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Doctor insights on: Nortriptyline Dosage For Nerve Pain

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Are there any alternatives for pregablin , neurotin and nortriptyline for nerve pain headaches?

Are there any alternatives for pregablin , neurotin and nortriptyline for nerve pain headaches?

Depends.: Carbamazepine, topirimate, NSAIDS, steroids? You should discuss this with your neurologist who will know your condition and will be able to provide an integrated approach. ...Read more

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Dr. Christopher Crosby
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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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Currently on nortriptyline but it has been making me have nightmares and hasn't been helping with my nerve pain. Can i just stop taking it?

Currently on nortriptyline but it has been making me have nightmares and hasn't been helping with my nerve pain. Can i just stop taking it?

Discuss with your Dr: You should not stop it abruptly, but do make the call to your doctor and put them on the same page and they can assist you getting off the medicine. ...Read more

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Dr. Christopher Crosby
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Sharp swollen nerve pain on top of knee when bumped. Ice helps. Calms down in a few days until bumped again. Very localized and very painful!

Sharp swollen nerve pain on top of knee when bumped.  Ice helps. Calms down in a few days until bumped again. Very localized and very painful!

Could be bursitis: Could have some bursitis that is aggravated with bumping that may respond well to anti-inflammatories. If it does not then seeing a physician and getting x-ray and possibly MRI evaluation is the next step. ...Read more

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Is there anyways to make nerve pain less painful, i had a bilateral release almost 2 yrs ago and still getting it, im not a diabetic, ?

Is there anyways to make nerve pain less painful, i had a bilateral release almost 2 yrs ago and still getting it, im not a diabetic, ?

Pain specialist: For any type of nerve pain, you may consider consultation with a pain specialist. They are particularly good at working with medications for chronic pain. There are medications like Lyrica or Neurontin which may help with nerve pain from nerve irritation. ...Read more

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Can orgasms (not painful) be helpful for testicular nerve pain, long-term?

Can orgasms (not painful) be helpful for testicular nerve pain, long-term?

Not clear: We are not clear what your question is, it is probably best if you pay a visit to your local physician and try to explain your issue in person good luck and feel better. ...Read more

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Dr. Christopher Crosby
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10 years in practice
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Post nerve decompression surg for occipital neuralgia & migraine-now spasms that are electrical, tazer like - very painful-need advice on what to do.

See surgeon: I would recommend that you go back and see your surgeon. If they can't help you then i would recommend that you see an interventional pain management physician. ...Read more

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Dosing of Gabapentin for epic Migraines, tinnitus, nerve pain. Is 1500mg or above a reasonable dosage? I don't want to press my doc, but 900mg is fine, and 1200mg is a bit better, but still not efficaceous enough. I've read that for nerve pain people g

Dosing of Gabapentin for epic Migraines, tinnitus, nerve pain.  Is 1500mg or above a reasonable dosage?  I don't want to press my doc, but 900mg is fine, and 1200mg is a bit better, but still not efficaceous enough.  I've read that for nerve pain people g

That is reasonable: Often times when treating people with nerve pain the dose of gabapentin needs to be titrated up until the effective dose is reached (since the effective dose is different for each individual). The maximum recommended dose is 3600mg per day, so 1500mg is well within a safe range. ...Read more

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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. ...Read more

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Just prescribed elavil 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 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: 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. ...Read more

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Dr. Jeffrey Cohen
943 doctors shared insights

Neuralgia (Definition)

Neuralgia is also known as Nerve pain. 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. Ravi Chand
214 doctors shared insights

Nortriptyline (Definition)

Classified as a tricyclic antidepressant, and considered of modest benefit these days due to significant anti-cholinergic side effects (drowsiness, dizziness, dryness of mouth, blurring, and perhaps effect on bladder). Confusion may occur in older folks. Had some value in migraine prevention at one point. Used rarely these days as ...Read more


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