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Old 09-15-2004, 08:59 AM   #1
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Question Elavil or Wellbutrin for PAIN?

Hey everyone. I had a PM appointment last week and the PA suggested possibly switching my antidepressant from Celexa to either Elavil or Wellbutrin. She said these meds both help to block pain signals to the brain. Ultimately it is up to my Rheumy, who I see on Friday. My question to all of you is, does anyone take either of these meds? Does it really help with pain? Do you prefer one over the other?

Thanks in advance!
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Old 09-15-2004, 09:41 AM   #2
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Re: Elavil or Wellbutrin for PAIN?

My husband takes both Elavil and Wellbutrin as part of his medication coctail, but he takes the Wellbutrin for depression and he was given the Elavil to try to combat insomnia, but it didn't help. He had previously been on Neurontin, but couldn't handle the side effects and his doctor replaced it with Strattera, which is an ADD med.

 
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Old 09-15-2004, 09:45 AM   #3
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Re: Elavil or Wellbutrin for PAIN?

HI LM, My mom had a mastectomy 3 months ago and the only thing she is presently using for the nerve/phantom pain is Elevill. Back before the days of OxyC, Antidepressants were the number one treatment for CP along with other adjunct therapies and modalities. However because everyone reponds differently to antiD's and Wellbutrin and elevill are in two seperate and distinct classes of antiD's. You may have to try both to see what works better. Welbutrin is more nergizing than elevill and you wouldn't lkely have the weight gan associated with Elevill but it may work best on your nerve pain.

There are so many different antiD's out there, It's like trying to find what opiate works best. It's just trial and error. i don't know why celexa would be a bad choice other than it's not working well for you. They tried all the SSRI on me saying the same thing about t helping with pain. If Celexa is not working the new improved and cleaned up version, meaning suposed to have less side effects than celexa is Lexapro. But starting back afrom scratch with elevill isn't a bad idea of if you haven't tried it. Nobody can really predict which will work for you but antid's do work for some people.

Good luck, Dave

Last edited by Shoreline; 09-15-2004 at 09:47 AM.

 
Old 09-15-2004, 10:28 AM   #4
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Re: Elavil or Wellbutrin for PAIN?

Ive read many times something to the effect of only tca's help w/pain.especially combined with opiates....scotty

 
Old 09-15-2004, 12:05 PM   #5
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Re: Elavil or Wellbutrin for PAIN?

I am currently on celexa, wellbutrin and percocet. I recently had a couple of very serious leg surgeries and am taking the percocet for the pain. I am on the A/D's for depression. I have had very good luck with pain management for the leg. I have never heard of A/D's for pain, but I would guess now that they are definitely helping the pain. I'm now weening off the percocet and the pain is not getting much worse (a little). Thanks for bringing up the subject as I feel better about getting off the narcotics now with celexa and wellbutrin on board. Are you guys saying that these drugs alone can handle a 6 or 7 level of pain? If so, I am excited! Thanks again.

Bill

Last edited by Bill17724; 09-15-2004 at 12:08 PM.

 
Old 09-15-2004, 01:27 PM   #6
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Re: Elavil or Wellbutrin for PAIN?

not at all,
but Studies have shown that there is a strong link between depression and chronic pain.

being depressed can most definitely have an influence on how we percieve pain due to low levels of serotonin. Low serotonin levels are found in people with depression and chronic pain. pain relief can be improved by higher dose TCA's which can return serotonin levels to normal but for high level pain i dont think AD's are going to help enough to greatly improve a cp patients level of function.
scotty

 
Old 09-15-2004, 07:19 PM   #7
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Re: Elavil or Wellbutrin for PAIN?

Yes I tool Elavil for 8mos for depression and gained 80#. I never tried it for pain control and needless to say never will. It took me a year to lose the weight. Good luck to you..jbot

 
Old 09-16-2004, 04:44 AM   #8
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Re: Elavil or Wellbutrin for PAIN?

i never had a sweet tooth til i took elavil.ive since lost the initial 20 lbs i gained the first 3 months.i had no desire for real food,only sweet stuff like cereal or ice cream.not the healthiest choices.....scotty

Last edited by scotty12; 09-16-2004 at 04:44 AM.

 
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