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Suggest alternative medication for Neurotin taken for burning pain in anus

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Posted on Mon, 9 May 2016
Question: Yes, I have a constant burning pain in my bottom region. It has been this way since surgery in 1993.
I have taken Neurontin ever since and it doesn't seem to help anymore. What do you suggest
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Answered by Dr. Olsi Taka (39 minutes later)
Brief Answer:
Read below.

Detailed Answer:
I read your question carefully and I understand your concern.

You seem to have forgotten to mention what type of surgery you've had, but I will assume there is some damage to the lumbar or sacral nerve roots which do manifest with such pain.

Now Neurontin is generally an appropriate treatment, it is considered a first line one. If it is not effective anymore one option might be to increase the dosage.

Among other medications which could be tried might be Lyrica (Pregabalin) which is also an anticonvulsant used for neuropathic pain.
The other main 1st line option is antidepressants used for neuropathic pain such as Duloxetin, may even be used in combination with Neurontin.

If such 1st line options are not effective enough additional treatment with another pain killer like Tramadol, an opioid, may be considered.

Among non medication options some patients have had at times good results with TENS (Transcutaneous electrical nerve stimulation) or acupuncture, although there are not enough studies for those, the evidence is scarce.

I remain at your disposal for other questions.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Olsi Taka

Neurologist

Practicing since :2004

Answered : 3669 Questions

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Suggest alternative medication for Neurotin taken for burning pain in anus

Brief Answer: Read below. Detailed Answer: I read your question carefully and I understand your concern. You seem to have forgotten to mention what type of surgery you've had, but I will assume there is some damage to the lumbar or sacral nerve roots which do manifest with such pain. Now Neurontin is generally an appropriate treatment, it is considered a first line one. If it is not effective anymore one option might be to increase the dosage. Among other medications which could be tried might be Lyrica (Pregabalin) which is also an anticonvulsant used for neuropathic pain. The other main 1st line option is antidepressants used for neuropathic pain such as Duloxetin, may even be used in combination with Neurontin. If such 1st line options are not effective enough additional treatment with another pain killer like Tramadol, an opioid, may be considered. Among non medication options some patients have had at times good results with TENS (Transcutaneous electrical nerve stimulation) or acupuncture, although there are not enough studies for those, the evidence is scarce. I remain at your disposal for other questions.