I know it's been awhile, but these posts stay up, so here is my two cents. Gabapentin is primarily used to treat epileptic seizures, but it has an application in chronic pain practices. It's supposed to soothe the nerves, thereby causing less pain. The problem for using it for a toothache is that the dose required for it to be effective for nerve pain takes awhile for a person to adjust to. Most doctors start patients on 300 mg a day, increasing the medication every 3-5 days. At 900 mg ( say 1-2 weeks out), you will still be at a sub-therapeutic level insufficient for the medication to do much good. Gabapentin (brand name Neurontin) only becomes effective at higher doses and is usually at its optimal level at about 2400 mg, depending on person, size, and a whole bunch more. This is NOT medical advice, just responsive to the use of the medication for tooth pain.
At that dose, it's possible the neurontin would soothe the trigeminal nerve pain that is likely causing your toothache (esp if you have a headache, too), but the length of time to get to the necessary dose - and the possibility it may not work at all on you depending on your chemistry - means the medication is not appropriate for tooth pain. For tooth pain, the best pain remedy is a dentist, but if you can't get to one immediately, ibuprofen is typically the best pain medication for toothache pain (for some reason it works better than other NSAIDs). And any NSAID will work better than something like Tylenol because of the anti-inflammatory effect. But if all you can take is Tylenol, it's better than nothing. In some cases, a dentist will give a person who cannot take NSAIDs a prescription for an opioid medication for moderate pain following significant dental procedures (complicated root canal, tooth extraction) to help with the pain. Hope this helps.
There is a gel that is called: Ora Gel - you can get it at your drug store (over the counter)
this should help. Also, plain old aspirin placed on the tooth and allowed to permeate
the tooth and gum will give relief from tooth pain. Go and see your dentist if nothing
works - he/she will know what to do for you.
Good luck and may God bless you and take your pain away. If you have some liquor
in the house, like bourbon or whiskey you can put this on your tooth and gum - this used
to help me when I was young, very young.
Don't hesitate to see your dentist again, or call him/her and tell them what's going on.
Had abscessed tooth, took antibiotics per dentist . Then waiting for root canal. The pain was so intense that I was dosing with highest level of prescription Lortab amount allowed and using heat packs. The nerve pain was going all over my face and teeth, very intense. Then I thought the other doctors gave me steroids when I had a nerve pain in other parts of my body, would prednisone work for the tooth nerve pain? YES YES YES! I took 10 mg of prednisone and within 20 minutes the pain when away, within 3 hours all the swelling in my mouth went down and I could even eat and drink again. I could not stand anything in my mouth for three days prior. I could stop taking ALL pain meds after that. Need only additional 10 mg of prednisone 12 hours later when nerve pain started to act up, but within 20 minutes, went away. No pain meds taken for 23 hours now. I tried all the recommended methods that were listed here and at other information sites and nothing else worked.
I am prescribed 1200/day of gabapentin. My wisdom teeth are coming in and it was the only thing I had in my medicine cabinet to try and it actually worked surprisingly well. I took about twice my daily regimen in one dose so its not something I would do very often but in this instance it did work pretty well. However, gabapentin is something that you have to build up in your system so I'm not sure it would have been as effective had I not already been taking it.
- Gabapentin Information for Consumers
- Gabapentin Information for Healthcare Professionals (includes dosage details)
- Side Effects of Gabapentin (detailed)
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