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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 16 of 16. This is the beginning of the thread.
Posted by bulldog2 on May 1, 2008, at 12:00:32
Sometimes it seems like every injury I ever had aches when I feel depressed and or anxious.Has anyone else ever found that their pain was amplified when they're depressed. Are there any ADs that seem to quiet down the pain and at what dose?
Posted by Phillipa on May 1, 2008, at 12:23:44
In reply to Best AD For Pain, posted by bulldog2 on May 1, 2008, at 12:00:32
Cymbalta although didn't do anything for depression did keep back pain away. Didn't know I had it til went off it. 60mg is what I was on for three months. Love Phillipa and yes depression makes you hurt emotionally and physically in my opinion.
Posted by Quintal on May 1, 2008, at 12:44:06
In reply to Best AD For Pain, posted by bulldog2 on May 1, 2008, at 12:00:32
Tianeptine helped quite a lot. My pain is totally gone on Lamictal. I don't remember if any of the others had any effect, but most ADs modulate pain in some way. Lamictal has been so good I was thinking of starting a thread on it. This week I ran out of codeine (normally a big trigger for days of aching and soreness), but this time I had no pain at all. That's really quite remarkable.
Q
Posted by bulldog2 on May 1, 2008, at 13:30:55
In reply to Re: Best AD For Pain, posted by Quintal on May 1, 2008, at 12:44:06
> Tianeptine helped quite a lot. My pain is totally gone on Lamictal. I don't remember if any of the others had any effect, but most ADs modulate pain in some way. Lamictal has been so good I was thinking of starting a thread on it. This week I ran out of codeine (normally a big trigger for days of aching and soreness), but this time I had no pain at all. That's really quite remarkable.
>
> Q
Sounds promising...I would try lamictal but I'm going to be out in the sun this summer and also have cataracts. I had to give up on the Namenda because of severe headaches. Might give the tianeptine a try.
Posted by Amigan on May 1, 2008, at 13:36:32
In reply to Re: Best AD For Pain, posted by Quintal on May 1, 2008, at 12:44:06
Many TCAs with potent NRI action like nortryptiline are used to treat some forms of aches.
Posted by cactus on May 1, 2008, at 13:42:31
In reply to Re: Best AD For Pain, posted by Amigan on May 1, 2008, at 13:36:32
even though I hated both of them and their after effects, I hate to admit that Efexor XR and zoloft was great for pain, luvox was ok too.
Posted by dbc on May 1, 2008, at 14:32:27
In reply to Re: Best AD For Pain, posted by cactus on May 1, 2008, at 13:42:31
Lanictal shows pain killing properties but as im sure you've read is annoying as all hell to get up to a decent dose.
As far as non-AD psych meds, valium is used quite a bit for various injuries.
Posted by dbc on May 1, 2008, at 14:33:05
In reply to Re: Best AD For Pain, posted by dbc on May 1, 2008, at 14:32:27
That should say various back injuries.
Posted by Phillipa on May 1, 2008, at 20:07:42
In reply to Re: Best AD For Pain, posted by bulldog2 on May 1, 2008, at 13:30:55
Bulldog being out in the sun that is when I tried lamictal I must google it didn't know there was a factor with sun. Phillipa
Posted by cactus on May 2, 2008, at 5:41:30
In reply to Re: Best AD For Pain, posted by dbc on May 1, 2008, at 14:33:05
> That should say various back injuries.
... for muscular pain, not disc and nerve problems. I couldn't figure out why my back became so sore again once I came of Valium, I'm think I'm very luck to have skeletal muscle problems compared to bulging discs, it still bloody hurts though and clonazepam doesn't work as well for that particular problem. SSri's did too, but they also work on damaged nerve endings
Posted by Quintal on May 2, 2008, at 9:03:03
In reply to Re: Best AD For Pain, posted by bulldog2 on May 1, 2008, at 13:30:55
I don't think there is any contraindication between using Lamictal and going out in the sun, not unless your skin is super-sensitive. You can always use a high factor sunscreen if you're worried. I don't think Lamictal has been linked to cataracts either, but it may be a theoretical concern with the melanin-binding thing. I suppose UV-filtered shades would help. Tianeptine is a good drug anyway, but the combo is even more powerful.
Q
Posted by bulldog2 on May 2, 2008, at 14:27:24
In reply to Re: Best AD For Pain » bulldog2, posted by Quintal on May 2, 2008, at 9:03:03
> I don't think there is any contraindication between using Lamictal and going out in the sun, not unless your skin is super-sensitive. You can always use a high factor sunscreen if you're worried. I don't think Lamictal has been linked to cataracts either, but it may be a theoretical concern with the melanin-binding thing. I suppose UV-filtered shades would help. Tianeptine is a good drug anyway, but the combo is even more powerful.
>
> QRead a story about a guy golfing in the hot sun who was on lamactil and he broke out on his face and hands with third degree burns.Almost was vaporized according to those who witnessed it.
Posted by elanor roosevelt on May 2, 2008, at 15:22:46
In reply to Re: Best AD For Pain, posted by bulldog2 on May 2, 2008, at 14:27:24
> Read a story about a guy golfing in the hot sun who was on lamactil and he broke out on his face and hands with third degree burns.Almost was vaporized according to those who witnessed it.that sounds like a sensationalist news story
but you still have me worriedi had no joint or muscle pain on parnate
it was a pleasant effecti found lexapro/celexa increased my sensitivity to pain
Posted by Quintal on May 2, 2008, at 15:32:24
In reply to Re: Best AD For Pain, posted by bulldog2 on May 2, 2008, at 14:27:24
Most unfortunate, but not very likely to happen to you. It does sound like sensationalist journalism to me. Anyway, I've been out in hot sun while gardening all afternoon and all I got was a nice tan. I wouldn't worry too much about it.
Q
Posted by bulldog2 on May 2, 2008, at 18:24:00
In reply to Re: Best AD For Pain, posted by Quintal on May 2, 2008, at 15:32:24
> Most unfortunate, but not very likely to happen to you. It does sound like sensationalist journalism to me. Anyway, I've been out in hot sun while gardening all afternoon and all I got was a nice tan. I wouldn't worry too much about it.
>
> Qhigh dose neurontin works well but tolerance developes quickly..thinking of cymbalta
Posted by okydoky on May 8, 2008, at 10:46:02
In reply to Re: Best AD For Pain, posted by bulldog2 on May 2, 2008, at 18:24:00
There is substantial literature for instance for one particular pain (Interstitial Cystitis bladder) that tricylics help. Cymbalta now has research showing it is no better than placebo for this while initially great hope was held out for this treatment in particular.
Intuitively I would suggest that any AD that has benefits for the depression itself would have a good potential to ease at the very least someones tolerance for pain and their ability to deal with it. From the standpoint even that a lot of people are more active when not depressed and moving around physically, lubricates the joints and massages internal muscles and organs, increasing blood flow to all. Also being active could release more endorphins which could help with all the above. Obviously what I have stated here I have not backed up with any literature as over many years I cannot remember all that I have read and have a very poor memory. It would be interesting to read if anyone here would post some of it. I do not have the patience to try and look up a lot of information at least today.No doubt there is a lot of information about particular AD's stating that it would help with pain. For instance "imipramine"
http://www.cnn.com/HEALTH/library/PN/00044.html
A small article about exercise and pain management: http://www.cnn.com/HEALTH/library/AR/00017.html
A bit more in depth about different antidepressants and pain and depression , somatic pain: http://www.hopkins-arthritis.org/patient-corner/disease-management/depression.html
Lyrica is being marketed for fibromyalgia now. It was originally marketed for diabetic neuropathy pain besides its other uses. It is similar to Neurontin. Some find it works better for pain than Neurontin. I used it for a specific type of pain associated with urinary frequency, a Neuropathic or Visceral pain, and it provided complete relief. I do not understand the underlying chemicals and how they relate to pain but interestingly my experience with Lyrica while completely ameliorating one type of pain I still had arthritic pain or somatic pain and a different type of bladder pain in my bladder that resolves itself with oxycontin or other narcotics. The arthritic pain is helped by other drugs such as Naproxen.One other mention depressed people have a tendency for poor posture or stooped posture which contributes to or causes muscular skeletal pain. When some relief is gotten form the depression the posture tends to improve and hence less pain.
This is the end of the thread.
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