Posted by Ritch on March 24, 2002, at 14:48:42
In reply to How to treat neuropathic pain ? pleae help, posted by ben on March 24, 2002, at 10:52:12
> I do have a peripheral sensory neuropathy in my lower legs. I read of "treating" pain with TCAs (esp. amitryptiline, trimipramine, doxepine) and Antiepileptics (esp. Gabapentin, Carbamazepine and Oxcarbazepine). I am very sensitive to side effects (sedation, dizziness) so I have problems to bear "normal" doses considered to be helpful. Are there TCAs lacking the anticholinergic and antihistaminic side effects to treat neuropathic pain ? Other ADs like SSRIs doesnt seem to work for pain ?! Do you have experiences or considerations ? I am on Moclobemide (Aurorix) for several weeks (in diff. doses) and it doesnt seem to do any trick for my pain !
>
> see this post too:
>
> http://www.dr-bob.org/babble/20020322/msgs/99843.html
Hi Ben,You could switch the Elavil to nortriptyline instead. Nortrip. is the only TCA that I have been able to take during the daytime. You will get less dry mouth, and just a light sedation. I noticed that my vision was blurred only slightly. You might see about a gabepentin+nortriptyline combo. SSRI's tend to *increase* arthralgia type pain, especially in my ankles, knees, lower back.
good luck,
Mitch
poster:Ritch
thread:99846
URL: http://www.dr-bob.org/babble/20020322/msgs/99891.html