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Old 07-13-2011, 12:06 AM
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Default Question re: neurontin/nerve pain

Hi, I had my fusion 1 1/2 years ago. In the last few months, I have developed siatica (sp)? peraformis issues which are causing a lot of nerve pain and I feel like I did at the onset of my accident many years ago. It's a nightmare as I have a little over a great year with my fusion and now it's worse than ever due to nerve pain.

What are peoples experiences with neurontin or any other suggestions for nerve pain which is driving me nuts.

Thanks!
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Chemically sensitive disc/Annular tears, DDD, mild bulging, facet arthritus

Dancing accident in 96. tried PT, acupuncture, pilates, pain mgmt. nothing worked. Epidurals, facet blocks, caudal blocks, discogram. Opiates for ten years, oral prednisone, toradol inj. & more.

Two level spinal fusion with BMS, cages, hardware. due to bone density problems from chemotherapy, they had to go in front and back. Surgery Nov. 6, 2010. So far no regrets.
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Old 07-13-2011, 12:32 AM
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Default my experience w/Neurontin

I've 2 discectomies. One on L5S1 that rendered me better and then L4 bulged so I had a percutaneous discectomy on this level which failed badly leaving me with much more pain esp. burning pain from my waist area down my buttocks and thru out my legs and in the soles of my feet.

I took elavil for 5 years before Neurontin was prescribed which greatly alleviated the pain and then started a low dose opioid pain medication and lumbar ESIs which further really helped keep the pain quieted.

The neurontin worked well for me as I took it 12 years however the last year or two I was on it I felt like I could hardly think, never read, and just felt "stupid."

Since it's antiseizure medication with off label use for neuropathies I think my CNS (central nervous system) probably no longer needed it to quiet the neuropathies and so it was overwhelming my cognitive abilities and snowing me so to speak at this point as I felt nothing like this mentally when I first started to take it.

Not sure how the drug accumulates and is stored either as I was on 1800mg/day for 12 years. The thing is when I needed relief the drug worked well for me.

If I were going to start something for neuropathies now I think I'd prefer to try Lyrica first. It's more specifically designed for neuropathies (diabetic) and I've heard it creates less mental sluggishness than Neurontin (but can't say from experience since I've not used it).

Good luck and hope if you are going to try Neurontin or Lyrica or even Topamax that whatever you try will help to alleviate some or much of this pain.
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Old 07-13-2011, 01:20 AM
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Default Thanks....another siatic question

Thanks Maria...I tried lyrica without much sucsess. I call it the chubby drug as I ate all the time. What do you know about Topomax? I just looked it up and it said some weird things that it caused?

Anyone know if sciatic pain is permanent or temporary?
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Chemically sensitive disc/Annular tears, DDD, mild bulging, facet arthritus

Dancing accident in 96. tried PT, acupuncture, pilates, pain mgmt. nothing worked. Epidurals, facet blocks, caudal blocks, discogram. Opiates for ten years, oral prednisone, toradol inj. & more.

Two level spinal fusion with BMS, cages, hardware. due to bone density problems from chemotherapy, they had to go in front and back. Surgery Nov. 6, 2010. So far no regrets.
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Old 07-13-2011, 05:57 PM
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Default re topamax

D,
I actually took this as an adjunct drug for migraines altho some people use it for neuropathies. It has a reputation of seriously decreasing one's appetite and I have to admit I wasn't hungry at all on it but then again nor was I on Neurontin after the first bit of time taking it (in the beginning I had the munchies bad for several weeks to a month).

I think many of these drugs when reading about them are enough to scare anybody away from trying them but where I was at back when needing to try and level out pain was unless it had a "black box" warning I'd probably try it and maybe even then depending on my level of pain.

I haven't had what I consider to be classic sciatica because what I had was very episodic even tho it was sciatic nerve like in terms of pain but not really what I think of classic sciatica.

Does it go away? Good question? Hopefully someone can answer that for you. My neuropathies went away. I'm almost afraid to write that but it's been nearly a year w/o medication for them and I haven't had a real recurrence altho some very light burning in my quads with too much sitting or chronic over stressing of my low back.

I'm so thankful that even tho I waited what seemed an eternity that L5S1 did autofuse. What a difference that's made in my pain levels. Now if only L4 would do the same (and hoping the result would be the same/less pain).
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Old 07-13-2011, 11:10 PM
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Hi D,

After everything, you now have this nerve pain. I'm no authority but I don't think you'll find success with Neurontin if you haven't had any with Lyrica. Actually Lyrica is supposed to work like Neurontin but with less side effects.

Having most major side effects with Neurontin, including brain fog, and poor eyesight, and no desire for anything -I tried Lyrica. Though less of a dosage was needed, there was really no difference. I chose to live in pain instead.

However, should this pain increase, I'm pretty sure I'd go back on the drug. Life is simply easier without it.

Pain's a bitch. Nerve pain is the devil. I wish you every luck in finding a remedy.

Dale
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Old 07-14-2011, 02:48 AM
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I call it Morontin. This class of drugs is very interesting. Some people get great relief from some of them, but not others. Some people get side effects ('brain fog') from some, but not others.

I took Neurontin for a couple of years. I did get the brain fog, but it was worth it for the relief.

I asked my doctor about the brain fog and he said... "oh, it doesn't do that!"

I posted online about it and got many, many stories, like the person who found their underwear in the fridge, but didn't know how it got there.

Good luck!

Mark
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2000 L4-5 Microdiscectomy/laminotomy
2001 L5-S1 Micro-d/lami
2002 L4-S1 Charite' ADR - SUCCESS!
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Old 07-14-2011, 05:34 PM
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Another 'weird' side effects are dreams from the Twilight Zone!
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Severe nerve damage in left leg, still working on it
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Old 07-15-2011, 10:31 PM
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Default Underwear....

Underwear in the fridge? What? doesn't it go there?
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Chemically sensitive disc/Annular tears, DDD, mild bulging, facet arthritus

Dancing accident in 96. tried PT, acupuncture, pilates, pain mgmt. nothing worked. Epidurals, facet blocks, caudal blocks, discogram. Opiates for ten years, oral prednisone, toradol inj. & more.

Two level spinal fusion with BMS, cages, hardware. due to bone density problems from chemotherapy, they had to go in front and back. Surgery Nov. 6, 2010. So far no regrets.
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Old 07-19-2011, 06:41 PM
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Default I was Gabapentin

Gabapentin (spelling?) is the generic for Neurontin. It only helped me for about a year then we kept upping the does until I began to have vision issues! Also, it does make you gain weight as well with or without the munchies. I like to drink with my husband on the weekends, so Lyrica is out. They recently gave a Rx for Amitriptyline but it too has side effects with alcohol and sun exposure. The only two things left in this life that I can do or enjoy! So I do not know what is next...Cheryl
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female age 45, height 5"6", 145 lbds, non smoker, conservative treatments failed, (7/2007) C4/5/6 peek disc replacements,plate & screws failed fusion,
(9/2008) revision with bone replace plate and screws, (10/2009) C3/4 stand alone peek cage, (12/2010) facet joint injections C3-7, (1/2011) rhizotomy C6/7 failed, Trouble swallowing
most recent mri (7/2011) shows ajacent level issues: right neural foraminal narrowing C2/3, posterior bulge indents thecal sac at C6/7/T1 no mass effect on cord.
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Old 07-20-2011, 05:20 PM
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Cheryl,

I have chosen to not take these drugs which did control the majority of my pain. The result is other meds to help me deal.

I take Celebrex daily and am very nervous as to its dangerous side effects. I have been taking it for almost 6 years now but every time I try to stop, the pain is just a little too intense. I often take muscle relaxers to help me sleep because sometimes I cannot find any comfortable position in bed. Then I also have just plain pain meds.

This is a trade-off. I can control my pain but lose control of my brain (and eyesight) or I deal on a day to day. Unfortunately, sacrafices are a way of life for most spineys. Each person must decide for themselves what they can and cannot live with/without. Then again, there are some of us that have few choices. As much as I hate living with pain, I'm still grateful that I'm so much better than 6 years ago.

Sounds to me like you have to deal with your pain directly and/or learn to live with it. Giving up your favorite things is too big of a sacrifice, IMHO.


Dale
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3 level Prodisc adr S1-L3, Oct 12, 2005
Dr. B in Bogen, Germany
Severe nerve damage in left leg, still working on it
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Old 07-20-2011, 07:42 PM
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I prefer Neurontin/gabapantin over Lyrica. Just a personal taste I guess. My sciatic nerve pain comes & goes.
__________________
12/16/03 Work Accident
Herniation and DDD at L4-L5
4/1/05 Discectomy
Epidurals and facet injections
5/15/06 Discogram confirmed L4-L5 DDD also an asymptomatic L5-S1 tear
10/24/06 L4-L5 Prodisc surgery with Dr. Goldstein
CAT scans & X-Rays show ossification
Trigger Point Injections, Medial Branch Blocks, Acupuncture, Weekly Deep Tissue Massage
10/27/08 Discogram (positive L5-S1)
11/25/08 L5-S1 fusion with Dr. Goldstein
FAILED BACK SYNDROME
Liberty Mutual WC
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Old 07-20-2011, 11:54 PM
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Default new anti inflamitory

Zipsor is supposed to go to the area of inflamtion only and then you urinate the rest out of your system. I got a sample yesterday and will let all know if it helps any...As for the muscle relaxant, Robaxin seems to have the least side effects. As for the nerve pain, I don't know what I will do....
__________________
female age 45, height 5"6", 145 lbds, non smoker, conservative treatments failed, (7/2007) C4/5/6 peek disc replacements,plate & screws failed fusion,
(9/2008) revision with bone replace plate and screws, (10/2009) C3/4 stand alone peek cage, (12/2010) facet joint injections C3-7, (1/2011) rhizotomy C6/7 failed, Trouble swallowing
most recent mri (7/2011) shows ajacent level issues: right neural foraminal narrowing C2/3, posterior bulge indents thecal sac at C6/7/T1 no mass effect on cord.
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Old 08-12-2011, 08:01 AM
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Default Nortriptyline?

Has anyone been on this for nerve pain? This is what the doc put me on and although it does help me sleep and works as an antidepressant, it seems to do little for nerve pain? I've been on it close to three weeks now. If this doesn't work, I'll have to try the neurontin again.

I'm on so many drugs it's crazy! Going back to the surgeon on Monday to talk with him and get new xrays and have a pow wow about the nerve pain. I can handle regular head on pain but nerve pain makes me go out of my freaking mind.
__________________
Chemically sensitive disc/Annular tears, DDD, mild bulging, facet arthritus

Dancing accident in 96. tried PT, acupuncture, pilates, pain mgmt. nothing worked. Epidurals, facet blocks, caudal blocks, discogram. Opiates for ten years, oral prednisone, toradol inj. & more.

Two level spinal fusion with BMS, cages, hardware. due to bone density problems from chemotherapy, they had to go in front and back. Surgery Nov. 6, 2010. So far no regrets.
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Old 08-12-2011, 01:58 PM
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Default re nortriptyline

I took amytriptyline (Elavil) for 5 years post my second spine surgery for horrible burning nerve pain that was down my buttocks/bilat lower extremities. It took the edge off but didn't really do the trick like the Neurontin did altho the worst of the neuropathies sort of went away after 5 years post op and then I had remaining residual pain that I started the Neurontin for and took for 12 years before realizing this pain had "gone."

I agree this type of pain will drive one crazy.. it just gnawed at me constantly and really made life intolerable before getting it under control. The best combo of drugs that worked well for the pain actually was Neurontin and Methadone. Lumbar ESIs on regular basis helped with the low back pain and the burning to some degree. Tho that all wasn't instituted until 2001 and my last surgery that made the probs chronic (vs. episodic) was in '92.

Hope you get relief soon. So what if you have to use drugs to do it? If your pain is anything like mine was believe me it's well worth it.
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Old 08-31-2011, 06:10 PM
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Cool analgesia

I've been on Topamax and duragesic patches for a few years now. They stopped working, and I was reluctant to up the doses, so I am weaning myself off them. Right now I have been off topamax for a couple of weeks with just a few side effects. The duragesic is somewhat different. For a start I feel exhausted, and can't stop yawning. Mentally I am really flat. I'm just hoping this does not take too long, and that I will get through it. I've had two lumbar and one cervical surgery. I still have nerve pain on one side, (arm) and down legs. I guess its kind of chronic, and I will have to put up with it.
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Old 10-15-2011, 12:53 AM
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I have taken Neurontin for many years and I'd like to know if anyone has eye problems from it.? i have posterior vitreous detachment. itss like dry eye with HUGE floaters. Very annoying...
i mayy also be dehydrated because i wake up sometimes with a swollen uvula.
__________________
12/16/03 Work Accident
Herniation and DDD at L4-L5
4/1/05 Discectomy
Epidurals and facet injections
5/15/06 Discogram confirmed L4-L5 DDD also an asymptomatic L5-S1 tear
10/24/06 L4-L5 Prodisc surgery with Dr. Goldstein
CAT scans & X-Rays show ossification
Trigger Point Injections, Medial Branch Blocks, Acupuncture, Weekly Deep Tissue Massage
10/27/08 Discogram (positive L5-S1)
11/25/08 L5-S1 fusion with Dr. Goldstein
FAILED BACK SYNDROME
Liberty Mutual WC

Last edited by Eddie G; 10-15-2011 at 01:00 AM.
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Old 10-15-2011, 05:29 PM
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Eddie,

I can't say if N caused dry eyes as many other meds I take do - but my eyesight began to worsen, considerably with both N & L. Focusing on the computer or reading was greatly impaired and one of the main reasons I chose pain instead of this drug.

This is a known side effect of these drugs though certainly not affecting everyone. I take anti-inflams instead so as I see it, my choice is seeing or dying. I've tried getting off Celebrex many times, just recently was the 5th or 6th time, but the pain is too severe. Sometimes we have to make sacrificial choices - each of us must decide for ourselves.

Dale
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3 level Prodisc adr S1-L3, Oct 12, 2005
Dr. B in Bogen, Germany
Severe nerve damage in left leg, still working on it
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Old 10-17-2011, 08:16 PM
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All those anti-seizure meds messed me up. I couldn't handle any of them. Then again I seem to get every side effect possible from any med I take. Only thing I'm on is Valium and it is completely useless for me, unless you like having horrible withdrawal and no emotions. As many of you, I have tried everything and am terrified to have another surgery.

On a better not my mother n law takes neurontin and has no problems with it. If I take it I start to drool on myself.
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Had a 360 lumbar fusion in May 2008 with cages, screws, hardware. It didn't fuse and one of the screws are loose. Also have a tear at L4 but they say it isn't touching the nerve. Have a bulging disc at T6 which causes middle back pain. I'm not even gonna mess with T6.
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Old 10-18-2011, 06:22 PM
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Never heard of that one! Have you tried Lyrica? For me, no difference and I too and the side effect queen.

Good luck, Dale
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3 level Prodisc adr S1-L3, Oct 12, 2005
Dr. B in Bogen, Germany
Severe nerve damage in left leg, still working on it
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Old 10-19-2011, 03:29 AM
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Default re drooling

When I tried Ambien to get to sleep I was so busy drooling on myself and then trying to swallow the drool that I couldn't sleep!!! So yes~ maybe not with neurontin however with a different drug I had the serious drool problem too!! I remember when my PCP asked me how I did with Ambien and I said I couldn't sleep because I was awake drooling and swallowing drool all night.. well obviously not the sleep drug of choice for me!!!
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