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What medication for nerve pain can I take? In the day

Jenuk32 profile image
15 Replies

I’m after some advice in the UK what nerve pain killer can I use in the day?icurrently only take amitriptaline at night I take 10mg and a half. But as it makes me sleepy I do t take it in the day is there something I can have with it? Will try book doc app next week. Icurrently have groin nerve pain due to an injury

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Jenuk32 profile image
Jenuk32
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15 Replies
Cardinal profile image
Cardinal

10.5 mg of amitriptyline is like nothing.

Jenuk32 profile image
Jenuk32 in reply to Cardinal

Oh really should I up it for nerve pain in groin will I get worse side effects then ?

Cardinal profile image
Cardinal in reply to Jenuk32

Although everyone reacts differently to medicine, I've never heard of anyone taking that low of a dose. I actually take methadone for my pelvic nerve pain and it's very effective for me and with few or no side effects. Most people are scared of the name, though, so never try it.

Jenuk32 profile image
Jenuk32 in reply to Cardinal

Yes I think I need to go back to the doctors and ask for a higher dose tonight I’ll have 2 tablets rather than 1 half and maybe doc will prescribe 25mg next week. Had a good read of that article interesting! Luckily I’ve had no constipation on the amount I’m on but perhaps if I take higher dose I’ll experience it. I am on sertriline for anxiety caused by pain I take that in the morning will have to check with doc about higher dose interaction

Cardinal profile image
Cardinal in reply to Jenuk32

Amitriptyline is also used for anxiety and depression, so it's possible your doctor might have you taper off of the zoloft and increase the amitriptyline, since this med helps both.

Cardinal profile image
Cardinal in reply to Jenuk32

painconcern.org.uk/amitript... Talks about dose near the end.

lalab profile image
lalab

I take 75 mg of Desipramine each morning for nerve pain. It initially made me a little sleepy, but within a week that side effect had passed.

Jenuk32 profile image
Jenuk32 in reply to lalab

Is that for anxiety aswell as nerve pain?

lalab profile image
lalab in reply to Jenuk32

It is a medication initially used to treat depression. However, in lower doses is used to treat nerve pain. It has less side effects than amitriptyline as far as I understand.

Another medication I've heard about that is being used successfully for nerve pain is low dose Naltrexone.

Skye22 profile image
Skye22

Were you advised to start on a low dose to check how you reacted to medication?

I currently take 50mg in the (amitriptyline) morning and 75mg at night.It took a few months of trying out what dosage suited my needs and interaction with other drugs, drowsiness is a common side effect. Best get advice from doc as any other medication you take will be looked at for possible adverse effects or interactions. Wish you good luck!!

Jenuk32 profile image
Jenuk32 in reply to Skye22

Yes I think it was to see how I reacted but I’ve upped to 20mg for now and May up bit more next week but even 20mg is helping me.

I take 50mg amitryptyline which helps me - for a time I also took pregabalin which I found to be helpful too.

willemine profile image
willemine

Oxycodon but this medicine has a bad image

I cannot tolerate amitriptylene My doctor gave me a script for a vaginal suppository that has 10mg flexibility (or 20mg baclofen- he changed them out several times. I think because it doesn't lose it strength over time when changed out)/10 mg valium/25mg lidocaine. I have had many doctors tell me Valium works best on relaxing pelvic floor muscles. They worked well in the beginning. But then they started botox injections. They are excruciating to get lasts 30 secs, bladder often spasms after, but gives full 3 months of relief. I wasn't able to walk more than 10 mins before botox shots. I can now walk 2 miles. You have not mentioned the type of nerve pain. But often pain is made worse by muscles reacting to the nerve pain. Getting muscles to calm, in turn calms the nerve. I am still getting botox shots, quarterly and my bladder is no longer spasming. They still hurt like crazy

Everytime, I tell my husband I'm not doing it again. And then it wears off and I don't care - make the pain STOP! I recently have had radiofrequency ablation of my PN. It gave me 100% relief for 2 1/2 months. Both docs think the botox and radiofrequency ablation are working together. With the ablation I only have 25% of the pain I used to have (after the 100% relief wore off). I wish it could stay at 100% the whole time. But 25% is liveable

No wheelchairs, etc. Just have to pay attention and when I feel pain starting to kick in. Stop and rest. Sometimes I'm enjoying what I'm doing and I push myself. Not a good idea. I "pay" for 2-3 days with high pain. Self control has never been a strong suit, believe me I am learning to employ it. Hope this helps!

P.S. Anyone who is struggling with 10 urethra, bladder or rectal pain, B&O's are a God Send! They are the only things I find that reduce this excruciating pain. B&O stands for belladonna and opium. Usually prescribed by urologists, but my gynecologist also prescribes it for me. They have helped me get through a many hard night. Of course, these are not for the front lines, when all else fails, try these- they make a huge difference. FYI

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