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Doctor insights on: Cymbalta Elavil Nerve Pain

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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

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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


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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

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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

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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

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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

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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

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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

Dr. James Marx
1,053 doctors shared insights

Neuralgia (Definition)

Neuralgia is a condition in which there is a sharp, unexpected pain along a nerve that is due to the irritation and damage of that nerve. Chemicals, diseases such as diabetes, medications, previous surgery, and trauma are potential causes of neuralgia. Numbness and weakness of the muscles supplied by the ...Read more


Dr. Robert Kent
362 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