Gabapentin complimented with Tramadol?
- 16 May 2014 by DrCharbonneau
- 6 Jun 2015
- pain, back pain, gabapentin, tramadol, chronic pain, muscular dystrophy, chest pain, small fiber neuropathy
I'm a physicist, not an MD. I've been to the ER for back and wrap-around chest pain on my left side twice in the past 1-1/2 months. The first trip concluded with the ER doc finding, via CT scan, that I have bone lesions on my ribs. He didn't prescribe anything effective: Norco's. I went to another ER at our other local hospital. The ER doc there prescribed Gabapentin (300mg 2x daily) and Tramadol (50mg every 4 to 6 hours), both intended to get me to an upcoming visit to a new GP. Beautiful! Pain gone... till the new GP rx'd long term Gabapentin, but refused me the Tramadol. The result? I ended up using the Gabapentin in increasing numbers till they were used up in half the time. Now I'm stuck with the pain returning and it's unbearable to the degree that I have difficulty sleeping without sneaking my wife's Zolpidem, (She doesn't use them anymore and wants to see me out of the pain.)
I'm going to find a new GP in hopes of long term Gabapentin/Tramadol rx's. I have polyneuropathy along with the bone lesions now. I'm a big fellow. I have no seizures, but do have fasciculations just about everywhere. Is this a safe med combination?
Yes you can combine the two. With you having nerve pain as well I agree with you that they do work better together. If your doctor doesn't want to continue giving you the tramadol see if he/she will refere you to a pain management Dr.
GPs won't order pain medicines, they risk their licenses. Although tramadol isn't a controlled drug by the federal government, about half the states do consider it controlled. If you want pain control you have to see a pain management dr. What are they doing about your ribs? How much gabapentin is ordered? But you know that's for nerve pain and it isn't a pain medication.
Everyone responds differently to drugs and combinations, so always consult your doc. But I'm on both Tramadol and Gabapentin and they seem to "play nice" together.
You don't say where in Indiana you live but it may be worth a drive, Indianapolis is 5 hours, or a quick plane trip over to Cleveland. I would see a doctor at the Cleveland Clinic Main Campus by the name of David Polston, MD. He can be reached at 216-444-5551. Make sure to bring all of your CAT scans, X-rays, and medical tests with write-ups. You can ask him if he wants to see them early so he can review them before you come. He may want you to see some other doctors while you are there. If you need to stay the night there are 2 InterContinental hotels on campus. I would propose that you need to find an Internist instead of a GP.
Hi, if approved and prescribed by your doctor, the interactions checker shows that Tramadol could be combined with Gabapentin successfully, depending on dosing and individual reaction to the combination. With a 'moderate' risk, it is something that can be attempted if your doctor agrees. You could find it a very helpful dual treatment option. I have provided the link from the information i looked at, i have also factored in the Zolpidem, and this came up with the same potential risk information. Obviously i have to advise you not to take any medication that isn't prescribed for you. I hope your pain is soon under better control
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