Doctor insights on:
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 moreSee 2 more doctor answers
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 moreSee 2 more doctor answers
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 moreSee 4 more doctor answers
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 moreSee 1 more doctor answer
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 moreSee 1 more doctor answer
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
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
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 moreSee 3 more doctor answers
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
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 moreSee 1 more doctor answer
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 moreSee 4 more doctor answers
Have shingles no rash...unbearable..sharp stabbing pain taking anti fungal/600 gabapintin 4x day..tylonal / codene lidocaine/menthol gel...no relief?
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 moreSee 3 more doctor answers
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