see if they truly work for you. ...Read more

5

5
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

7

7
Just prescribed elavil (amitriptyline) for IBS and cronic ruq nerve pain. It is to strong even at lowest dose. Can i cut it in half? Only been taking 3 days at bed.

Just prescribed elavil (amitriptyline) for IBS and cronic ruq nerve pain. It is to strong even at lowest dose. Can i cut it in half? Only been taking 3 days at bed.

Elavil (amitriptyline): Please call your doctor about your difficulties with elavil, since you haven't shared how much you're taking. The lowest dose made is 10mg, and i don't know any that are scored (making them easier to cut in half) anyway. You may end up with a crumbled pill. Your doctor will want to understand what you mean by "too strong, " so s/he can adjust or change. Another option might be low-dose sinequan (doxepin). ...Read more

9

9
Wellbutrin4anxiety, lansoprazole4reflux, plaquenil4an ai. Ibs&gastroparisis. Elavil (amitriptyline) for nerve pain &zantac 4 nite gas bloat. Can i take melatonin?

Wellbutrin4anxiety, lansoprazole4reflux, plaquenil4an ai. Ibs&gastroparisis. Elavil (amitriptyline) for nerve pain &zantac 4 nite gas bloat. Can i take melatonin?

That is a lot of: Medications, plus alcohol. You should consult with your doctor or pharmacist to see if there are any interactions among the meds you already take. Adding melatonin would be complicating things even more. ...Read more

10

10
Does cymbalta (duloxetine) work better then gabapentin for nerve pain ?

Does cymbalta (duloxetine) work better then gabapentin for nerve pain ?

Cymbalta (duloxetine): Both medications are good but they are different. Cymbalta (duloxetine) works on 2different sites than gabapentin. Both are recommended in chronic pain. If you have not had success with gabapentin this maybe an option. ...Read more

11

11
Is venlafaxine better the cymbalta (duloxetine) for nerve pain ?

Is venlafaxine better the cymbalta (duloxetine) for nerve pain ?

They are: Not the same but in the same category as SNRI'S (Seratonin Norepinephrine Reuptake Inhibitors). So bottom line, since everyone is different, you would have to just try one. I will say this: watch out for withdrawal symptoms or side effects such as headaches, sweats, shakes, and irritability. If that happens you have to wean off extremeve slowly always under psychiatric supervision. ...Read more

12

12
Is cymbalta (duloxetine) better for chronic pain and nerve pain then tramadol ?

Is cymbalta (duloxetine) better for chronic pain and nerve pain then tramadol ?

It can be : It can be better than tramadol. Tramadol has a risk of habituation. Cymbalta (duloxetine) has its own side effects is well. I would prefer the Cymbalta (duloxetine) to the tramadol for long-term. It's depends on what your diagnosis is and what the rest of your medical condition is. You can discuss this with your physician. ...Read more

13

13
What other drugs are available for nerve pain if Gabapentin, Lyrica (pregabalin) and Cymbalta don't work ?

What other drugs are available for nerve pain if Gabapentin, Lyrica (pregabalin) and Cymbalta don't work ?

Think beyond drugs: Medications are one way of controlling nerve pain. Pain is a complex holistic process. You may be able to decrease need for meds by addressing other issues. That includes nutrient status, stress or emotional trauma that may have accompanied or pre-dated the injury, and movement and use of the limb. It's a complex topic. You might look for a doc who does integrative or functional medicine. ...Read more

See 1 more doctor answer
14

14
Is it safe to take a TCA or a SSNRI for nerve pain if I had palpitations on low doses of first Cymbalta (duloxetine) (60mgOD), then gabapentin(100mgBID)?

Is it safe to take a TCA or a SSNRI for nerve pain if I had palpitations on low doses of first Cymbalta (duloxetine) (60mgOD), then  gabapentin(100mgBID)?

Palpitations: although there is some electrophysiologic effect with the above medicines in the absence of a clinical trial tolerability can not be assessed. Following initial dosing to steady-state an ECG may be of value in assessing the potential for arrhythmia by observing intervals such as the QT. Discuss this with the prescribing physician ...Read more

15

15
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

See 2 more doctor answers
16

16
Three months ago I developed nerve damage from statin use (one month of simvastin 20mg/day). Daily physical therapy has helped a bit, and I just started taking cymbalta to control the nerve pain. Anyone have suggestions for quicker improvement?

Three months ago I developed nerve damage from statin use (one month of simvastin 20mg/day). 

Daily physical therapy has helped a bit, and I just started taking cymbalta to control the nerve pain.   

Anyone have suggestions for quicker improvement?

Acupuncture: Acupuncture helps the body heal without medications. It can also reduce pain. Also you can get homeopathic hypericum 30c or 200c and take that . It hold help with the pain as well. Chinese medicine can alas help your cholesterol problem. Good luck! ...Read more

17

17
Im takung elavil and cymbalta (duloxetine) for relieving mu fybro pains and insomnua and seem not ti improve... Is this goung to end someday?

Im takung elavil and cymbalta (duloxetine) for relieving mu fybro pains and insomnua and seem not ti improve... Is this goung to end someday?

Speak with your doc: Have you spoken to your doctor yet? Perhaps, you need a different dosing regimen. Perhaps, a different set of medications? Perhaps, a different diagnosis? Sometimes, treatments don't work well for a problem because the diagnosis is either not accurate or incomplete. Maybe something else is going on to be addressed? Wanna yap? www.healthtap.com/drsaghafi Key Code: PDXFNR ...Read more

See 1 more doctor answer
18

18
Hi there. I just want to know if it's ok to take my off brand 24 hour allergy meds with my other meds. I'm taking bystolic, cymbalta, elavil, flexeril?

Hi there. I just want to know if it's ok to take my off brand 24 hour allergy meds with my other meds. I'm taking bystolic, cymbalta, elavil, flexeril?

Talk to your doctor: You should discuss all of your medications, over the counter drugs, herbals, nutritional supplements etc with the doctor you has prescribed you the medications you listed. ...Read more

19

19
I've tried gabapenten, lyrica, (pregabalin) Elavil, cymbalta, oxycodone for sudden onset neuropathy.Guess that's it.Any answers, cause I don't havevany.I give up.

I've tried gabapenten, lyrica, (pregabalin) Elavil, cymbalta, oxycodone for sudden onset neuropathy.Guess that's it.Any answers, cause I don't havevany.I give up.

Neuropathy: The important thing is diagnosis FIRST, treatment second. Don't give up. Get to the reason for the neuropathy. Something is causing it. (Nerve compression, chemical damage, diabetes, etc) If nothing else, radically change your diet to gluten free, high protein, low carb all organic for one month. No alcohol/smoking. You might get surprised. ...Read more

See 1 more doctor answer
20

20
I'm not responding to any meds given for sudden onset peripheral neuropathy of the feet. Can dilaten help.Tried gabapenten lyrica (pregabalin) Elavil cymbalta.

I'm not responding to any meds given for sudden onset peripheral neuropathy of the feet. Can dilaten help.Tried gabapenten lyrica (pregabalin) Elavil cymbalta.

Dilantin: The use of Dilantin is unlikely to reduce the pain of peripheral neuropathy if the other anti-convulsant medications have failed to relieve the pain. Alternative treatments such as transcutaneous electrical nerve stimulation, capsaicin cream, Lidocaine patches and identifying and treating the cause of the neuropathy may help you feel better. ...Read more

See 1 more doctor answer
21

21
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

22

22
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

See 1 more doctor answer
23

23
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

24

24
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

See 1 more doctor answer
25

25
I am on effexor 300mg, Lyrica 300mg, amitriptyline 50mg and 15mg for severe G A D and nerve pain. Is this a lot of meds. Many Thanks?

Sometimes: multiple medications are required to treat psychiatric conditions. I wish more people responded to just one medication. Being on a lot of medications does not necessarily equate to being on unnecessary medications. ...Read more

See 2 more doctor answers
Dr. Jeffrey Cohen
1,908 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. Robert Kent
375 doctors shared insights

Elavil (Definition)

Elavil is a tertiary amine tricyclic which is a kind of tricyclic type drug (serotonin-norepinephrine reuptake inhibiting ...Read more