PTs and exersices are only adjuncts with meds.
What alternatives meds for Tramadol and Lyrica are,when NSAIDs and Pararacetemols don't help?
- 13 May 2011 by ace_rick
- 6 Sep 2011
- lyrica, depression, peripheral neuropathy, muscle spasm, pain, trigeminal neuralgia, back pain, fibromyalgia, neuralgia, tramadol, withdrawal, side effect, muscle
I keep thinking that Cymbalta may help you. It is an antidepressant with the benefit of helping nerve pain. You have mentioned the problems of depression along with the chronic pain so it might be worth a try. Otherwise, you are stuck trying more potent pain relievers such as the opiates. You have tried the range of alternatives and really have nothing to lose by trying the Cymbalta.
I'd have to agree with the others, the SNRI type pain killers are often very helpful, and there are also some TCA's that can also help with nerve related pain. After resorting all options, Opioids are at times the last resort medication. Most Opioids don't help with nerve pain at all, but stuff like methadone does. Methadone needs to be taken with proper testing, such as an ekg to check your heart for compatibility. There are some who can potentially experience sudden death from the med. The ekg of course would let you know if that's a possibility or not. Also, it kills pain for 4 to 6 hours, but lasts in the system for a very very very long time, depressing the breathing and nervous system as a whole. If it's not taken as directed, then some people find themselves literally taking way way more of the medication than what they realize (as the last dose taken is still in their system). This can at times cause death.
When the proper steps are taken, it's actually a very safe drug. If the doctor is not totally aware of the risks and issues involved with the med, then it can turn into a little monster, not to mention the dependency issue that it will also cause.
Hi, too bad Cymbalta had that side effect. That is a good medication from what I hear. Now Tramadol vs. Methadone. Methadone is way more potent than Tramadol and way more addicting, however Tramadol is considered a "non-narcotic" but it does work on your opioid receptors, just not to the extent of let's say hydrocodone. Tramadol actually releases a small amt. of serotonin and some are considering for possible antidepressant use in addition to pain use, but it can be addicting and I hear it is not pleasant to get hooked on those, but again, the addiction rates with Tramadol are def. lower compared to other narcotic drugs like Methadone. Biggest risk with Tramadol are possible seizures. PPl that abuse the medicine are releasing too much serotonin into their body, giving them an euphoria which can be deadly. It is a good medicine overall and less addicting in contrast to other things, and u do want narcotics to be a last line of defense.
A new drug called Oxeta is oxycodone hcl but designed with less abuse potential and was approved by the FDA recently. It is a schedule II drug, so it can be abused but I hear addiction rates are lower with this form of oxycodone in contrast to standard oxy, but again talk to your doctor about the best options. I do hope u find a med or meds that work for u and u feel comfortable about taking. Best of luck and God Bless!
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