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How is nerve pain treated?
What is the best anticonvulsant for neuropathic pain?
What are the most common drugs for nerve pain?
Can over-the-counter medications help with nerve pain?
What medicines are used for neuropathic pain?
Can painkillers help nerve pain?
Nortriptyline tablets come in 3 different strengths, 10mg, 25mg or 50mg. The usual dose to treat nerve pain in adults is 10mg a day. This can be increased if necessary. The maximum dose of nortriptyline for treating pain is 75mg a day, but this is only under the supervision of a pain specialist.
- Treatment
Relieving nerve pain. You may also require medicine to treat...
- Treatment
Relieving nerve pain. You may also require medicine to treat any nerve pain (neuropathic pain) you're experiencing. Unlike most other types of pain, neuropathic pain does not usually get better with common painkillers, such as paracetamol and ibuprofen, and other medicines are often used.
- Overview
- Pain medications for relief of nerve pain
- Over-the-counter medications for nerve pain
- Prescription medications
- Common side effects of nerve pain medication
- Alternative treatments for nerve pain
- Takeaway
Depending on the cause, nerve pain can become chronic, but there are many mediation options that can help.
Nerve pain, also known as neuropathic pain, can come in various forms, from stabbing and shooting sensations to feelings of burning or tingling.
Both over-the-counter (OTC) and prescription drugs can aid in easing nerve pain symptoms. However, before taking any medications, it’s vital to speak with a doctor or healthcare professional.
“Not all medications are suitable for young people. Some anticonvulsants, for example, shouldn’t be taken by people under 18,” says Jacob Hascalovici, PhD, chief medical officer at Clearing. “Pregnant people should also double-check their medications and make sure their medical team is informed.”
Some pain medications (such as gabapentin and pregabalin) “should be used with caution in elderly people,” adds Farah Khorassani, PharmD,health sciences associate clinical professor at the University of California, Irvine School of Pharmacy & Pharmaceutical Sciences.
“This is because they can increase the risk of falls,” she notes.
OTC medications may be easier to obtain but are generally better suited for milder cases of nerve pain.
“These drugs can relieve occasional, mild nerve pain but do not work as well for severe, persistent pain,” says Dr. Akanksha Sharma, board certified neurologist and neuro-oncologist at the Pacific Neuroscience Institute in Santa Monica, California.
For more severe and persistent cases of nerve pain, stronger prescription drugs will likely be required.
As for the time it takes for these to work, “A good rule of thumb is 1 to 2 weeks after a dose change,” states Khorassani. “Some medications have specific dosing ranges to target neuropathic pain, so if the medication isn’t working, the dose should be evaluated.”
OTC treatment side effects
Especially when taken for long periods at high doses, aspirin and ibuprofen “can contribute to irritation of the gut and ulcer formation or cause gastritis,” says Sharma. Furthermore, she adds, “Ibuprofen may also cause kidney damage when used too often or too much, (while) aspirin can increase bleeding risk as it inhibits the formation of platelets.” If you’re taking any OTC medication regularly, make sure to talk with a doctor about it so steps can be taken to protect your health. In the United States, excess consumption of acetaminophen while overusing acetaminophen-based drugs, such as combination pain relievers and multisymptom cold remedies, is the leading cause of liver toxicity requiring liver transplants. It all traces back to a general public unawareness regarding OTC drug ingredients. In terms of topical creams, Sharma says they tend to have few side effects unless overused. However, “Capsaicin has to be used carefully, often with gloves on, because it is made from chili peppers, and it may cause irritation of the eyes if inadvertently exposed.”
Prescription medication side effects
According to Sharma, potential side effects of anticonvulsants include: •drowsiness (which usually improves as one adjusts to the dosing) •dizziness •nausea •mood fluctuations •blurry vision •fluid retention or swelling in feet •weight gain Meanwhile, she continues, the possible side effects of both SNRIs and TCAs are very similar: •dry mouth •constipation •urine retention •dizziness •drowsiness •vivid dreams •changes in appetite “For side effects that are difficult to tolerate, contact your medical team as soon as you can,” says Hascalovici.
Will nerve pain ever go away entirely?
“Every person’s experience is different,” says Khorassani. “It depends on the cause of the neuropathic pain and how bad it is.” The outlook for an individual is more promising if the nerve pain is caused by an injury or after lying in a particular position. “We’d expect the nerve pain to be temporary and improve with time, eventually fully resolving,” says Sharma. However, if the neuropathic pain is because of an ongoing health concern, such as cancer or diabetes, Sharma says it’s far less probable the pain will ever entirely disappear. “It will likely remain a long-term problem that may fluctuate in severity and have to be managed with medications and other interventions.” Was this helpful?
While certain medications effectively lower neuropathic pain, complementary approaches can also be taken.
Hascalovici believes “a multidisciplinary, multimodal treatment approach that treats the body, the mind, and the social well-being of each patient is best.”
For instance, “meditation or cognitive behavioral therapy” can be helpful, he notes.
Acupuncture is another potential option, with people with neuropathy in a small study reporting pain improvement following the treatment.
It’s thought that transcutaneous electrical nerve stimulation machines may help lower nerve pain and are “sometimes recommended for diabetes-related neuropathies,” says Hascalovici. However, scientific evidence to support their use is generally inconclusive.
Finally, Khorassani notes that yoga may be beneficial, and research indicates it may aid in lowering cancer-related nerve pain.
Nerve pain can occur because of various reasons and manifests in different forms, from tingling to stabbing sensations.
There are numerous treatment options for neuropathic pain, including OTC, prescription medications, and nonpharmacological approaches.
Some of the most commonly prescribed drugs for nerve pain are gabapentin, pregabalin, and duloxetine. However, these can lead to side effects such as drowsiness, nausea, dizziness, and dry mouth.
Whether the nerve pain will fully disappear depends on its cause and severity. And, as Hascalovici points out, “It’s helpful to realize there is no silver bullet treatment or one-size-fits-all therapeutic approach.”
- Chantelle Pattemore
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Nerve pain may be treated with prescribed medicines called neuropathic pain agents, as standard painkillers often do not work. If you have other symptoms associated with peripheral neuropathy, these may need to be treated individually.
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