Neuropathy: Anyone have any experience with gabapentin?

Posted by sjhedcon @sjhedcon, Mar 21, 2020

I have loss of feeling in my feet and tingling sensation. My doctor prescribed gabapentin. I read the side effects and decided not to take this med.
Anyone have any experience with gabapentin?

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I'm looking for people who may have tried both Gabapentin and Lyrica? After being on gaba for a year or so, up and down on dosage, with questionable effect on burning pain symptoms, physiatrist started me on Lyrica 10 days ago. She said they are both in the same class of drug, but patients have different responses. I think Lyrica may be making me feel worse, and have been reading that a lot of people just hate it. What experiences can any of you share? Thanks.

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I take 100 mg twice a day. It helps a little. Added duloxitine 25 mg once a day about 36 months ago and together they help (a bit). But I’ve added magnesium a few days ago and this morning I woke up to numbness only, without pain. Usually it’s both.

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@road

ULTRA STRENGTH BENGAY TOPICAL ANALGESIC CREAM, works!

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Is that the Bengay with 4%. Lidocaine?

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@rebsue

I'm looking for people who may have tried both Gabapentin and Lyrica? After being on gaba for a year or so, up and down on dosage, with questionable effect on burning pain symptoms, physiatrist started me on Lyrica 10 days ago. She said they are both in the same class of drug, but patients have different responses. I think Lyrica may be making me feel worse, and have been reading that a lot of people just hate it. What experiences can any of you share? Thanks.

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Lyrica didn’t help me with the pain and as we upped the dosage it affected me psychologically. I got really irritable. It just made me mean! When I got off of it it was like a dark cloud moved out of my head.

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Yes, I use it with very good results. Johnmacc

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@jemock

Lyrica didn’t help me with the pain and as we upped the dosage it affected me psychologically. I got really irritable. It just made me mean! When I got off of it it was like a dark cloud moved out of my head.

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Thanks for sharing this! Did you have to withdraw slowly from the Lyrica? I don't want to stay on too long for I do have concerns for withdrawal from all these drugs they want to try out.

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Yes…but pretty quickly…. it wasn’t too bad at all. I’ve withdrew from Cymbalta (duloxetine) and Methadone and Fentanyl….It wasn’t anything compared to them.

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I have axonal peripheral neuropathy, numbness only without pain and when I went to Mayo in MN, I was told with my axonal PN, Gabapentin will not help, will not reduce numbness. Again, this applied to my situation following many tests. This med actually made me irritable not my normal. I told the doc that following Gaba, my primary doc tried me on Lyrica. Mayo said that in my case, Lyrica will not help. I stopped taking it as well. Perhaps these meds will help some cases of PN. In my opinion, the effects of the med have to be weighed against the benefits and for many, these meds can help those of us with PN which is great! Ed

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I sound like a broken record, but if Lyrica and gaba are not working, ask your neurologist if you can try Tegretol. I wrote a lengthy message about it here. The results have been pretty much miraculous. I see UAB doctors. They approved my experiment. It’s a legitimate but rarely used option.

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@ericd47

My demyelinating peripheral neuropathy started nearly fifty years ago, but started surging 12 years ago. Evaluated by five neurologists and one neuromuscular doctor. Currently stage four in right leg and stage 2/3 in other three limbs. Usefulness of walker coming to end and looking at braces to hold off on wheelchair. This is what I have tried over the years:
1. Gabapentin - got up to 3200mg per day. Still had pain at 9+ level. The high dose eventually crashed my white blood cell count - below 2. PCP and neurologist tapered me off to zero. All those side effects disappeared.
2. IVIG was recommended for slowing the disease down and helping with pain. Two days per month for five years. Not sure if it helped slow down the disease. Certainly helped with pain for three weeks of the month. Was taking as the same time as the gabapentin.
3. Lyrica - nasty stuff in my opinion. Neurologist prescribed it as part of cocktail with gabapentin.
4. Cymbalta - follow-on to gabapentin. Thirty mg twice per day. Works. Helps with pain from damaged spine also.
5. Spinal cord stimulator - initially implanted for spine pain after too many surgeries. Eighty-five percent solution. Also helped alleviate nerve pain.

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I forgot to add Amitriptyline to my list of prescription medicines. My neurologist prescribed it for pain relief and as a sleep aid. It helped. Several years later, my PCP tested my whole prescription drug list with a Medicare approved genetic test to assess my ability to metabolize those drugs. My body did not metabolize Amitriptyline and we dropped it.

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