Possible. Different mechanism of action. Trial each one independantly. If both help use both for additive/synergistic effect.
No difference. There is no such thing as "best", "better" or "worst" medication, only those that work and don't work, based on the patient's individual circumstances and genetics. Ask your treating physician for medication adjustment.
Diagnosis first. Before treatment, you need diagnosis. See oral surgeon or oro-facial TMJ doc for diagnosis/recommendations.
Facial pain. The three drugs are very efficacious in treating facial pain from neuropathic origin.
No. Trileptal is an anti-neuropathic medicine similar to lyrica, (pregabalin) neurontin, cymbalta, etc. Patients with the same ailment react differently to different anti-neuropathic medicines. When it comes to anti-neuropathic agents, trialing multiple medications may be necessary. The effectiveness is therefore patient dependent.
Lyrica (pregabalin) and gabapentin sorta works but have too many side effects. I have chronic head nerve pain. What are my options?
Pain Specialist!! Interventional pain treatment (injections) may be helpful Ask your Primary Care Provider for a referral! Hope this helps Dr Z.
Acupuncture. Is another option - auricular or Chinese Scalp acupuncture. Take care.
Tics. Motor tics caused by anti epileptics is a side effect that mandated revisiting the therapy. See your neurologist.
Reported side effect. Both of these drugs have been described to cause a condition called myoclonus which is likened to a sudden jerk of one or more muscles. This is more common in people with renal impairment or underlying brain disease but can be seen in otherwise healthy patients especially if they are taking both drugs or a high dose of either one. Please check with your doctor regarding a possible dose adjustment.
Do drugs like elavil, Lyrica (pregabalin) and Neurontin for nerve pain all work the same or do they have different actions from one another?
Different drugs. Lyrica (pregabalin) and neurontin act similarly. Elavil works by a different mechanism.
What is a good pain reliever for nerve pain? I've tried cymbalta, lyrica, (pregabalin) and neurontin. Nothing has worked. I have tn too, and im losing hope.
Treat the cause. Most important is treating the source, which often remains elusive or damage irreversible, necessitating need for symptom treatment. Many types of nerve pains exist & making the distinction guides better treatment. Combo therapy is often needed augmented w/ less traditional modalities such as topicals & acupuncture. Interventional pain procedures is a candidate. Opiates work for refractory cases.
Additional Rx. Effexor, (venlafaxine) tricyclic antidepressants, ssnri's, local Lidoderm patch, a Butrans patch, all have some chance of success. However, if you possess an underlying small fibre neuropathy, or a large fibre neuropathy caused by autoimmune mechanisms, infusions of ivig may be amazingly helpful. Lastly, a medical food metanx is also of value.
Nerve Pain. It depends on the cause of your nerve pain. If there is compression or entrapment of a nerve, a steroid injection may help but surgical decompression may need to be considered. You mentioned, tn, which I assume to be trigeminal neuralgia. If you have intractable trigeminal neuralgia, you should see a neurosurgeon as there are procedures such as microvascular decompression that may be of help.
Are there studies that demonstrate that lyrica (pregabalin) controls seizures better than neurontin? References?
No studies. Both Lyrica (pregabalin) and Neurontin are chemically very similar, and there has never been, to my knowledge, a head to head study. Would expect both to have an identical response in epilepsy. One problem with neurontin, will not benefit beyond 2400 mg total daily.
Is there a pill that can help with my neuropathy and anxiety at the same time. I've tried Neurontin and lyrica (pregabalin) didn't help?
It depends. It depends on what's causing your neuropathy. Sometimes older medications called "tricyclic antidepressants" can help both anxiety and neuropathy. New medications such as duloxitine and venlafaxine can also help. Finally, don't overlook behavioral techniques such as visualization exercises which can decrease pain sensitivity and also help anxiety. Hope this answer helps.
Another choice. There is a medicine called amitriptyline that may help. It is often used to reduce the pain that may occur with neuropathy. It is not officially indicated for anxiety, but it was once used as an antidepressant. Gabapentin and lyrica (pregabalin) have no benefit to anxiety.
Just started lyrica (pregabalin) 75mg weaning off Neurontin 300mg 4 tabs a day what can I expect if any for side effects in the weaning process?
It depends. In my neurology practice I prefer to use Neurontin as Lyrica (pregabalin) has a therapeutic ceiling due to renal metabolism that limits the maximum dose especially in women. Neurontin (gabapentin) can be titrated to 800 or even 1200 mg three times a day. One can switch to one a day gabapentin (Gralise) which appears to have less sedation.
No side effects. There is very limited evidence in the medical literature with regards to managing a switch between the two medications. You don't need to taper, just switch over to an equivalent dose: 75mg in the morning and 150mg in the evening. Neurontin 1200 mg = 225 mg Lyrica (pregabalin). You should always consult your physician when making decisions about your health. Good luck.
Slow taper. Taper the neurontin (gabapentin) slowly, under the guidance of your neurologist. The slower your taper, the less likely you are to experience side effects, which can include tremor, irritability, agitation, anxiety, tachycardia, diaphoresis, confusion, disorientation, catatonia, and status epilepticus. Http://www. Medscape. Com/viewarticle/722526_1.