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Taking Prothiaden To Reduce Nerve Pain. Will It Be Safe To Take Cymbalta?

Posted on Fri, 8 Mar 2013

Question: i am presently taking prothiaden (dothiapein)25 mg at night. I am 53 years old male. I heard that taking cymbalta will reduce pain.

Answered by Dr. Sudhir Kumar (36 minutes later)

Hi Mr XXXXXXX

Thank you for posting your query.

Medications for reducing nerve pain are: Prothiaden, tryptomer (amitriptyline), cymbalta (duloxetine), lyrica (pregabalin) and gabapentin.

Of these, the best efficacy is there for pregabalin and gabapentin.

Cymbalta, in addition to relieving nerve pain, also has anti depressant properties.

So, looking at your medical details, it may be a good option for you.

I hope it helps. Please get back if you have any more queries.

Best wishes,
Dr Sudhir Kumar MD DM (Neurology) XXXXXXX Consultant Neurologist

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

Follow up: Dr. Sudhir Kumar (39 minutes later)

thanks for the information. which medication at what dosage is best for me
that are available in India please

Answered by Dr. Sudhir Kumar (7 hours later)

Thank you for getting back.

You can take lyrica (pregabalin). The usual starting dose is 75 mg at bed time. Depending on the response the dose can be increased to 75 mg twice daily, maximum dose is 150 mg twice daily.

Best wishes,
Dr Sudhir Kumar MD DM XXXXXXX Consultant Neurologist
Apollo Hospitals, Hyderabad

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

Follow up: Dr. Sudhir Kumar (1 hour later)

thanks. finally one more question. I am taking clonotril 1mg at night and prothiaden 25 mg, I am hypertensive and taking telma-H and amlogard 5 once daily. what are the precautions I need to take for switching over to lyrica and how can I unhook from my present medicines such as prothiaden 25 and clonotril 1mg/

I would highly appreciate your answer and thanking you once again for spending your valuable time to write to me.

with regards XXXXXXX

Answered by Dr. Sudhir Kumar (18 minutes later)

Hi,

Thank you for getting back.

You should continue your BP medications as at present.

You can stop Prothiaden, and start with Lyrica at the same time.

Clonotril is a medicine for anxiety and sleep, so, you may have to continue it.

Please discuss with your doctor before making any changes.

Best wishes,
Dr Sudhir Kumar MD (Medicine) DM (Neurology)

Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.

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