Discussions that mention tramadol

Pain Management board


marcia:
Welcome to the boards although you have been here for awhile. I know that nerve pain is one of the worst pains to deal with. It is very hard to control, very difficult to find the right drug or combination of medications/therapies that will help some. I do want to be honest and tell you that you probably will never be 100% pain free and that is not the goal of PM(pain management). I am sure that your doctor has probably already told you this. The other thing is that you have to take the amount of side effects of each med compared to how much pain relief it does give you. It is a big balance for most of us here especially with nerve pain. I know that it is for me. I have chronic nerve pain in my feet and have been dealing with this pain for over 5 years now. I have been through a HUGE assortment of medications, injections, epidurals, and surgeries to try to help. I may be at the point of the pain not getting any better since any increase in my meds results in intolerabe side effects.

I do know that duloxetine is the generic name for CYMBALTA in the United States although it is not available as a generic yet here. I will give you a list of possible medications that can POSSIBLY be successful in treating nerve pain. The HUGE problem is that each one of us is different in our pain response and trying to find that delicate balance is sometimes a pain staking process in itself. Another thing to be careful of concerning ANY medication that is also an anti-depressant or has anti-depressant qualities is to NEVER EVER stop taking them cold turkey. It is always best to gradually stop taking them and I can tell you from experience that duloxetine was one of the more difficult medications for me to stop taking. Anyway here is the list of meds that can help(the capital letter words are the brand name in the United States and the lower case word beside it is the generic name of the medications)

[SIZE="3"]Anticonvulsants - Lyrica(pregabilin), Neurontin(gabapentin), Lamictal(lamotrigine), Trileptal(oxcarbazepine), Tegretol(carbamazepine),Topamax(topiramate), Klonopin(clonazepam) (even though it's technically a benzodiazepine)

[SIZE="3"]Tricyclic Antidepressants - Elavil(amitryptiline), Pamelor(nortriptyline), Nopramin(desipramine), Tofranil(imipramine), Sinequan(doxepin), Surmontil(trimipramine), Anafranil(clomipramine)

**very good at treating nerve pain & helpful with sleep so usually prescribed at night**

[SIZE="3"]SNRI Antidepressants - Cymbalta(duloxetine), Effexor(venlafaxine), Wellbutrin(bupropion)

**very effective for nerve pain & also depression that usually accompanies chronic pain, many people on these boards have success with Cymbalta**

[SIZE="3"]Atypical Antidepressants- Desyrel(trazodone), Ultram(tramadol),
Ultracet, Ultram ER

**good at treating nerve pain, tramadol also has a mild opiod quality to it so IT IS A MILD NARCOTIC**

[SIZE="3"]SSRI Antideprests- Lexapro(escitalopram oxalate), Paxil(paroxetine), Prozac(fluoxetine), Zoloft(sertraline), Celexa(citalopram), Luvox(fluvoxamine maleate)

[SIZE="3"]Opiod/Opiates- hydrocodone(Vicodin, Lortab, Norco), oxycodone(Percocet, Oxycontin, Oxy IR), hydromorphone(Dilaudid), oxymorphone(Opana), methadone(Dolophine), fentanyl(Duragesic patch, Actiq), morphine(MS Contin, Avinza, Kadian)

**can be useful for certain types of pain especially when used in combination with other non-narcotic meds**

I can tell you that my current list of medications are:
fentanyl patch 50mcg/hr
Lyrica 600mg/day
Trileptal 1500mg/day
Percocet 5/325mg up to 6/day
Lexapro 10mg/day

I hope this information helps you out.

brian