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Neurontin is *not* for pain

Posted by JR1 on 7/17/02 at 17:12 (089894)

I heard an interesting NPR report (6/18/2002) that says neurontin is for *epilepsy* and that the drug company is *trying* to get doctors
to prescribe it for pain. Go to the npr website and search for
neurontin and you will find the story.
My 2 cents, nortryptline was great for my PF/TTS pain.

Re: Neurontin is *not* for pain

cindyp on 7/17/02 at 19:45 (089910)

Well that's been said and known for years. The drug was not originally made for pain. Just like I believe Botox was originally prescribed for some migraine sufferers and found to alleviate wrinkles if only temporary.

Re: Neurontin is *not* for pain

Donna SL on 7/17/02 at 20:56 (089917)

Doctors have been prescribing neurontin for quite a while for nerve pain resulting from conditions ranging anywhere from peripheral neuropathy to RSD.

Also, the nortriptyline you mentioned was originally indicated for relief of symptoms of depression, and still is used for that usually at higher doses, yet it was discovered way back that tricyclic antidepressants like nortriptyline, elavil, etc. were also excellent for nerve pain, and many times permanantly calms down the overfiring of irritated nerves. I used to take it myself along with neurontin when I needed it for pain. Many drugs start out being created for one purpose, and later it is discovered they help other conditions.

Donna

Re: Neurontin is *not* for pain

wendyn on 7/17/02 at 23:01 (089923)

Viagra was originally for heart problems.

Re: Neurontin is not a pain killer

KathyB on 7/19/02 at 07:54 (090082)

Neurontin is not a pain killer and does not really work for pain as much as it calms down the swelling of the nerve so the nerve is not being compressed any longer and so does not hurt. I take both Neurontin and Topamax and have been nerve pain free for five weeks, but it does not stop the muscle spasm pain in my leg as I retain my muscles to work correctly. The nerves did not flair, but the muscles pain did.

Re: Neurontin is not a pain killer

Donna SL on 7/19/02 at 13:11 (090122)

Kathy,

Neurontin is not an inflammatory, and doesn't reduce swelling of, or around the nerves. It reduces the nerve pain by blocking certain chemical reactions that transmit certain pain impulses to the brain.

Topamax is also an anti-seizure drug. I didn't know they could prescribe that, and neurontin together. An antidressant like nortriptyline which also controls nerve pain that is taken along with neurontin usually works well together

I'm curious if you have tried the nortriptyline/neurontin combo before topomax, because nortriptyline is a much safer drug than topomax. You may only need from 10 mg to 25 mg at bedtime. Nortriptyline (safest), or elavil are usually the first antidepressants doctors try for nerve pain, and usually the most effective. Neurontin has been proven to be pretty safe too. If it doesn't work in some people than they usually try others. One doc recommended topomax to me, but after doing some research on it I refused to take it.

Muscle spasms could be from things like low potassium, magnesium, etc. If supplements don't help, then maybe some type of muscle relaxer would help. Valium is one of the best muscle anti-spasmodic medication, and a lot of doctors are going bact to precribiing it for that again. It has less side effects that most of the other muscle relaxers on the market. Also going to PT for the tight muscles should help too.

Donna

Re: Neurontin is for "nerve" pain

Ed Davis, DPM on 7/19/02 at 19:09 (090158)

Most anti-epilepsy drugs are also considered 'membrane stabilizing' drugs, that is, they decrease the excitability of nerves and, as such, can relieve nerve pain.

It is common for drugs to have a primary effect plus secondary effects. The secondary effects are occasionally unwanted and thus termed 'side effects.' Occasionally the secondary effects are better than the primary
effects. Another interesting example is the blood pressure medicine which was found to have a side effect of hair growth. It became known as 'Rogaine,' one of the most popular products of the last decade.
Ed

Re: Neurontin is not a pain killer

KathyB on 7/22/02 at 17:57 (090377)

Thank you for your advice, I am going to take this message to my doc next time I see him. I will have to get a buy in from my therpist. I will them both a chance to talk about it and we will see what they have to say.

Valium is good and I think I will ask him about using that if there is still a problem when I go back to see him. I am hoping the problem will resolve itself, (not likely will my luck). Thank you again for the advice.

Re: Neurontin is for "nerve" pain

Don S. on 7/30/02 at 19:45 (091039)

I've been on neurontin for about 18 months now. Am up to 600 mg 3 times a day. It was prescribed for my bilateral tarsel tunnel syndrome. If I forget to take it, I'm in hurting status. My doc just added vioxx (25 mg once daily). What a relief. I went from a apin of 6 to 7 down to aobut 3. It has worked for pain in my case.

Re: Neurontin is *not* for pain

cindyp on 7/17/02 at 19:45 (089910)

Well that's been said and known for years. The drug was not originally made for pain. Just like I believe Botox was originally prescribed for some migraine sufferers and found to alleviate wrinkles if only temporary.

Re: Neurontin is *not* for pain

Donna SL on 7/17/02 at 20:56 (089917)

Doctors have been prescribing neurontin for quite a while for nerve pain resulting from conditions ranging anywhere from peripheral neuropathy to RSD.

Also, the nortriptyline you mentioned was originally indicated for relief of symptoms of depression, and still is used for that usually at higher doses, yet it was discovered way back that tricyclic antidepressants like nortriptyline, elavil, etc. were also excellent for nerve pain, and many times permanantly calms down the overfiring of irritated nerves. I used to take it myself along with neurontin when I needed it for pain. Many drugs start out being created for one purpose, and later it is discovered they help other conditions.

Donna

Re: Neurontin is *not* for pain

wendyn on 7/17/02 at 23:01 (089923)

Viagra was originally for heart problems.

Re: Neurontin is not a pain killer

KathyB on 7/19/02 at 07:54 (090082)

Neurontin is not a pain killer and does not really work for pain as much as it calms down the swelling of the nerve so the nerve is not being compressed any longer and so does not hurt. I take both Neurontin and Topamax and have been nerve pain free for five weeks, but it does not stop the muscle spasm pain in my leg as I retain my muscles to work correctly. The nerves did not flair, but the muscles pain did.

Re: Neurontin is not a pain killer

Donna SL on 7/19/02 at 13:11 (090122)

Kathy,

Neurontin is not an inflammatory, and doesn't reduce swelling of, or around the nerves. It reduces the nerve pain by blocking certain chemical reactions that transmit certain pain impulses to the brain.

Topamax is also an anti-seizure drug. I didn't know they could prescribe that, and neurontin together. An antidressant like nortriptyline which also controls nerve pain that is taken along with neurontin usually works well together

I'm curious if you have tried the nortriptyline/neurontin combo before topomax, because nortriptyline is a much safer drug than topomax. You may only need from 10 mg to 25 mg at bedtime. Nortriptyline (safest), or elavil are usually the first antidepressants doctors try for nerve pain, and usually the most effective. Neurontin has been proven to be pretty safe too. If it doesn't work in some people than they usually try others. One doc recommended topomax to me, but after doing some research on it I refused to take it.

Muscle spasms could be from things like low potassium, magnesium, etc. If supplements don't help, then maybe some type of muscle relaxer would help. Valium is one of the best muscle anti-spasmodic medication, and a lot of doctors are going bact to precribiing it for that again. It has less side effects that most of the other muscle relaxers on the market. Also going to PT for the tight muscles should help too.

Donna

Re: Neurontin is for "nerve" pain

Ed Davis, DPM on 7/19/02 at 19:09 (090158)

Most anti-epilepsy drugs are also considered 'membrane stabilizing' drugs, that is, they decrease the excitability of nerves and, as such, can relieve nerve pain.

It is common for drugs to have a primary effect plus secondary effects. The secondary effects are occasionally unwanted and thus termed 'side effects.' Occasionally the secondary effects are better than the primary
effects. Another interesting example is the blood pressure medicine which was found to have a side effect of hair growth. It became known as 'Rogaine,' one of the most popular products of the last decade.
Ed

Re: Neurontin is not a pain killer

KathyB on 7/22/02 at 17:57 (090377)

Thank you for your advice, I am going to take this message to my doc next time I see him. I will have to get a buy in from my therpist. I will them both a chance to talk about it and we will see what they have to say.

Valium is good and I think I will ask him about using that if there is still a problem when I go back to see him. I am hoping the problem will resolve itself, (not likely will my luck). Thank you again for the advice.

Re: Neurontin is for "nerve" pain

Don S. on 7/30/02 at 19:45 (091039)

I've been on neurontin for about 18 months now. Am up to 600 mg 3 times a day. It was prescribed for my bilateral tarsel tunnel syndrome. If I forget to take it, I'm in hurting status. My doc just added vioxx (25 mg once daily). What a relief. I went from a apin of 6 to 7 down to aobut 3. It has worked for pain in my case.