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Doctor insights on: Painkillers Neuralgia

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Would oxycodone relieve nerve pain? Particularly pudendal neuralgia?

Would oxycodone relieve nerve pain? Particularly pudendal neuralgia?

Yes and No: Short answer is that any opiate or narcotic, oxycodone, hydrocodone, morphine etc, will help just about any pain. But one develops rapid tolerance to such drugs and in time they become less effective. Most all neuralgias are much more effectively treated with more "nerve specific" meds like Gabapentin and carbamazepine. ...Read more

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Dr. Jeffrey Cohen
1,931 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


Dr. Paul Grin Dr. Grin
3 doctors agreed:
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What painkillers are helpful for trigeminal neuralgia?

Dr. Paul Grin Dr. Grin
3 doctors agreed:
What painkillers are helpful for trigeminal neuralgia?

Anticonvulsant drug: Carbamazepine was found to be effective for trigeminal neuralgia and has been the most prescribed medication for management this disorder. A relatively new anticonvulsant, Neurontin, (gabapentin) is now considered a first line drug for trigeminal neuralgia along with carbamazepine. ...Read more

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Dr. Paul Grin Dr. Grin
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What medications treat trigeminal neuralgia?

Dr. Paul Grin Dr. Grin
6 doctors agreed:

TN medications: In spite of vast improvements in the medical or surgical management of TN, there is still no treatment modality available. Carbamazepine, trileptal, neurontin, (gabapentin) baclofen and Dilantin are the most common medications for TN. ...Read more

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Can fibromyalgia pain require narcotic pain medication?

Can fibromyalgia pain require narcotic pain medication?

Rarely: Opioids are a last resort and are only considered an option if all traditional medications have failed. ...Read more

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Can TMJ cause trigeminal neuralgia?

Can TMJ cause trigeminal neuralgia?

No: Similar symptoms but the trigeminal nerve is usually irritated by a different mechanism in trigeminal neuralgia. Most of the time it is irritated by a vascular loop. Often it will respond to medication like Carbamazepine or related anticonvulsants. There is a surgical treatment ( vascular decompression ) that is sometimes used when medication fails. TMJ is more akin to arthritis of the TM joint. ...Read more

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Shingles -has anyone had post-herpetic neuralgia pain treated?

Several treatments: Post-herpetic neuralgia (chronic pain after shingles) can be treated with Gabapentin (neurontin) or other related drugs. You can also apply capsaicin (zostrix) cream to the area, which burns the nerve endings to deaden the pain. Other treatments include tricyclic antidepressants, Lidocaine patches, and, in severe cases, narcotic pain relievers. ...Read more

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What is postherpetic neuralgia?

Nerve Damage: A painful condition that follows a bout of shingles or herpes zoster. This occurs in people that have had chicken pox earlier in life when the virus reactivates in their nervous system..An immunization is available for patients over 50 to reduce the chance of this reactivation happening. Condition is not generally seen in younger people unless they are immunocompromised or under unusual stress. ...Read more

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Thalamic cavernoma, suffer from horrible headaches.Tried different strengths of tylonol, advil, (ibuprofen) migraine meds, nerve block injections no relief sugestions?

Thalamic cavernoma, suffer from horrible headaches.Tried different strengths of tylonol, advil, (ibuprofen) migraine meds, nerve block injections no relief sugestions?

Ask your doctor if : He would recommend giving you imitrex, topamax, (topiramate) opioids, tricyclic antidepressants/tca etc.Have ur blood pressure checked. Take care and god bless u! http://www.webmd.com/migraines-headaches/default.htm?names-dropdown=id. http://www.doctoroz.com/videos/all-natural-headache-cures. ...Read more

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Best pain meds for sciatic pain?

Best pain meds for sciatic pain?

Another option: For sciatic pain is acupuncture. It can work well hand in hand with standard western medicine approaches. ...Read more

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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. ...Read more

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Could dental work cause trigeminal neuralgia?

Could dental work cause trigeminal neuralgia?

Not usually: Newer leading research indicates that it is an enlarged blood vessel - possibly the superior cerebellar artery - compressing or throbbing against the microvasculature of the trigeminal nerve near its connection with the pons. Such a compression can injure the nerve's protective myelin sheath and cause erratic and hyperactive functioning of the nerve. ...Read more

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Accupenture for nerve pain?

Accupenture for nerve pain?

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 more

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Dx type 2 trigeminal neuralgia, occipital neuralgia, neuropathy. Rx'd gabapentin, perc, k-pin, ibuprofen, mobic- rarely take as no help, cymbalta, (duloxetine) phenergen. Sev false + for amphetimine. Help! why ?

Dx type 2 trigeminal neuralgia, occipital neuralgia, neuropathy. Rx'd gabapentin, perc, k-pin, ibuprofen, mobic- rarely take as no help, cymbalta, (duloxetine) phenergen. Sev false + for amphetimine. Help! why ?

Confusing: I think your real ? Is why you test positive for amphine when you are not using them. Right? Well if they are justdoing a drug screen there are quite a few things that can give false positive. Especially some over the counter medications , even vicks that is rubbed on and inhaled or the kind you stick up your nosezantac otc is another one if you use that for heartburn . Most oral decongestants 2. ...Read more

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Which analgesics alleviate dental pain?

Which analgesics alleviate dental pain?

Analgesics: Pain medication is not specific for different types of pain and therefore what works for headaches, muscle pain, dental pain, etc will effect approximately the same degree of pain relief. In similar fashion, the greater the pain, the stronger the pain medication necessary. What's most important is to determine the source of the pain and then get the proper treatment. ...Read more

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Trigeminal neuralgia means pain where?

Trigeminal neuralgia: trigeminal neuralgia involves the face, usually on just one side and can involved the forehead, eye, cheek and jaw. Bilateral TN is usually only seen in patients with MS. ...Read more

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Have shingles no rash...unbearable..sharp stabbing pain taking anti fungal/600 gabapintin 4x day..tylonal / codene lidocaine/menthol gel...no relief?

Need to see your doc: Need to see your doctor and discuss the situation and see if there are other treatment modalities available for you. ...Read more

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What treatments may decrease my trigeminal neuralgia pain?

What  treatments may decrease my trigeminal neuralgia pain?

Gamma Knife: Or other forms of stereotactic radiosurgery are possible alternatives to dr. Nguyen's correct suggestions, but not all neurosurgeons have access. ...Read more

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I have MS and trigem neuralgia and have terrible pain. Tried gaba, baclofen, norco, (hydrocodone and acetaminophen) elavil, tegretol, otc, etc...What is the best pain med for this?

I have MS and trigem neuralgia and have terrible pain. Tried gaba, baclofen, norco, (hydrocodone and acetaminophen) elavil, tegretol, otc, etc...What is the best pain med for this?

Trigeminal neuralgia: Sadly trigeminal neuralgia is a poorly understood disease that has an even worse track record for treatment. Most patients suffer from this disease without much relief. There is a growing body of evidence looking into Lamotrigine as a treatment. Ask your prescribing doctor if this is an alternative. ...Read more

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Will Neurontin (gabapentin) and percocet control pudenal neuralgia pain , ddd, stenosis in neck, severe chronic abdominal and pelvic pain?

Better option are: : Better options are available for each conditions listed. Severe ddd/c-s stenosis: epidural/surgery. Pudendal neuralgia: surgical decompression is the preferred treatment; pads to avoid pressure while seated; pudendal nerve stimulation; local injection; chronic abd/pelvic pain: opiod induced constipation can worsen this; should work with gyn & GI for better option. Neurontin (gabapentin) okay. ...Read more

Painkiller (Definition)

"painkiller" is a general term and not a medical term. Literally, it is something that "kills" the pain. That can include just about anything that ...Read more


Dr. Sewa Legha
842 doctors shared insights

Nerve Pain (Definition)

Neuralgia is a sharp, shocking pain that follows the path of a nerve and is due to irritation or ...Read more