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What medication do you take for chronic pain/nerve pain?

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Posted 5/14/2013 1:19 PM (GMT 0)
I am taking Percocet 10/325 four times daily and would like to ask my doctor to switch me to something different as well as prescribe me something for the nerve pain. I take the medication for a lot of back, hip,pelvic and leg pain from an injury. The nerve damage is
In both my legs as well as my lower back. I was just wondering if some people could tell me there situation and what regimen of medication they are taking to help with the pain.
Posted 5/14/2013 2:26 PM (GMT 0)
Hi Liza,

I don't mind answering but keep in mind that everyone is different so what works for some may not work for you.  The best idea is to tell the doctor your concerns and see what he or she suggests.

I am currently prescribed Oxycontin 15mg every 8 hours and I'm allowed up to two doses of Percocet 10/325 for Break through pain a day (I don't take the maximum dose every day at all) and I'm also on Elavil for chronic pain 50mg once a day at night time. 

Oh, I'm not sure if you've had a change before but I wanted to tell you, from my own experience, that a big part of medication changes are trial and error.  I've been on Nocro, percocet, Butrans and MS Contin before we found out the right combination for me to live a "normal" life.  Also, I never expect to be pain free, it would be unrealistic.  I am typically at a 5 on an everyday basis and that's fine for me.


I hope your doctor(s) are able to help you as much as mine have helped me! Have a great day! cool

Posted 5/14/2013 2:58 PM (GMT 0)
As QT said we all are very different in what works. I've been doing this since 98 so pretty much tried it all and have very strange reactions to many meds.

I have found methadone works best for me and we tried neurontin and cymbalta and I had better results with Lyrica.


Most people cannot tolerate one or the other of the nerve meds. Also the new pain Med Nucynta is supposed to work as both an analgesic as well as a nerve Med.

Good luck and I hope you find what works.
Posted 5/14/2013 6:25 PM (GMT 0)
Hi Liza, will this be your first try at one of the meds for nerve pain? There are several out there but like the others said its a matter of finding what works the best for you. Narcotics have little effect on nerve pain, so perhaps if the dr is willing to try you on one of the nerve meds you could get better pain control. That is the key to getting your pain under control is finding what works for you. Pain is a very individualized condition.I hope you can find the combo that works for you.

Take care....Susie
Posted 5/14/2013 6:35 PM (GMT 0)
Hi Liza,

I take currently 300mg Lyrica (Pregabalin) per day for facial nerve pain. Am starting a drug called Lamotrigine next week alongside too. Both are anticonvulsant type drugs.

As stated above narcotic drugs such as opiates are often not too effective for this type of pain so it might be be worth looking into some sort of specific nerve pain drug. From what I have heard Neurontin (Gabapentin) or Amitriptyline are often good drugs to start with and many doctors/neurologists use them as a first line treatment.

Best of luck finding some meds which work well.
Posted 5/15/2013 12:09 AM (GMT 0)
Best way to approach this is to just ask your pm doctor, if adding a medication to target the nerves would be of help? That would be a good starting point for you, in getting help from your doctor. Many well wishes and keep us posted in how your appointment goes, as we do care.
Posted 5/15/2013 3:18 PM (GMT 0)
Hi Liza,

As the others said, the same thing doesn't work for everyone. Something that may agree and work for you may not work for me.
For pain I use Tramacet. I also use some muscle relaxants. I interchange between Norgesic and and Norflex. I used Neurontin for a short period of time after my accident.

I hope you find something that works for you.

UA
Posted 5/16/2013 4:18 AM (GMT 0)
If you are looking for a one shot medicine for both types of pain your best bet may be Nucyenta. It is the only narcotic pain med that is FDA approved for treatment of nerve pain....well specifically it is approved for the treatment of diabetic peripheral neuropathy...but that is nerve pain. Other wise you are probably looking at taking 2 medications, one for the nerve pain and one for other pain.
Posted 5/19/2013 3:55 PM (GMT 0)
Jim, how are the SEs on Nucynta . . . I've done a poll on another good site and it came up high on some painful SEs like nausea and migraines. Unscientific but you know how the net is.
I like the two drug approach, I'm on Oxycodone IR for chronic pain . . . can't take LA or Contin drugs cause I'm a full time chauffeur for my disabled wife . . . and Cymbalta for peripheral neuropathy. The cymbalta is a selective SNRI unlike Nucynta, which is not.
Liza,if money is an issue, a real sensible combo would be Elavil (amitriptyline) and 10-15 mg Oxycodone Ir without the Tylenol, APAP. Those are both effective and cheap generics . . . Q
Posted 5/20/2013 5:06 PM (GMT 0)
The drugs that top the latest recommendations for neuropathic pain are pregablin (or gabapentin, they seem to be leaning towards pregablin first, not for me - I crashed my motorbike into a car on that stuff), amitriptyline low dose and then perhaps an opiate on top. The opiates with evidence for neuropathic pain are tramadol (a mild opiate but has other pathways by which it works as well), oxycodone and methadone. There is also the use of velafaxine or other antidepressants which can be tried if the amitriptyline doesn't work.

It's also worth noting that of the above, only the oxycodone did bugger all for me.
Posted 5/21/2013 4:24 AM (GMT 0)
I have had very good experience with nucynta ER for back pain. Also helped with constipation!
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