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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 9 of 9. This is the beginning of the thread.
Posted by Paul Smith on May 4, 2005, at 10:15:53
I have had this 8 months and it is driving me nuts, mostly get it in the legs and arms. Anyone else? Am I alone? I have read that opiates do nothing for this sort of pain. Real real sick of it.
Posted by Larry Hoover on May 4, 2005, at 10:15:54
In reply to chronic nerve pain, posted by Paul Smith on May 1, 2005, at 18:10:51
> I have had this 8 months and it is driving me nuts, mostly get it in the legs and arms. Anyone else? Am I alone? I have read that opiates do nothing for this sort of pain. Real real sick of it.
Neuropathic pain often responds really well to gabapentin (Neurontin). Peripheral pain like you have is actually due to certain cells in the spinal cord, which amplify and echo the original pain signal back to the original source. It's like the feedback you get if you put a microphone too close to the speakers....it squeals. In this case, the squeal is pain.
Neurontin binds to the alpha(2){delta} calcium channel receptor, and shuts down the feedback. It can be very effective, and it potentiates and synergizes with the effects of opiate analgesics.
Available as a generic, in Canada.
Lar
Posted by Paul Smith on May 4, 2005, at 10:15:54
In reply to Re: chronic nerve pain » Paul Smith, posted by Larry Hoover on May 1, 2005, at 18:45:18
> > I have had this 8 months and it is driving me nuts, mostly get it in the legs and arms. Anyone else? Am I alone? I have read that opiates do nothing for this sort of pain. Real real sick of it.
>
> Neuropathic pain often responds really well to gabapentin (Neurontin). Peripheral pain like you have is actually due to certain cells in the spinal cord, which amplify and echo the original pain signal back to the original source. It's like the feedback you get if you put a microphone too close to the speakers....it squeals. In this case, the squeal is pain.
>
> Neurontin binds to the alpha(2){delta} calcium channel receptor, and shuts down the feedback. It can be very effective, and it potentiates and synergizes with the effects of opiate analgesics.
>
> Available as a generic, in Canada.
>
> Larhave heard that neurontin helps wurg it but I am already on benzos and that should be doing the job, but isn`t. They solved a lot of other benzo withdrawal induced junk though. I am on a pretty high dose already and do not want to go to mega doses, much less the problem finding a doc to precribe big doses.
Posted by Larry Hoover on May 4, 2005, at 10:15:54
In reply to Re: chronic nerve pain, posted by Paul Smith on May 1, 2005, at 19:08:48
> have heard that neurontin helps wurg it but I am already on benzos and that should be doing the job, but isn`t. They solved a lot of other benzo withdrawal induced junk though. I am on a pretty high dose already and do not want to go to mega doses, much less the problem finding a doc to precribe big doses.
Benzos are the wrong med for chronic pain. Neurontin is totally a differennt type of medication than a benzo. Would medical references help?
Lar
Posted by cubbybear on May 4, 2005, at 10:15:54
In reply to Re: chronic nerve pain » Paul Smith, posted by Larry Hoover on May 1, 2005, at 22:00:39
I agree with Larry, Neurontin is very viable for neuropathic pain. There shouldn't be any adverse effects or contraindications, other than drowsiness; you can check with your doctor. I suggest you get onto a low dose, perhaps 300 mg./day as soon as possible, and see how you do with it.
I'm curious--what has your pain come from? It sounds to me like it might be sciatic.
cubbybear
Posted by Paul Smith on May 4, 2005, at 10:15:54
In reply to Re: chronic nerve pain, posted by cubbybear on May 2, 2005, at 5:18:37
> I agree with Larry, Neurontin is very viable for neuropathic pain. There shouldn't be any adverse effects or contraindications, other than drowsiness; you can check with your doctor. I suggest you get onto a low dose, perhaps 300 mg./day as soon as possible, and see how you do with it.
> I'm curious--what has your pain come from? It sounds to me like it might be sciatic.
> cubbybearLike I said, for unlucky people coming off or in tolerance on benzos neuropain, like a bad sunburn, intermittant, moving around the body, is common and made worse by stress. When you taper it gets worse and if you come off fast or cold turkey you may find yourself yelling in agony. It is phantom nerve pain due to GABA dysfunction, errant neurological signals doe to lack of benzos or insufficient amounts. But I am not going up to mega doses like I said. Such burning pain is also a documented anxiety symptom. In any case I am not going up to mega doses, cannot get them for one thing. Many unlucky people that come off benzos end up literally frying. For me right now, at 40 mgs of valium, it is just a real annoyance.
Posted by Maxime on May 4, 2005, at 10:15:55
In reply to Re: chronic nerve pain, posted by Paul Smith on May 2, 2005, at 13:39:45
> > I agree with Larry, Neurontin is very viable for neuropathic pain. There shouldn't be any adverse effects or contraindications, other than drowsiness; you can check with your doctor. I suggest you get onto a low dose, perhaps 300 mg./day as soon as possible, and see how you do with it.
> > I'm curious--what has your pain come from? It sounds to me like it might be sciatic.
> > cubbybear
>
> Like I said, for unlucky people coming off or in tolerance on benzos neuropain, like a bad sunburn, intermittant, moving around the body, is common and made worse by stress. When you taper it gets worse and if you come off fast or cold turkey you may find yourself yelling in agony. It is phantom nerve pain due to GABA dysfunction, errant neurological signals doe to lack of benzos or insufficient amounts. But I am not going up to mega doses like I said. Such burning pain is also a documented anxiety symptom. In any case I am not going up to mega doses, cannot get them for one thing. Many unlucky people that come off benzos end up literally frying. For me right now, at 40 mgs of valium, it is just a real annoyance.
>
>
Have you considered ruling out physiological reasons for this pain?Maxime
Posted by Maxime on May 4, 2005, at 10:15:55
In reply to Re: chronic nerve pain » Paul Smith, posted by Maxime on May 2, 2005, at 13:43:59
Paul, are you trying to come off benzos? I ask because I will be as well and if this is what I have to look forward to, then I will just stay on my 4 mg of Clonazepam than you very much.
Paul? Larry? Is this what I am going to have to go through?
Seriously, I hope you respond because you both have me scared sh*tless!
Maxime
Posted by Cairo on May 4, 2005, at 10:15:55
In reply to chronic nerve pain, posted by Paul Smith on May 1, 2005, at 18:10:51
Has tolerance to Neurontin been a problem for people using it for pain? Expect the same for pregabalin?
Cairo
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