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Misc Best painkillers for severe spianal nerve back pain?

depends - that condition can cause pain in various ways

anti-inflammatory meds can help, opiods can, cannabis concentrates can, muscle relaxants can, alcohol can, gabapentinoids can, even paracetamol can be surprisingly effective sometimes - all sorts can help it's person-specific really

I'll tell you what really makes that shit much worse though - stimulants, 100%
 
Oxy-IR 5/10/20mg (Oxycodone IR - 5mg X 4-6 daily as needed example)
Lyrica (Pregabalin) 150/300/450mg - neurological pain & anticonvulsant + anxiolytic properties
Diazepam (Valium) 5-10mg - robust anxiolytic & muscle relaxant properties
(Methylphenidate (Ritalin) 10mg IR X 2 daily (dopaminergic stimulant + enhance opioid + reduce sedation)

Probably best combo for neurology pain….potent opioid narcotic painkiller + Pregabalin (neurological pain) + Valium (muscle relaxation & anxiolytic) plus a dopaminergic stimulant to increase analgesic effects of opioid narcotic while reducing sedation and increasing vigilance & energy. Mood-boosting / antidepressant properties)
 
Actually, when I herniated a disc and couldn’t walk, I craved unconsciousness because nothing would help with pain. Was taking ibuprofen, tramadol, oxycodone, kratom, paracetamol, gabapentin, methocarbamol, medrol, diazepam and weed, and nothing touched it. I had some old carisoprodol and that helped, but only because it allowed me to sleep through the pain. I definitely wouldn’t have taken Ritalin. Being awake was not helpful. A steroid epidural was the only thing that made it better.
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Transdermal fentanyl patches by far. Matrix style.

I had a herniated disc and surgery and tried it all from IV heroin, dilaided, oxy oral, oxy ER, methadone etc etc.

The fentanyl transdermal patches are the most superior medication for this type of chronic pain (or most type imo).

If is very different from using illicit powered fent. The sustain release over a long period keeping the fent level from going up or down is what’s perfect about it.

Good luck getting them I’m surprised they aren’t illegal. Ppl in palliative care in severe cancer pain probably don’t even get fent patches.
 
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