Doctor insights on:
Is drinking coffee with Cymbalta (duloxetine) a bad idea.....does Cymbalta (duloxetine) increase caffeine as luvox does?
No: Just so you do not go overboard with the coffee. 1-2 cups a day ok. More then that and you might have issues. Hope this was helpful. Dr R ...Read more
Clarify question: I am not certain of the question- please clarify. ...Read more
Tried numerous meds for fibro like lyrica, cymbalta, gabapentin, savella (milnacipran). None work, not fibromyalgia?
Yes...but?: Anyone with a medical (or dental license) plus a dea controlled substance registration. ...Read more
No but......: Narcotic is more a legal term than a medical term. It does not necessarily refer to just opiate type medications. In general i think Lyrica (pregabalin) is a very helpful medicine, and i rarely see any addiction problems, however i did have a recent case of Lyrica (pregabalin) dependence. With that said most patients even with addiction history may still try this med if indicated and monitored. ...Read moreSee 2 more doctor answers
Does caffeine reduce the effect of psychotropic drugs? Particularly Effexor, Buspar, (buspirone) Trazodone, and Topamax.
No interaction but..: I ran the interaction checker and there is no known interaction between caffeine and any of the meds you mentioned. However, it is well known that caffeine disrupts sleep patterns and can increase anxiety either on it and while withdrawing from it. Therefore, it is best to cut caffeine to a very minimum ...Read more
Which tcas is more potent for sciatica pain relief, amitriptyline(or nortriptyline), imipramine(or desipramine)?
TCA: Tca are classic for neuropathic pain - sciatica for example. Any of the ones u mentioned may be quite eefective - and cheap. They are not without side effects - dry mouth, constipation, sedation. Any of the ones u mentioned can be effective. I personally like amytryptilline - 10mg at night - as mentioned all will work. Additionally other meds such as lyrica, (pregabalin) neurontin, Cymbalta are options. ...Read moreSee 1 more doctor answer
Im on Zoloft Buspar ativan lipidil ez Risperdal do lyrica (pregabalin) make any introduction with lyrica (pregabalin)?
If you are asking: about possible drug interactions- yes, Lyrica (pregabalin) may have moderate interactions will zoloft, buspar, risperidal and ativan. There are no reported drug interactions with lipidil EZ. That does not mean that the drugs shouldn't be used together but I do hope that your medications are being managed by a psychiatrist with this complexity. ...Read more
Prescribed adderal ir 30mg 3x day & neurontin (gabapentin) 1200 mg (nerve damage) can I take neurontin (gabapentin) at night as one dose? Does neurontin (gabapentin) effect adderall working
Clarification: Neurontin does not interact with most drugs and will not affect your Adderall (dextroamphetamine and racemic amphetamine). Since it has a short duration of action, cannot be taken once daily but needs thrice daily dosing. A gabapentin preparation, Gralise, however, can be taken once daily at night. ...Read moreSee 1 more doctor answer
No: Pregabalin is an anticonvulsant drug used for neuropathic pain and as an adjunct therapy for partial seizures with or without secondary generalization in adults. It has also been found effective for generalized anxiety disorder and is (as of 2007) approved for this use in the european union. It was designed as a more potent successor to gabapentin. ...Read moreSee 2 more doctor answers
What meds can cause skeletal muscle cramps? (am on betablocker, cymbalta, lyrica, (pregabalin) nexium, celebrex, and vitamin supplements)
Beta blocker: http://www.mayoclinic.org/medical-edge-newspaper-2012/apr.13a.html.Get a more detailed answer ›
Better options exist: Fioricet/ fiorinal is a barbiturate derivative, which can be highly addictive , and interact with many other drugs.The type and source of headaches must be established ie; classic migraine, chronic daily ha, clusterha, ect. Biofeedback has been shown to be an effective treatment. Some ha's are peripheral (occipital neuralgia). If ha's are frequent , a preventative drug is preferred( topamax, (topiramate) verapam. ...Read more