• N&PD Moderators: Skorpio | someguyontheinternet

Neuropathic pain - Treatment

negrogesic said:
I have a friend who takes Miacalcin (calcitonin derived from salmon) for phantom limb pain, and says it is somewhat effective. He may, however, go on methadone as the Miacalcin likely does not provide complete relief.

inj or IN?

so this is his sole agent currently for the N-pain?

i may be doing research into this area so all feedback appreciated...such as reduction in pain %, ....
 
I have a friend with neuropathic facial pain. He is prescribed pregabalin and it helps but it isn't completely effective.

He said MMQ was the only drug that completely stopped it, interestingly enough, maybe amongst the various the qualones there is a safe analogue that could be used for this purpose, I wonder what a basic 'luude is like for this condition.
 
I have trigeminal neuralgia and controlling it is a fucking bitch. Right now i take lyrica (or gabapentin if i can't get lyrica which is alot of the time) along with morphine suspended release as well as morphine instant release for breakthrough pain. This combo usually keeps everything under control.

I also take lamotrigine and clonazepam which are also used for neuropathic pain but i don't think they help too much. I have tried various drugs in the past and they either didnt work or worked and stopped working or i couldnt tolerate them. I could never tolerate carbamazepine and that was the first one they tried me on.

What gets me is some stupid doctors actually think that fucking acetaminophen the likes of anti-inflammatories such as ibuprofen are going to help with any type of neuropathic pain let alone trigeminal neuralgia.

Wish i could actually get methadone prescribed to me for pain but it's almost impossible to get that in canada.
 
Just the thread that I was looking for. My docs are a bit clueless and I'm basically incapacitated due to my neuropathy. I have the full on outbreak pain throughout the day, as well as the general ongoing pain and total numbness. I've tried all of the anticonvulsants and depression meds. I'm now on hydrocodone (5's only) and clonopin for sleep. This has been going on for years, and they seem VERY reluctant to go with ER pain meds and they just keep taking my money for no improvement. Any suggestions?
 
I'm on suboxone and it takes away 80-90% of my pain. My pain seems to have no origin and started in one day on vacation to a tropical island country, on one really believes me it's there but some doctors are sympathetic it seems more so that I'm kinda older now.

Tried amitryptilline and nothing just bad side effects. Tried gabapentinin with same results.

Really, opiates are the only thing that has ever helped me. Aleve helps headaches and period cramps but nothing other than that....same way that opiates don't help my headaches or period cramps.

The suboxone I got due to my addiction to heroin, which was after my pain started and the heroin is the best drug for pain but obviously I'm not on it anymore and I don't want to be.

I recently got 60 50mg tramadols per month, they go well with the suboxone to provide almost complete relief. I only used about 400mg thou this month cuz my husband had a kidney infection and didn't get enough pain meds. But it's the only opiate that works with sub.

But both are physically addictive. But to me physical addiction is a small price to pay for the pain relief I get. My pain was on the suicidal levels.
 
Yeah, both of my ulnar nerves are damaged. My right arm annoys me periodically, but my left arm ranges from horrible, to nothing, usually somewhere in the middle. Two fingers have no feeling, and the middle tingles a bit here and there.

My doc treated me with methadone for 2 years, which worked great. I got on suboxone, and while it works, it's not as good as methadone was, but I didn't expect it would.

It's gotten better over the years, but that's levelled off where on my worst days, it's an 8, but usually a 3-5
 
Methadone is the best opiate because of it's NMDA antagonism properties as well, but it's a bitch to get addicted to (ask any junkie, quitting methadone is far harder than quitting morphine/heroin). I still stand by cannabinoids for most of the pain, leaving methadone (there are some others with NMDA antagonist properties like ketobemidone, dihydrocodeine, oxycodone) for when it gets really bad to the point of almost banging your head against a wall to distract yourself. Ketamine & other dissociatives (like PCP) work, but for the most part aren't well tolerated by most people
 
Indeed, it works well for the days when the pain isn't terrible, but with suboxone, I don't need it too often. Now I'm supposed to be getting off suboxone, though, so I dunno how long that'll last.
 
Cymbalta works very well for chronic neuropathy.
Elavil works well too like you said. (not too well as an anti-deppressant)
Klonapin I hear works well in some cases.
Gabapentin can be associated with some adverse effects.

the opiods are only masking your pain and are really just the wrong way to go with neuropathy. Other drugs like cymbalta stop the neuropathy instead of covering the pain.

But, seriously, try cymbalta.
 
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