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Multiple System Atrophy Trust

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pain management

esj20 profile image
10 Replies

Good evening peeps

how this finds everyone as well as we bloody can be!

Regarding pain management;

Recently I’ve been experiencing debilitating lower back pain. Gabapentin hits the spot but between doses how does everyone mange pain?

I’m on a low dose of Gabapentin, 300 mg morning and night. I’m reluctant to increase this presently as to keep higher doses in reserve.

Thanks in advance

Yours

Alec

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esj20
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10 Replies
Monkeyfeet1 profile image
Monkeyfeet1

I manage my back pain with Gabapentin and paracetamol. I historically had Fentanyl patches but never again!

esj20 profile image
esj20 in reply to Monkeyfeet1

Coincidentally enough I started paracetamol today and it works! Never thought it would.

LifeHalf-full profile image
LifeHalf-full in reply to esj20

I have been told that paracetamol is most effective when you take it regularly not just when in pain but do not take more than the recommended dose.

Bad cracker joke

Why can’t you get aspirin in the jungle?

Because the parrots ate them all!

Monkeyfeet1 profile image
Monkeyfeet1 in reply to LifeHalf-full

Paracetamol can be effective. I was taking hogh levels iof Gabapentin and Fentanyl patches at one point. I’ve tried all sorts including morphine patches but a dr taught me about ‘layering’ , and LifeHalf-Full is right it’s best if you keep taking the paracetamol xx

esj20 profile image
esj20 in reply to LifeHalf-full

😀

esj20 profile image
esj20 in reply to LifeHalf-full

😀

Paul_and_Sue_Wood profile image
Paul_and_Sue_Wood

Hi

My sue has been using Gabapentin for many years but mainly for nerve pain . We did hit the maximum dose and switched to pregabelin and the dulcoxatin. Eventually we settled on Fetanyl patch and Gabapentin. She is pain free and totally alert.

Paracetamol as a top up.

Paul

AliT-1 profile image
AliT-1

my husband uses Fetanyl pain relief patches, gabapentine 300 mg 7am 5pm and 600mg at 830 pm paracetamol 3 x daily - works well

GreenJo profile image
GreenJo

Hi TC on Gabapentin 3x day + morphine patch. Was on cocodamol as well but very constipating so switched to Naproxen 2x day and been much better re pain control. We also use Ralvo medicated plasters which contain lidocaine for topical back pain relief. Hope you find solution

Derek1uk profile image
Derek1uk

My wife is on an apparently low dose of 200mg of Gabapentin 3 times a day but has just been put on Baclofen 1 tablet 3 times a day (to help with Muscle Spasticity apparently). The Palliative nurses have advised we up the use of her Oramorph 1.25ml to when needed instead of morning and night-time. My wife keeps saying she doesn't want to Zombify herself as she wants to try and still live a life.

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