Re: medication suggestions for dr please
There are many other options as far as pain management goes, that don't necessarily include narcotics and those that do. Ice and heat go a long way in offering some temporary relief, and many of the old tricyclic anti depressants work wonder for nerve pain. Lyrica is only one of the ones available, neurontin is another, topamax, and several others may all be options for relieving that type of pain.
Methadone might be considered an option , given that it works both on the mechanical pain and the neuropathic pain as well.
Tramadol is only supposed to be taken at doses that don't exceed 400 mg a day, so you really need to be careful with that medication. And you also need to be very careful with taking it and SSRI type of anti depressants. It can cause a major complication called serotonin syndrome which can be lethal if not treated properly.
Opiates can not be called in , they must be hand carried into the pharmacies, and given that today was a holiday, the doctor on call may not be able to offer you much other than to tell you to call and come in tomorrow.
Anti inflammatories, voltaren gel and others may all help to relieve some of the pain and work with other treatment options to help bring the pain levels down to manageable.