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Suffering From Back Pain With Burning Sensation. Prescribed With Dulane. Is This Medication Safe?

Posted on Tue, 26 Nov 2013

Question: my mother is suffering from back pain with burning sensation since last 4 minths. she was refering. a orthopedic, he prescribed med lyrica, and tracsuon and ift. but no improvement.at all.now she refeing a Neuro sergeon. he has prescribed dulane 20. can you pls suggest.is it ok to tke dat med, wat med is it

Answered by Dr. Sudhir Kumar (8 hours later)

Brief Answer: My answer is below Detailed Answer: Hi, Thank you for posting your query. Your mother is probably suffering from lumbar disc disease, where the disc slips out and presses on the nerves in the lower back. This can be confirmed by doing an MRI scan of the lumbar spine. Both lyrica (pregabalin) and dulane (duloxetine) are medicines used for treating neuropathic pain. Duloxetine is a safe and effective drug and can be continued. I hope it helps. Please get back if you require any additional information. Wishing you good health, Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) XXXXXXX Consultant Neurologist Apollo Hospitals, Hyderabad, India Click on this link to ask me a DIRECT QUERY: http://bit.ly/Dr-Sudhir-kumar My BLOG: http://bestneurodoctor.blogspot.in

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Sudhir Kumar (1 hour later)

Hi Doctor Thanks for your reply. when she was consuming lyrica for 2 months twice a day prescribed by the orthopedics there was no side affects as such with slight improvement in burning sensation. After consumption of dulane - 20 only one tab there are some side effect my mother is facing like severe sensation of vomiting, loss of appetite, skin itching ,drowsiness but loss of sleep. Is it safe to continue? There also some tests prescribed by the neuro mentioned below. Please suggest if we can go ahead with them? 1.MRI LS Spine with rest of Spine End SIJ screening. 2. x XXXXXXX LS spine standing and supine-AP, standing lateral in flexion/extension 3. Blood ESR, CRP, FBS, URIC acid, RF factor, HLA B27, 25 hydroxy vit D 4.BMD Lumber spine and dual Femur 5. exercise Pls suggest

Answered by Dr. Sudhir Kumar (2 hours later)

Brief Answer: My replies are below. Detailed Answer: Thank you for getting back. If lyrica was safe and effective, the same can be continued. I use lyrica much more commonly than dulane, and if needed, the dose of lyrica can be increased to provide the desired relief. The investigations advised by the neuro are correct and can be done. Best wishes, Dr Sudhir Kumar MD DM (Neurology)

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Sudhir Kumar (18 minutes later)

hi doctor. thank you for the reply...... can we continue the tracsion.........is that ok. pls suggest

Answered by Dr. Sudhir Kumar (6 minutes later)

Brief Answer: Traction can be continued Detailed Answer: Yes, the traction can be continued. Best wishes, Dr Sudhir Kumar MD DM (Neurology)

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Sudhir Kumar (34 hours later)

hi doctor thanks for the reply. the above mentioned investigation is painful. my mom is a bit panicked abt it. can you please help us frm where the blood be taken fir the above mentioned investigation.

Answered by Dr. Sudhir Kumar (8 hours later)

Brief Answer: My reply is below. Detailed Answer: Thank you for getting back. The blood can be taken from the antecubital vein (front of elbow). None of the investigations above are painful. Best wishes, Dr Sudhir Kumar MD DM (Neurology)

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar