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The Question
Sun Jan 12 12:25:25 UTC 2014

Whats better lyrica or gabapentin? also, whats the best opiate for neuropathy? they have me on fentynl, I would rather be on something different.
Asked By: boondockoutlaw  
Category: Neuropathy

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Over the last year the pain management clinic I go to has put me on many meds and it was changing a lot. I have been prescribed: Nucenta, oxycodone, butrans patch (buprenorphine), and now on duragesic patch. It sorta works but its so damn inconvient they fall off a lot. Its not like its the other pills where I could stretch it if had to, but when a patch falls off then im sort for the month and cant waer one in to show the doctor. Im also currently on gabapentin 800 3x a day. I switched from 200my lyrica 3x a day because of the price difference. I haven't asked my doctor for anything. This is all what he choses for me to be on and he isn't open to suggestion. he is a very skeptical doctor but its the only pain management within 100 miles.
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Expert Answers (1)
2014-03-05 17:43:15.0

Pain management is a very tricky thing. Many pain medications can have addictive potential which makes it difficult to wean down. Lyrica and Gabapentin are both specific for nerve pain, whereas opiates are for general pain management. A patch is difficult because it cannot be adjusted(cut). I prefer a tablet preparation for my patients for breakthrough pain . It's really a personal preference who responds to Lyrica vs. gabapentin. I find many patients say Lyrica makes them more drowsy. Specialist are a good way to go and sometimes non-traditional approaches like acupuncture can work well. Stay Well!
Answered By: susan sloane
Accreditations: B.S.,Rph.,C.D.E.,Nutritionist
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