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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Neuralgia Pain And Confusion Despite Taking Lorazepam And Gabapentin?

I had the shingles in November. The ER gave me tea idol & oxycodone 5mg. Tramadol, Prednisone 50 mg. Then I had a Dexa Scan. Then a follow up at my Primary care, who perscribed vitamin D2 50,000 in & Fosamax 70 mg. At the visit I said I was feeling a neurological pain in my face & head, she know perscribed Gabapentin 300 mg. I also take a Lorazepam at night. The Gabapentin appears to Be used in seizures & a spin off from Shingles. I have had all these in 3 months, I still have the neuralgia pain, & feel confused & forgetful at times. Know what should I do??
Mon, 30 Mar 2020
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General Surgeon,  's  Response
Hello,

The gabapentin is used as moderate analgesic for certain neurologic disorders and neuralgia. The cause of pain can be
- Partial response to Gabapentin
- Pathology of progressive level
- Stress and anxiety
- Lack of sleep and rest

The confusion seems to be ill effect of sedative drug Lorazepam and the dose reduction of which will clear the issue.

Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Bhagyesh V. Patel, General Surgeon
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What Causes Neuralgia Pain And Confusion Despite Taking Lorazepam And Gabapentin?

Hello, The gabapentin is used as moderate analgesic for certain neurologic disorders and neuralgia. The cause of pain can be - Partial response to Gabapentin - Pathology of progressive level - Stress and anxiety - Lack of sleep and rest The confusion seems to be ill effect of sedative drug Lorazepam and the dose reduction of which will clear the issue. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Bhagyesh V. Patel, General Surgeon