Has anyone tried anti-depressant medication for neuropathic pain?

Posted by greenacres @greenacres, Nov 13, 2021

I'm wondering how many people in this community with neuropathic pain have been prescribed some form of an anti-depressant along with or without Gabapentin to help ease the pain and if anyone has found this protocol helpful?

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@johnbishop

I think the first time in 2007 I started at 20mg for two weeks and then down to 15 for two weeks. After that I started tapering down by 2.5 every two weeks until I started having too much pain and I slowed the taper to 1 mg every two weeks or a month if I was struggling with pain. It took 3-1/2 years to taper completely off my first time. Then 6 years after that the PMR returned but I had made some lifestyle changes with more exercise and eating healthier with less sugar and inflammatory foods and was able to taper off in 1-1/2 years.

What helped me was keeping a daily pain and dosage log. If my pain was more than a 2 on my scale, I didn't taper and would sometimes bump my dose up for a week by half of what it was the previous time so I wasn't going all the way back to the previous dose and would still be down a little in dosage.

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Thank you so much for this information. It does help a lot to make decisions about my own dosage, more likely, adding as the PMR becomes more painful, especially when I get up in the mornings. 3 mg have been what I've been taking for a few weeks, from4 mg. I think I will let my rheumatologist know and see what he thinks about going backwards and taking more prednisone. What changes have you made in your diet that you think helped you. The doc told me that taking prednisone puts weight on you - I seemed more hungry with the higher doses.

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@glp1340122

Thank you so much for this information. It does help a lot to make decisions about my own dosage, more likely, adding as the PMR becomes more painful, especially when I get up in the mornings. 3 mg have been what I've been taking for a few weeks, from4 mg. I think I will let my rheumatologist know and see what he thinks about going backwards and taking more prednisone. What changes have you made in your diet that you think helped you. The doc told me that taking prednisone puts weight on you - I seemed more hungry with the higher doses.

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@glp1340122, There is another discussion that might be helpful for helping with the PMR and the weight gain.

-- PMR Diet: Foods to eat and avoid
https://connect.mayoclinic.org/discussion/diet-and-pmr/

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I am using gabapentin for pain. I hate to use meds, but this helps a lot.

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@judithfraser000

I am using gabapentin for pain. I hate to use meds, but this helps a lot.

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Judith--can you describe the pain you have which has been helped by gabapentin? And, what dosage works? Thanks!

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Hi, All -
I have tried gabapentin and Cymbalta and had negative reactions. Has anyone tried Lyrica for nerve pain?
Your feedback as always is appreciated.

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I'm taking Gabapentin, 300mg nightly at bedtime. It wasn't helping much, so I found a doctor who prescribes medical THC for conditions such as cancer, neuropathy, MS, and other painful diseases.

The THC gummy puts out the "I'm on fire" nerve pain.

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Have had no success with using anitdepressant for pain management.

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