Amitriptyline use for neuropathy

Posted by kyc117 @kyc117, Sep 26, 2020

My neurologist prescribed Amitriptyline for me as sleeping has been difficult at times. I have to say it’s been working and I have no side effects. I don’t take it every day. I kind of know now when to take it...if my symptoms are bad during day. Still waiting on nerve biopsy test. It’s been 5 weeks now. Started a new job which keeps me so busy, keeps my mind off things. I wish you all my prayers daily.

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@catharbert

This is probably irrelevant to your situation but I have polyneuropathy and I take 600 mg gabapentin 3 times a day. If that does not control the pain or if I have break through pain I take 1/2 of a 25 mg tramadol. I don't like taking an opioid. I used to depend on tramadol exclusively for pain. Then under the supervision of my pain specialist I tapered off almost all of the tramadol and the gabapentin controlled the pain almost completely. But I gradually had to take some tramadol as needed, usually at bedtime or if I overdid exercise. It turns out I usually take 1/2 25 mg tablet once or twice a day. Everyone's experience is different and I am late to this blog so I know very little and understand less.

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Thank you. Ive tried gabapentin but I don’t tolerate it well. I’m very dizzy, slightly nauseous when I’m on it. If Amitriptyline doesn’t help, Dr. wants me to try Cymbalta. Amitriptyline seems to be working for me at the moment as I feel the worst at night. I get a good night sleep.

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@maryflorida

I haven't tried Tramadol as yet. I am on blood thinners so my choices are limited. What kind of supplement do you find helpful? Yes the rheumatologist did the 18 point test, but I don't recall hearing the answer from her. Just that I have fibromyalgia. I have wanted a punch biopsy but she did not know where or how to do it; she recommended that I see a surgeon. ?? I can't spend the money for surgery that seems unnecessary. Years ago another doctor did a skin biopsy in my finger and it was done right in the office.
My husband is sick and runs up our medical bills often so I don't want to spend any money left on myself unless it is absolutely necessary.
Ok.. since no medicine since Friday, I do wake up in a lot of all over pain. Today I ate some oatmeal and then took a Tylenol. It is helping "some" but still in pain. Will call my doc tomorrow, but what is even left for me I don't know. I will ask him about Tramadol too. Thank you.

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Punch biopsy was done in my neurologist's office. I was done in 10 min.

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@maryflorida

Actually I am not doing well right now. Most meds make me sick. Last week we discovered that the hydrocodone is now toxic for me. My pharmacist said this can become toxic, so to take one tylenol to see which is causing the headache, nausea and dizziness. I did, and the tylenol is not doing anything bad for me, only some slight dizziness. So tomorrow I call the doctor. Not much is left for me to take. Lots of pain all over my body today, so will move around some, make beds, etc., and then rest a little. Tried to back support belt that helps when it is my low back. But mostly all over pain, moving from one place to another. Many people suffer, so I can do it if I have to.

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So sorry you are not feeling well.

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@johnbishop

@kyc117, There is another discussion started by @steeldove that you may want to take a look at.

Use New Article About Treating Peripheral Neuropathy: https://connect.mayoclinic.org/discussion/use-new-article-about-treating-peripheral-neuropathy/

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Good article, thank you

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@kyc117

Punch biopsy was done in my neurologist's office. I was done in 10 min.

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That makes sense to me!

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@sunnyflower

Mary, bless your heart. I am so sorry for your pain! I like your attitude. Sometimes when I've reached my human pain tolerance threshold, I beg the Lord to take me now, but always say right after, "Your will not mine, here am I, send me" like Isaiah 6:8. So rough yet He always gets me through! I will pray for relief from your pain and the peace of God through Christ that surpasses all human understanding (Philippians 4:7). Warmest regards, Sunnyflower

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That prayer is often my own too! I told my best friend the other day that people all over the world are suffering even more then we are. We can persevere.

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@rwinney

@maryflorida I recently saw a sign in CVS which speaks of taking Acetaminophen and Ibuprofen together. Something like 500 mg of acetaminophen and 200 mg of ibuprofen, I think. Maybe ask your Dr about that concoction.
Rachel

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Thanks, rwinney.. Unfortunately I am on a blood thinner which means no nsaids like ibuprofen.

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@maryflorida

Thanks, rwinney.. Unfortunately I am on a blood thinner which means no nsaids like ibuprofen.

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@maryflorida I'm sorry for that. Keep your head up and keep persevering.

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@lioness

@maryflorida How are you doing I am going by to ask Dr about this The gabapentin just isn't working all the time maybe I need something else Benedryl always puts me to sleep so I use it at bedtime when needed

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I have heard bad things about using benedryl for sleep. I have severe osteoporosis and I follow that list and recently learned that melatonin is effective in treating bone loss. It actually stimulates bone growth. I was skeptical of its sleep inducing benefits as I had tried it years ago for that. The first night I took it an hour before bedtime and I fell asleep and did not wake up all night. I am going to keep using it for the osteoporosis and although I don't always need help sleeping I usually cannot sleep through the night. I would encourage anyone to try melatonin for sleep in place of benedryl.

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@maryflorida

Please tell me about tramadol. Doest it put you to sleep?

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Tramadol by itself may or may not put me to sleep. I usually take it after trying the gabapentin for pain so it seems to be the combination of the two that knocks me out. It does relieve the pain and that is often what keeps me awake as I try to put off taking the tramadol just because I dislike using an opioid.

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