Suggest Pain Medication For Chronic Back Pain

Posted on Tue, 14 Apr 2015

Question: What pain medication would be better if you have been taking immediate release morphine 30mg 6 tabs per day for over 16 years, it does not have the good pain relief it used to. I see a pain doc but I just want an answer now. I've had over 20 back surgeries, an I fractured a 16 year old fusion transveresly, I also use eventual patch for round clock pain. My pain doc gave me a spray fentynal but I felt nothing at 800mcg/h. Just like to know what else is better I have nerve damage with foot drop when fractured fusion hit sciatic nerve , not as painful as it was, except for foot.

Answered by Dr. Sudhir Kumar (3 hours later)

Brief Answer:
Neuropathic pain medications may help.

Detailed Answer:
Hi,

Thank you for posting your query.

I have noted your details.

In pain related to nerve damage or injury, neuropathic pain medications help.

These include- pregabalin (lyrica), gabapentin (neurontin) and duloxetine (cymbalta) capsules.

I hope my answer helps. Please get back if you have any follow up queries or if you require any additional information.

Wishing you good health,

Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) XXXXXXX Consultant Neurologist
Apollo Hospitals, XXXXXXX XXXXXXX
Click on this link to ask me a DIRECT QUERY: http://bit.ly/Dr-Sudhir-kumar
My BLOG: http://bestneurodoctor.blogspot.in

Above answer was peer-reviewed by : Dr. Shanthi.E

Follow up: Dr. Sudhir Kumar (12 hours later)

I've tried all those to, am allergic to nueronton, done lyrica an cybalta, am wondering about narcotics, nothing else has given me relief.

Answered by Dr. Sudhir Kumar (2 hours later)

Brief Answer:
Narcotic options are available.

Detailed Answer:
Thank you for getting back.

It is unfortunate to not that these neuropathic pain medications have either not worked or caused allergic reactions.

Among narcotic group, other options include hydrocodone, oxycodone, methadone and meperidine, which are all helpful in providing pain relief.

Best wishes,

Dr Sudhir Kumar MD DM (Neurology)

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar