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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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History Of Vascular Dementia And Stroke. Taking Meloxicam For Pain. Concerned About Medication?

My husband has vascular dementia and left neglect from stroke 7/2010. He has not been sleeping from severe pain since 7/2010. At first we thought it was his dementia, but now I suspect pain. My husband has been prescribed Meloxicam for pain 7.5 twice a day., however from what I have read on the web, it is not for those that have had a stroke, seizure or bypass surgeries. My husband had 5 way cabbage in 1998, stroke in 7/2010 and seizure 4/2012. Should I be concerned for this medication?
Thu, 11 Jul 2013
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  User's Response
Post-stroke pain (thalamic pain syndromes) can be particularly resistant.
The cause of pain lies in the brain (stroke in thalamus). Hence centrally-acting pain killers such as carbamazepine, gabapentin/ pregabalin are useful. Meloxicam may not be useful in his condition.
You may consult a neurologist in your area or a pain specialist or a psychiatrist who manages chronic pain and discuss this issue with him.
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History Of Vascular Dementia And Stroke. Taking Meloxicam For Pain. Concerned About Medication?

Post-stroke pain (thalamic pain syndromes) can be particularly resistant. The cause of pain lies in the brain (stroke in thalamus). Hence centrally-acting pain killers such as carbamazepine, gabapentin/ pregabalin are useful. Meloxicam may not be useful in his condition. You may consult a neurologist in your area or a pain specialist or a psychiatrist who manages chronic pain and discuss this issue with him.