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Neuropathic Pain: Conditions like diabetic neuropathy or postherpetic neuralgia respond well to gabapentin. Fibromyalgia: Patients suffering from fibromyalgia often find relief from widespread pain. Post-Surgical Pain: Gabapentin may be prescribed following certain surgeries to help manage acute pain. Neurontin (gabapentin), generally prescribed for the treatment of nerve pain, is sometimes used to relieve severe pain caused by knee osteoarthritis (OA). Osteoarthritis, also known, as wear-and-tear arthritis, can often become so severe that joint replacement surgery is needed. 1. Gabapentin Has Limited Effectiveness. Gabapentin isn't a one-size-fits-all solution for foot neuropathy. This medication was originally developed to treat seizures. Its effectiveness in managing nerve pain can vary widely from person to person. Research supports the use of the anticonvulsants gabapentin (Gralise, Neurontin, Horizant) and pregabalin (Lyrica) to help relieve pain caused by damaged nerves. Both gabapentin and pregabalin are particularly effective in the treatment of postherpetic neuralgia, diabetic neuropathy and pain caused by a spinal cord injury. I have been taking Gabapentin for 8 years for a pinched nerve in my spine. Now I have Mono Neuritis Multiplex and i take 800mg four x a day. Gabapentin is the only thing that helps the pain but it will do nothing for the numbness. Even Lyrica can't do that. For this study, a key measure was whether a medication reduced discomfort by 50%. The most effective treatment was nortriptyline. Of the study subjects taking this medication, 25% reported their discomfort improved by at least 50%. The least effective treatment was pregabalin: only 15% of study subjects reported that much improvement. While gabapentin doesn’t heal nerve damage, it can play a valuable role in managing symptoms. For many patients, it reduces the intensity of nerve pain, allowing them to focus on other healing strategies like physical therapy, lifestyle changes, or alternative treatments. Gabapentin at doses of 1800 mg to 3600 mg daily (1200 mg to 3600 mg gabapentin encarbil) can provide good levels of pain relief to some people with postherpetic neuralgia and peripheral diabetic neuropathy. Gabapentin can help relieve nerve pain in some people with postherpetic neuralgia (nerve pain after shingles) and peripheral diabetic neuropathy (nerve pain in the feet in people with diabetes). Nerve pain can be recurring and persistent, sometimes lasting three months or longer. Many people stay on gabapentin for long-term management of their nerve pain and take it daily. Talk to your healthcare provider if you don't have pain relief within a couple of weeks after starting treatment. They have helped me when my small fiber neuropathy was really bad in my feet. Also, capsaicin and lidocaine creams and patches can help with localized nerve pain. Compression socks can help some, too, if your neuropathy is in your feet/calves. Pain relievers. Medicines available without a prescription, such as nonsteroidal anti-inflammatory drugs, can improve mild symptoms. Anti-seizure medicines. Medicines such as gabapentin (Gralise, Neurontin, Horizant) and pregabalin (Lyrica), developed to treat epilepsy, often improve nerve pain. Side effects can include drowsiness and dizziness.
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