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    Old 06-19-2007, 03:48 PM   #1
    paprbkrtr
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    Lyrica For Pain

    Is anyone using (or used) the medicine Lyrica for pain associated with compression fractures caused by Osteoporosis? If so, I'd love to hear about your experience with it.

    Yesterday my endocrinologist prescribed it for me, but I'm extremely concerned about the side effects.

    Thank you!
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    Old 06-19-2007, 04:42 PM   #2
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    Re: Lyrica For Pain

    Hi: My Rheumatologist wants me to try this, or Cymbalta, for nerve pain. Sorry I don't have any specific info on it, other than I know it's used for that type of pain. You could get more info on this if you ask your question on the Pain Mgte Board here at Healthboards. Many people are taking one of the nerve meds (Neurontin, Lyrica, Cymbalta etc) for pain, so you could probably get your question answered, about side effects, there.

    Are you having surgery for the compression fracture? Like Kyphoplasty or Vertebroplasty or something else?

    I took Neurontin for nerve pain years ago, but had to stop because it's contraindicated for people with glaucoma, which I have. Let us know what you find out, as I'm trying to get the same info as well. You could also look at the Back Problems Board, for posts on Lyrica, since there are some there taking it.

    Last edited by DesertBloom; 06-19-2007 at 08:17 PM.

     
    Old 06-19-2007, 06:17 PM   #3
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    Re: Lyrica For Pain

    Quote:
    Originally Posted by paprbkrtr View Post
    Is anyone using (or used) the medicine Lyrica for pain associated with compression fractures caused by Osteoporosis? If so, I'd love to hear about your experience with it.

    Yesterday my endocrinologist prescribed it for me, but I'm extremely concerned about the side effects.

    Thank you!
    I am not taking Lyrica for fractures but I started taking Lyrica for Sciatica at first 75 mg two times a day and now 150 mgs two times a day for sciatica that was at first on my left side and is now on my right side. I have also had steroid treatments in my L5 disc. With the steroid treatments and the Lyrica I get some relief. But the side effects of the Lyrica have been terrible constipation and I find that I will fall asleep quickly but then wake up soon afterwards. I take the Lyrica in the AM upon waking and manage to stay awake during the day but then take it again at bedtime. I will often wake up an hour or two later and be wide awake. The worst side effect of the Lyrica is the constipation and the hard stools (sorry to be so blunt). The pharmacist recommends things like Sennocat (sorry for the misspelling)-S but that takes several days to work for me.

    He also recommends drinking LOTS of water if you're taking Lyrica. It seems to be a good medicine. The 150 mg two times a day helps much more than the 75 mgs twice a day.

    I am afraid I may be bound for disc surgery of some type for the sciatic nerve.

    Hope this helps and good luck with your health issues!

     
    Old 06-19-2007, 07:53 PM   #4
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    Re: Lyrica For Pain

    Hi Andrew Welcome!!!! I'm trying to decide between Lyrica and Cymbalta. I also have sciatica in both legs, from many back surgeries (fusion/hardware) and one where the pedical screws came out and went through the sciatic.

    I hope you don't have to have surgery, but if the epidurals etc didn't work, have you tried all the other non surgical stuff? I'm referring to PT, trigger point injections, facet joint injections-all the differing injections they give. Unfortunately a lot of people only get temp relief from those, but some get great results.

    Would you agree that Lyrica is only for nerve pain, and NOT for joint, bone, or muscle pain, because that is what I hear. Does this med cause any visual side effects like-blurred vision, double vision, halos, peripheral vision loss? I took Neurontin after my last back surgery and it just about did me in. I didn't know that if you had glaucoma you weren't suppose to take it plus, it caused tremendous swelling and numbness in the hands and feet. I know Lyrica is a different drug than Neurontin, but similar in many ways as well.

    I had to stop the Neurontin after 2 days, because I coudn't see much of anything, or read, plus the swelling and numbness made it very hard to get around after just being released from the hospital and then not being able to see on top of that was very frightening. I doesn't sound like Lyrica/Cymbalta cause as many vision problems like Neurontin, but I wondered if that happened to you.

    If you do have surgery I wish you all the luck in the world, because there are so many that have success-I just wasn't one of them.

    Is Lyrica also for depression or "just" nerve pain? I was told that anyone who has chronic pain doesn't sleep normally, and that if I took Cymbalta/Lyrica that would help with that as well. I've also heard people say the exact same thing you did about the sleeping problem with Lyrica. My dr said that chronic pain sufferers never reach the REM stage of sleep so you "never" get that restorative sleep that you need to combat pain and injuries. I'm wondering if Cymbalta/Lyrica, if I decide to take one of them, will actually help with the sleep prob, since the Lyrica is causing that problem for you. I haven't sleep much in the last 15 years with the pain waking me up so I was hoping for something that might work, since sleep meds don't (tried them all).

    Good Luck, do you have osteoporosis as well??

     
    Old 06-19-2007, 08:14 PM   #5
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    Re: Lyrica For Pain

    Henry: I wanted to mention something else. I tried Sennocot, and just about all of those types of things, and the best thing I found is the Fiber Choice chewables and tablets. I take those (2 of each a day) plus a stool softener (once a week or so) and lots of fruit (everyday) and that works for me; I've been experimenting with different things for over 20 years. If things get really hard to pass, I take Swiss Kriss herbal laxative, I know some people that take this on a regular basis, but hopefully that's not the case for you; it's still considered a laxative but made of natural stuff. This product is mostly licorice root and some other roots like dandelion etc so it's not like the harsh chemical ones. Licorice candy works too (black candy not red). If you wake up during the night, have a tall glass of your favorite fresh fruit juice and that should help too, it's best to drink it near the early morning hours like after 3 am.

    What level is your disc prob? Do you know what type of surgery you'll have if you decided to do that? I'm fused from L1-S1 and had many TLIF's with hardware (screws/rods & plates/screws).

    Good Luck again, let us know if you have the surgery.

     
    Old 06-19-2007, 08:22 PM   #6
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    Re: Lyrica For Pain

    Jesse: I just checked and there are threads on both the pain mgte, and back prob board about Lyrica and a couple of them are quite long, so they would have tons of info hopefully.

    When was your fracture, recently? Has anyone mentioned Kyphoplasty or Vertebroplasty to repair it. The only problem is these both have to be done shortly after the fracture occurs, before it has a chance to heal and they are both considered simple out patient procedures that get rid of most of the pain immediately, or in a few days.

     
    Old 06-19-2007, 10:30 PM   #7
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    Re: Lyrica For Pain

    Thanks for all the suggestions. I'll check out the other threads you guys mentioned.

    I take Cymbalta for depression and have had a good experience with it. I would recommend it to people who meet the qualifications.

    To those considering Lyrica, I suggest you check out this link. It users' comments about the side effects. This has pretty made up my mind for me that I'm not going to use it.

    No one has ever suggested surgery for my compression fractures . . . I have about 6 and I'm not sure when the most recent one was. Have any of you had the surgery? Can you tell me a little about it?

    Thanks again.
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    Old 06-20-2007, 08:39 AM   #8
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    Re: Lyrica For Pain

    Jesse: Doesn't the Cymbalta help with the pain??? This is the main reason my Dr wants me to take it. Cymbalta is a combo drug that is approved by the FDA for both depression and nerve pain.

    I'm guessing it isn't helping your pain, and they want to add Lyrica to what you're taking??? There are other nerve meds besides Lyrica, but they all have side effects so it's a matter of trial and error if you're willing to do that.

    If Cymbalta doesn't help the pain, then I would have no reason to take it.

    Those procedures I mentioned is where they inject cement into the vertebral/disc space (fracture site) to restore the height between the vertebra. Both procedures are done outpatient by either a radiologist or anesthesiologist. You can look up either name and get a full description of it. I usually takes under an hour to perform and you go home afterwards. The biggest problem is that it won't help with old fractures, it has to be done asap after the fracture. So if you have old fractures they probably can't do this. But you could still ask... If you've lost any height from the fractures, this procedure will restore "most" of what you lost.

     
    Old 06-21-2007, 06:59 PM   #9
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    Re: Lyrica For Pain

    The Cymbalta was prescribed to me for depression but I was told it was for pain too. I don't know how much it's working, because I still have a great deal of pain, but it could be WORSE without the Cymbalta.

    I also take Neurontin for pain but my endocrinologist (different from who prescribed the Cymbalta) wanted me to stop the Neurontin because it's adverse for people with osteopororis (as is Topomax, which she had me stop altogether). She wanted to replace the Neurontin with the Lyrica.

    I'll check out the surgeries you mentioned, although I don't know how old some of my fractures are. I know some are several years old and have already "healed". I get compression fractures and don't even know it until I get an x-ray or MRI. I just know my back hurts really bad.

    But I'll definitely mention it to my doctor because I go back on Monday.

    Thanks for sharing your knowledge!
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    Old 06-21-2007, 08:40 PM   #10
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    Re: Lyrica For Pain

    Hi: If your fractures are not "new" and I'm not sure how "new" they have to be, then they can't do those 2 procedures I mentioned. 30 % of all compression fractures go undiagnosed, so I'm constantly checking with x-rays since I've had 6 already, in the spine.

    The Cymbalta is only for nerve pain, so if you're like me, and have muscle, joint, and bone pain the Cymbalta won't work for those types of pain, only nerve pain (radiating burning pain usually down the leg and into the joints along the leg: hip, knee, ankle, feet, tail bone, groin, buttocks etc).

    I had horrific probs with the Neurontin, and I didn't know that Neurontin and Topomax was contraindicated for Osteoporosis. Thanks for telling me!!!

    If I try some samples, of either the Lyrica or Cymbalta I'll let you know, even though it sounds like you made up your mind already.

     
    Old 06-22-2007, 05:19 AM   #11
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    Re: Lyrica For Pain

    Quote:
    Originally Posted by paprbkrtr View Post
    I also take Neurontin for pain but my endocrinologist (different from who prescribed the Cymbalta) wanted me to stop the Neurontin because it's adverse for people with osteopororis (as is Topomax, which she had me stop altogether). She wanted to replace the Neurontin with the Lyrica.
    paprbkrtr, I'm curious... where did you see/hear that Neurontin is not good for those with osteoporosis? My dr. prescribed Lyrica a few weeks ago, which is Pfizer's successor to Neurontin (from what I understand they are basically the same ingredient), and have researched it quite a bit but have never run across any information that said it could hurt those with osteoporosis.

    I was very concerned about some of the side effects, but so far it hasn't been bad and has helped a bit but the doctor prescribed 150mg at bedtime and I'm only taking 75mg. Maybe one of these days, I'll be brave enough to start 150mg and see if it helps more than a little bit.

     
    Old 06-22-2007, 09:31 PM   #12
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    Re: Lyrica For Pain

    There was a ad for Topomax in a magazine and my sister was scanning it and in fine print it said not to use it if you have Osteopororis. She highlighted, gave it to me, and I took it to my endocrinologist.

    My endo doc said yes, that's correct, "seizure medication" is bad for people with osteo. I take the Topomax to prevent migraines, BTW, as I don't have seizures.

    My endo doc then said the Neurontin is also an anti-seizure drug and I really shouldn't be taking that either because both it and Topomax are counterindicative with my bone disease.

    Then she prescribed Lycria to replace the Neurontin, but I believe THAT'S an anti-seizure drug too, so I don't understand why she wanted to change.

    After all this, I got online and read about Topomax and Neurontin and both said the same thing; not for use with people with Osteo.

    Good luck with your Lyrica. I'd like to hear how it works out for you when you increase the dosage.

    Cheers!
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