Gabapentin is the No.1 Prescription for Neuropathic Pain

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How is Neuropathic Pain Treated?

The treatment of neuropathic pain often involves a multidisciplinary approach and aims to alleviate pain, improve the patient’s quality of life, and address the underlying cause, if possible. Treatment options for neuropathic pain may include the following:

1. Medications:
   • Anticonvulsant Medications: Drugs like gabapentin (Neurontin) and pregabalin (Lyrica) are commonly used to manage neuropathic pain by stabilizing overactive nerve signals.
   • Antidepressant Medications: Tricyclic antidepressants (e.g., amitriptyline) and selective serotonin-norepinephrine reuptake inhibitors (SNRIs) like duloxetine (Cymbalta) can help alleviate neuropathic pain by influencing the way the brain processes pain signals.
   • Topical Analgesics: Creams or patches containing medications like lidocaine may provide relief for localized neuropathic pain.
   • Opioid Medications: In some cases, opioids may be prescribed for severe neuropathic pain, although these are typically considered after other options have been explored due to the potential for dependence and side effects.
2. Nerve Blocks and Injections: These procedures involve the injection of anesthetics, steroids, or other medications to target the specific nerves causing the pain. Nerve blocks can provide temporary relief and may be repeated as needed.
3. Physical Therapy: Exercises, stretches, and techniques can help improve nerve function, mobility, and reduce pain. Physical therapists can tailor exercise programs to the individual’s needs.
4. Spinal Cord Stimulation: This involves the implantation of a device that delivers electrical signals to the spinal cord, interfering with pain signals. It’s typically considered when other treatments have not been effective.
5. Counseling and Psychological Support: Chronic pain can take a toll on mental health. Psychotherapy, cognitive-behavioral therapy (CBT), and relaxation techniques can help individuals manage the emotional and psychological aspects of living with neuropathic pain.
6. Complementary and Alternative Therapies: Some people find relief through complementary treatments such as acupuncture, biofeedback, and meditation. These therapies can be used in conjunction with other treatments.
7. Lifestyle Modifications: Lifestyle changes, including diet, exercise, and managing underlying conditions like diabetes, can play a role in managing neuropathic pain.
8. Surgical Procedures: In some cases, surgery may be considered, such as decompression or removal of structures pressing on nerves, or dorsal root ganglion stimulation.

Medicines Commonly Prescribed for Neuropathic Pain

include anti-seizure drugs such as:

• Gabapentin (Neurontin®).
• Pregabalin (Lyrica®).
• Topiramate (Topamax®).
• Carbamazepine (Tegretol®).
• Lamotrigine (Lamictal®).

Doctors also prescribe antidepressants such as

• Amitriptyline (Elavil®).
• Nortriptyline (Pamelor®).
• Venlafaxine (Effexor®).
• Duloxetine (Cymbalta®).

More Information, please check:

Neuropathic Pain

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