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Nerve pain medication

Printed From: ChronicPainSite.com Foundation, Inc
Category: Management of Chronic Pain
Forum Name: Pain Management and Pain Medications
Forum Description: Understand and discuss the medications and the pain management strategies that are available for people with chronic pain.
URL: http://ChronicPainSite.com/mb/forum_posts.asp?TID=17294
Printed Date: Jun/20/2018 at 5:03pm


Topic: Nerve pain medication
Posted By: Mopar1
Subject: Nerve pain medication
Date Posted: Feb/09/2018 at 11:24pm
What is the best medication for nerve pain? I have a bulging disc which puts pressure on my sciatic nerve.



Replies:
Posted By: Bailey
Date Posted: Feb/10/2018 at 3:46am
Hi Mopar,

There are several medications used for nerve pain, different people have different results. Some common ones are lyrica, gabapentin. Some have luck with an older one called amitriptyline(spelling). It is very much dependant on the condition being treated and the individual.

Can you tell us a little about what’s causing your pain? Is it a single disc causing the problem? What has been done so far, tests, meds, therapy?


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DDD C3-C6 with multiple osteophytes causing both moderate foraminal and canal stenosis and flattening and impinging on the spinal cord
Cervical Facet arthritis
Chronic Pain Syndrome


Posted By: Mopar1
Date Posted: Feb/10/2018 at 7:39am
I had an mri and it is showing a bulging disk putting pressure on my sciatic nerve. If I keep up with my stretching and workout I am usually fine, if I stop even for a few days I pay for it. I had the flu last week so I had no energy and didn't work out so now my back is out.
I oly take medication when I need it. My doctor gave me tramadon (not sure if spelling is correct) it upsets my stomach and not very effective.


Posted By: Bailey
Date Posted: Feb/10/2018 at 8:24am
Sorry the flu set you back, it’s a nasty one this year. It’s great that stretching and exercise generally keeps things under control. All meds have side effects and nerve pain meds are some of the worst. Some people have good results only using a small dose as required. Doctors generally want you to take them daily and many people need a steady amount in their system for pain relief.

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DDD C3-C6 with multiple osteophytes causing both moderate foraminal and canal stenosis and flattening and impinging on the spinal cord
Cervical Facet arthritis
Chronic Pain Syndrome


Posted By: Edie
Date Posted: Feb/12/2018 at 12:42am
Mopar1,
The advice Baily gave you is very accurate. Lyrica and Gabapenting is pretty much the thing these days for nerve pain, and even more so for Sciatica nerve. Some people experience side effects from them. If that is a problem.  You will need to decide if the benefits outweigh the risks. What ever you decide keep moving and stretching to keep the tissues and muscle around the weak nerves strong and flexible. Sorry about the cold, please be careful with that. With the epidemic that is going on it is better not to take chances. Talk to you doctor and see if it is OK to take some Tamiflu. They say it is very helpful to reduce the length and strength of  the sickness,

Thanks for stopping here . ..Edie


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Chronic pain throughout the spine caused by osteoarthritis (DDD). Started at neck, spread to thoracic, and lately to lumbar area. Most of my spine is affected by bulges, disc height loss and dehydration, bone spurs, annular tears, foraminal stenosis, probable nerve impingement, and degeneration at end plates and facets.

The disease extends from Cervical C2-3 to C7-T1. Thoracic T4 to T10.
Lumbar T12-L1 to L5-S1.
It is all non operable.

Other conditions
TKR R Knee.
Torn ACL, MCL L knee,
Pain on legs and calves
Deep vein thrombosis
Migraine headaches
Painful spots all over scalp
COPD
Hypertension
Chronic Hyperventilation. Caused by anxiety or stress
Chronic depression and insomnia


Posted By: Mopar1
Date Posted: Mar/23/2018 at 9:22am
Have any of you taken Naproxen for nerve pain? That's the only thing that helped this morning.


Posted By: Stevie
Date Posted: Mar/23/2018 at 1:27pm
Naproxen is an anti inflammatory medication so if your pain is coming from some inflammed area than it would make sense that it worked. But generally speaking, it wouldn’t affect the pain of sciatica very much. It may have helped to potentate the effects of an antiepeleptic such as Gabapentin or Pregabalin.

Remember this drug is very hard on the stomach so try to use it judiciously.

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My journey with chronic pain began over 30 years ago, while as a young nurse working spinal rehab, I injured my back lifting a patient. I am now fused from L2-S1. I have multiple thoracic and cervical issues. I'm a retired RN/PA and I know and understand the frustrations on both ends of the treatment spectrum of dealing with CP. It's been my goal since 2008, when we started this site, to reach out and help as many people in pain as possible. We will continue the fight as long as we can. Please, if you can help us continue to help you and others, donate. Thank you.


Posted By: Jeff
Date Posted: Mar/23/2018 at 7:36pm
Naproxen does ZERO for my nerve pain.  I might as well be taking sugar pills.  When I had active true inflammation from arthritis, I lived on 200 mg of Indocin a day for nearly 20 years, and now it has eaten up my entire GI system, from my throat down to my stomach.  I had gastritis and esophagitis and now have to take high dose protonix to keep stomach acids down.  I blame the whole thing on Indocin, a cousin to Naproxen.  I was even swallowing stomach acid in my sleep and keep getting recurrent pneumonia it was so bad.  I was in the hospital and doctors offices at least once a month for 2 years until we got the acid under control, but now my GI system is shot for the rest of my life.

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Ankylosing spondylitis resulting in fusion of entire cervical, thoracic, lumbar, and SI joints, osteoporosis, 5 compression fractures, severe stenosis of spinal cord & nerve root compression, cervical myelopathy, radiculopathy, bruise & permanent deformation of spinal cord, incomplete spinal cord injury, postlaminectomy syndrome of cervical region, chronic nerve and orthopedic severe pain, and bilateral carpal tunnel. Asthma, GERD, high blood pressure, high tryglycrides, diverticulosis, recurrent pneumonia, anemia, hypertension, chronic dry eye and mouth. Need hip & knee replacement and fusion of both feet. Already had 11 surgeries including 5 orthopedic & 1 neurosurgery.
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Posted By: Jeff
Date Posted: Mar/23/2018 at 7:40pm
I tried Horizont, a slow release form of Neurontin, and it didn't help me near as much as Lyrica.  Without Lyrica, I feel like I'm in a thunderstorm getting struck by lightening about 2-3 times a minute.  Its TERRIBLE pain of at least a 9/10 scale, which is just below what I consider Jesus encountered as he was being crucified.  With Lyrica, at 600 mg a day, I get some of that electrical shock pain still, but it is more like once or twice a day, not 30 times an hour like occurs without it.  So yes, Lyrica is a wonder drug for me.  I also take oxycontin and oxycodone which take the edge off that nerve pain when it does occur, reducing it from a 9/10 down to a 6-7/10 which is still brutal and totally incapacitates me for several hours.  Sometimes my arm goes numb afterwards, sometimes it feels like its itching, all sorts of wierd stuff from the damaged neurons in my neck.  I still have severe foraminal compression in my cervical spine that I think causes a lot of my arm pain.  I had a 7 hour neurosurgery and they had planned 2 hours but when they got in there it was a massive amount  of bone they had to whack out so they didn't get it all.  Now no one wants to operate on me again, since I'm a super high surgical risk for other reasons.

I have to say, have you seen a surgeon?  Sometimes that pressure resolves without surgery, but if it is a bone spur growing into the nerve, you can't stop it without cutting it out.  If its soft tissue ballooning out, then rest and conservative measures might be useful.  Perhaps the Naproxen is reducing the swelling or inflammation and takes a bit of pressure off that nerve root?  Otherwise I can't see how it would do a thing to a pinched or compressed nerve.


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Ankylosing spondylitis resulting in fusion of entire cervical, thoracic, lumbar, and SI joints, osteoporosis, 5 compression fractures, severe stenosis of spinal cord & nerve root compression, cervical myelopathy, radiculopathy, bruise & permanent deformation of spinal cord, incomplete spinal cord injury, postlaminectomy syndrome of cervical region, chronic nerve and orthopedic severe pain, and bilateral carpal tunnel. Asthma, GERD, high blood pressure, high tryglycrides, diverticulosis, recurrent pneumonia, anemia, hypertension, chronic dry eye and mouth. Need hip & knee replacement and fusion of both feet. Already had 11 surgeries including 5 orthopedic & 1 neurosurgery.
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Posted By: Stevie
Date Posted: Mar/24/2018 at 12:05pm
I’m wondering if Lyrica has come off patent yet. I found it great in low doses for my pain management but couldn’t afford it. Im currently back on Gabapentin as it’s much less expensive but would love to be able to go back to very low dose Lyrica.

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Please donate to help Chronicpainsite.com continue to help others.

My journey with chronic pain began over 30 years ago, while as a young nurse working spinal rehab, I injured my back lifting a patient. I am now fused from L2-S1. I have multiple thoracic and cervical issues. I'm a retired RN/PA and I know and understand the frustrations on both ends of the treatment spectrum of dealing with CP. It's been my goal since 2008, when we started this site, to reach out and help as many people in pain as possible. We will continue the fight as long as we can. Please, if you can help us continue to help you and others, donate. Thank you.


Posted By: Mopar1
Date Posted: Mar/25/2018 at 9:08am
I went back to my doctor and he increased my dose of Lyrica. I am now taking 75mg at night and 50mg in the morning. I didn't have any relief. He said I am still on a relitively low dose so if I want to take another 25mg try it out at night and see. So I did and I feel a bit of relief.
I'm just worried about what long term use of Lyrica will do to my system?


Posted By: Stevie
Date Posted: Mar/25/2018 at 9:23am
I had great luck with Lyrica in very low doses as I am really sensitive to it. But it’s still not off patent until possibly December when I understand Phizer is working on an ER form to offset losses by going off patent. So due to the cost I had to switch back to Gabapentin.

All drugs can and do cause side effects depending upon the person. But prior to Lyrica, Gabapentin which is very chemically similar, was introduced and I’m not aware of any reported long term side effects from either one. If anyone has any information to the contrary please share with us. I’m not talking about “side effects “ which can be profound in some—-just long term problems on organ systems. Thanks!!!

-------------
http://www.chronicpainsite.com/mb/Donate.asp" rel="nofollow">
Please donate to help Chronicpainsite.com continue to help others.

My journey with chronic pain began over 30 years ago, while as a young nurse working spinal rehab, I injured my back lifting a patient. I am now fused from L2-S1. I have multiple thoracic and cervical issues. I'm a retired RN/PA and I know and understand the frustrations on both ends of the treatment spectrum of dealing with CP. It's been my goal since 2008, when we started this site, to reach out and help as many people in pain as possible. We will continue the fight as long as we can. Please, if you can help us continue to help you and others, donate. Thank you.


Posted By: tkay
Date Posted: Mar/27/2018 at 2:40pm
I have not seen the price come down at all. My doctor will usually allow my medications to be substituted for generic if available.

I will know either today or tomorrow about the price of Lyrica when I get my meds refilled. I will let you know.

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Posted By: Stevie
Date Posted: Mar/28/2018 at 9:24am
I did find out from my local CVS, that the cash price for 90 50mg Lyrica is over $800!!! Ridiculous. Even running it through my insurance—-if they covered half, would make a months supply impossible for me to afford. So Gabapentin it is.

-------------
http://www.chronicpainsite.com/mb/Donate.asp" rel="nofollow">
Please donate to help Chronicpainsite.com continue to help others.

My journey with chronic pain began over 30 years ago, while as a young nurse working spinal rehab, I injured my back lifting a patient. I am now fused from L2-S1. I have multiple thoracic and cervical issues. I'm a retired RN/PA and I know and understand the frustrations on both ends of the treatment spectrum of dealing with CP. It's been my goal since 2008, when we started this site, to reach out and help as many people in pain as possible. We will continue the fight as long as we can. Please, if you can help us continue to help you and others, donate. Thank you.



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