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Doctor insights on: How Does Gabapentin Work For Nerve Pain

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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.

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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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.

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Can u refill Gabapentin 300 mg for nerve pain?

Can u refill Gabapentin 300 mg for nerve pain?

Gabapentin: Gabapentin is NOT a controlled substance meaning it CAN be refilled if there are refills on your prescription

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So how and why does b-12 stop nerve pain more effectively than neurontin (gabapentin)?

So how and why does b-12 stop nerve pain more effectively than neurontin (gabapentin)?

Non-medical evidence: Recent studies of chronic pain management suggest that a combination of psychological, pharmacological and physical therapies, tailored to the needs of the individual patient, may be the best approach to mange neuropathic pain. Pharmacological choices are: amitriptyline, duloxetine, Neurontin or Lyrica (pregabalin) as initial treatment for neuropathic pain, but not B12.

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Can I assume that since my pain has been decreased since being on Neurontin (gabapentin) that it was nerve pain?

Not necessarily: Since the nerves carry the pain signals to the brain, and Neurontin (gabapentin) works by "calming down" the nervous activity, pain from just about any source can be helped by Nerontin.

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Gabapentin vs amytriptyline for nerve pain?

Gabapentin vs amytriptyline for nerve pain?

Neuropathy: They are different. Often they can used in combination. I tend to reserve Amitriptyline for use at night for patients who are also having trouble with insomnia. Gabapentin must be titrated to minimize side effects. The most common problem I see is practitioners titrating to a high enough dose to get a reduction in pain.

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Need refill on gabapentin for diabetic nerve pain?

Options: Could contact your local doctor or we could address your issues online via a Concierge visit.

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Gabapentin for nerve pain. Can it be taken as needed? Pamphlet says not to stop taking med w/o seeing dr but was told to take as needed

Gabapentin for nerve pain. Can it be taken as needed? Pamphlet says not to stop taking med w/o seeing dr but was told to take as needed

No: Gabapentin should be taken every day as prescribed by your doctor to manage chronic pain effectively. Your doctor may make an adjustments according to your individual needs.

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Am trying Neurontin (gabapentin) for nerve pain. Ideas to stay awake?

Am trying Neurontin (gabapentin) for nerve pain. Ideas to stay awake?

Gabapentin: This compound may induce somnolence and dizziness in some people who take it. These effects seem to lessen with time the longer you are taking it. Would recommend not driving, operating instruments or other activities while you are experiencing side-effects. Not aware of any simple means of reversing the sensation of sleepiness.

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What other options do I have if gabapentin and pregabalin don't help nerve pain?

What other options do I have if gabapentin and pregabalin don't help nerve pain?

Broad range: AEDs, TCAs, SSRIs, SNRIs, just to name a few. However, the diagnosis is very important before the administration of any medication or combination of a few. For example for trigeminal neuralgia Tegretol is the choice, for diabetic neuropathy Lyrica (pregabalin) is the choice, for postherpetic neuralgia Venlafaxine is the choice, etc. Rec.: see pain management specialist for proper diagnosis and management.

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I am considering taking Neurontin (gabapentin) for nerve pain. Does this medication have a history of causing weight gain. I read that it did.

I am considering taking Neurontin (gabapentin) for nerve pain. Does this medication have a history of causing weight gain. I read that it did.

Gabapentin, yes: Possible weight gain. Unfortunately, doctors often do not address this when prescribing medicine, despite weight gain being very troubling for the many patients. Gabapentin differs from most other anticonvulsants, because it has minimal drug interaction potential and is not metabolized in humans. It is used for both paroxysmal and continuous neuropathic pain (nerve pain) conditions.

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Thoughts on gabapentin for nerve pain? Why does it have withdrawal effects? I am nervous to take this medication. Other ones to ask dr about?

Thoughts on gabapentin for nerve pain? Why does it have withdrawal effects? I am nervous to take this medication. Other ones to ask dr about?

Effective: Gabapentin is very effective for nerve pain due to neuropathy or pinched nerve. It does cause tolerance which is why it must be tapered. I have many patients who have gotten significant relief using it. Discuss with your doctor. Thanks for trusting HealthTap!

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Can gabapentin improve hr &bp fluctuations in autonomic dysfun. Take 1800 mg 4 nerve pain on entire left body & mildly helping. Is it a coinkydink?

Can gabapentin improve hr &bp fluctuations in autonomic dysfun. Take 1800 mg 4 nerve pain on entire left body & mildly helping. Is it a coinkydink?

Not that I know of: Am not aware of any studies showing gabapentin effective at treating either BP or pulse fluctuations or other autonomic dysfunction. Would be helpful do know what the origin of this dysfunction and your neuropathy since they may well be related. I hope you are seeing a neurologist for this, who may suggest testing for the various causes of such dysfunction. Talk with the prescriber for advice.

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I've been on gabapentin at an increasing dosage for 2yrs. At 3200mg/day for nerve pain. Stopped cold turkey. Would this cause nausea? Other affects?

I've been on gabapentin at an increasing dosage for 2yrs. At 3200mg/day for nerve pain. Stopped cold turkey. Would this cause nausea? Other affects?

Don't!: Gabapentin is an anti-seizure medication and is used for nerve pain. At 3200mg/day, you are at higher dose for gabapentin. You need to be weaned off Gabapentin if desired. If you stop abruptly, you might develop seizure. Please see your doctor before making any change.

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Why is Neurontin (gabapentin) usually given for nerve pain and not bruises or other injuries?

Nerve treatment: Neurontin (gabapentin) or Gabapentin was formulated as a medication to treat seizures. There is no evidence that it is helpful for pain except for that due to nerves.

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I take 800mg of gabapentin 4x a day for nerve pain. Can I drink alcoholic beverages? What are the possible affects?

I take 800mg of gabapentin 4x a day for nerve pain. Can I drink alcoholic beverages? What are the possible affects?

I would recommend...: That you did not consume alcohol along with 3200 mg/day of gabapentin. It could interfere with your medications beneficial effects and could increase your medications side effects.

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What medications can help with nerve pain caused by my multiple sclerosis? I have tried gabapentin and oxcabazapine and both have stopped working. 

Change dose: You might have built up tolerance and need dose escalation. Titrate Gabapentin to 1200 mg 3xday or 900 4xday. If alreadymat 3600 mg per day consider switching to lyrica (pregabalin).

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Gabapentin (Definition)

Also called neurontin, (gabapentin) is an anticonvulsant medication used to treat seizure, also for post-herpetic neuralgia & other neuropathic pains, as well as restless leg syndrome. It works by lowering excitation ...Read more


Dr. Jeffrey Cohen
1,915 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