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Small Fiber Neuropathy?

Neuropathy | Last Active: Feb 12, 2023 | Replies (214)

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@jimhd

@albiet

Before I got my spinal cord stimulator I took 30mg of ms contin 3x a day. I was able to cut that in half, and I have been taking 15mg 3x. I actually have only been taking it once or twice a day, but the RX is tid. It was prescribed by my PCP.

A few months ago the clinic my doctor is with mandated a limit of 100mg of narcotics per day, so he has done an about face on what he says about opioids. He prescribed it for my neuropathy pain, and didn't give me the lecture that he now does, which is, "opioids are not pain relievers. They only alter how your brain perceives pain." That may be the party line because of the "epidemic", but it's not what I was told five years ago. But don't get me started on that.

Bottom line is that he told me that he would not raise my current dosage.

All I know is that it really DOES help my pain, whatever the doctors say.

Imipramine was started around two months ago, prescribed by my pain specialist for my neuropathy pain, and I have stepped up to 100mg. Technically it's an antidepressant and is used to stop bed wetting in children, but it has lowered my pain level from 6-8 to 2-4, as long as I keep taking the ms contin.

Mirtazapine was prescribed by my psychiatrist as an add on for depression ( my primary antidepressant has been Wellbutrin for 14 years). I take 45mg of Mirtazapine.

Trying to find the right combination of meds has been an ongoing challenge of trial and error.

Jim

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Replies to "@albiet Before I got my spinal cord stimulator I took 30mg of ms contin 3x a..."

"...opioids are not pain relievers. They only alter how your brain perceives pain."

*sigh*

What is the difference when in reality it is the brain that perceives ALL pain?

When I take a medication and my brain perceives less pain - I call that pain relief...

@jimhd
what do you think of Mirtazapine. i have taken it the last 2 days at just a 7.5 dose and it knocked me out. i also take 150 imipramine. how hard was it to switch to from your other antidepressant?