Doctor insights on:
Medicines Nerve Pain
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
Another one: Metanx is a Folic Acid derivative that has shown good response in patients with diabetic neuropathic pain. Overall, the goal is to get you as much relief as possible from your symptoms. Do not concentrate so much on what is herbal or natural but what has been shown to provide the best relief of your symptoms. Being in pain simply for the sake of saying you use "natural" things is not reasonable. ...Read moreSee 1 more doctor answer
Good medicines for..: Few anti epileptic medications like for example Lyrica, (pregabalin) gabapentin, tegretol have been used with success for fibromyalgia. Tricyclic and other antidepressants like amytriptiline, Cymbalta can help with symptoms as well. In some people antiinflamtory meds and muscle relaxants can also provide relief. However, the mainstay of treatment is regular aerobic exercise at least 3-4 times a week. ...Read moreSee 1 more doctor answer
Repeatedly wearing shoes causing nerve pain has left me unable to wear footwear without anxiety, pain for more than 20 minutes. What drugs could help?
Have been taking gabapentin 1200 mg daily for 7 days for nerve pain after a stroke, pain is still severe. Is it time to up the dosage or change drug..
You can: try to go up to 3600 mg slowly, under direction of a physician to see if you have additional symptom relief. Effective dose is 1800-2400 mg ...Read more
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
Yes Big Problem: Celebrex (celecoxib) and your allergy. Given that your pain is not improved with conservative care, I would suggest seeing a pain/spine specialist to evaluate you further to evaluate what level the problem is at and what can be done to treat you. There are interventional treatments besides medications and surgeries that might reduce or eliminate the pain altogether. ...Read moreSee 2 more doctor answers
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
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 moreSee 1 more doctor answer
I have a L4-5 herniated disk with pinched nerve. Pain is ok with gabapentin. But I do not want to take medicine for ever. Should I go for surgery?
No Simple Answer: L4/5 herniated disk w/pinched nerve and pain will often - but far from always - respond to surgery. Factors such as exact location of disk material pressing on nerve root, weakness present (if any), exam findings like changed reflexes all matter. Minimally invasive techniques are helpful in some cases; others need surgery. A focused neurologic exam and a visit w/a neurosurgeon is a good plan ...Read moreSee 2 more doctor answers
Is there a stronger combination of medicines than lyrica (pregabalin) and naproxen for treating nerve pain in the feet?
Pressure on the nerv: That begs the question ... Where is the pressure? It could be local, positional like you are sleeping on your arm or in the spinal cord. >90% it is between where the pain is and the spinal muscles ... Not dangerous but will drive you crazy. See your doc and see a massage person who may find a tight muscle that needs to be released and you are cured. My tools of choice are acupuncture needles. ...Read more
Can give it a try!: Nerve pain can be due to a long list of things. In anatomic compression/entrapment, other treatment modalities are recommended. If due to neuropathy or neuropathic pain, acupuncture may provide some benefit. Improvement is not measured by reduction in pain alone, but also by functional improvement & by modulating ones perception/tolerance to pain; the latter is often over looked in research design. ...Read moreSee 1 more doctor answer
Conservatively: With musculo-skeletal pain treat with pt and home exercise. Medications for nerve pain can be used but cause side effects. Consider topical compounding ointment, followed by non-opiate meds. Anti-seizure meds like neuron tin, tricyclic antidepressants, snri antidepressants like Cymbalta (duloxetine) have been effective. Nerve blocks, neuroablation, spinal cord or peripheral nerve stimulators can be effective. ...Read moreSee 1 more doctor answer
Nerve Pain: Nerve pain can express itself in a few different ways, depending on the location and cause of the nerve injury or damage. Increased sensitivity at the skin area served by the damaged nerve is common. Numbness along the path of the damaged nerve may be constant or intermittent. Discomfort may occur with a stabbing sensation or a burning sensation and may increase with movement. ...Read moreSee 1 more doctor answer
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