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Suggest medication for neuropathic pain

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Posted on Fri, 4 Dec 2015
Question: What is the best painkiller to handle the pain from dying nerves in the legs?
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Answered by Dr. Michelle Gibson James (1 hour later)
Brief Answer:
amitriptyline, nortriptyline can be considered

Detailed Answer:
HI, thanks for using healthcare magic

Neuropathic pain (nerve related pain ) can be treated with anti depressants and anti seizure medications.

Though these medications were originally intended for persons with depression/anxiety or seizures , they have been found to be useful in persons with NO depression/anxiety or seizure disorder.

These meds are very very commonly used for nerve pain. Eg of such medication include amitriptyline, nortriptyline, cymbalta, venlafaxine, lyrica, gabapentin, tegretol

You may want to consider starting with amitriptyline or nortriptyline though any of the others may be effective for you.

Any medications would have to be crosschecked with other medications to make sure there is no interaction.
Can be combined with other painkillers in some instances for maximum effect.

I hope this helps, feel free to ask any other questions

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Michelle Gibson James (1 hour later)
I am already on amtriptaline, cymbalta, lyrics and gabapentin. Still having severe pain in my legs. Any other suggestions ?
doctor
Answered by Dr. Michelle Gibson James (6 hours later)
Brief Answer:
may need procedure, physio

Detailed Answer:
HI

These are the main meds used along with other strictly pain medication.

If the typical oral medications are not working on their own for you other methods may need to be suggested by your doctor.

Physio techniques to increase strength and flexibility( like hot/cold , massage, traction, strengthening, ultrasound therapy and TENS) may be helpful.

Nerve blocks , spinal cord stimulation are procedures that may need to be considered if your pain is not responding.

Please feel free to ask anything else
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Michelle Gibson James

General & Family Physician

Practicing since :2001

Answered : 16811 Questions

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Suggest medication for neuropathic pain

Brief Answer: amitriptyline, nortriptyline can be considered Detailed Answer: HI, thanks for using healthcare magic Neuropathic pain (nerve related pain ) can be treated with anti depressants and anti seizure medications. Though these medications were originally intended for persons with depression/anxiety or seizures , they have been found to be useful in persons with NO depression/anxiety or seizure disorder. These meds are very very commonly used for nerve pain. Eg of such medication include amitriptyline, nortriptyline, cymbalta, venlafaxine, lyrica, gabapentin, tegretol You may want to consider starting with amitriptyline or nortriptyline though any of the others may be effective for you. Any medications would have to be crosschecked with other medications to make sure there is no interaction. Can be combined with other painkillers in some instances for maximum effect. I hope this helps, feel free to ask any other questions