I'm 30year old woman suffering with postherpetic neuralgia following shingles, in my shoulder, neck and arm for nearly 2 years. Been having Qutensa patches every 12 weeks for one year ish with limited effect but seems to be building slowly. I take Tramadol 100mg x 4 daily plus paracetamol, effect also now quite limited.
I've just been offered duloxetine and wondered how others had found it, especially for nerve pain. I have related depression as many with pain do so guess the anti depressant effect will be a bonus! have tried amitrip, gabapentin and pregab previously all with no real effect, amitrip was the worse for negative side effect. Also use lidocaine patches which can take the edge off.
I have also been advised by my consultant to look into Botox but understand this would have to be done privately - has anyone tried with success ? No idea what this would cost. Have been unable work for 18 months so money tight but will do what I can go get well and back to work.
Any advice or experiences will be of interest please, thanks x