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» LymeNet Flash » Questions and Discussion » Medical Questions » Severe 'neoro'nerve pain 5 wks.-no relief...help..opinions

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Author Topic: Severe 'neoro'nerve pain 5 wks.-no relief...help..opinions
fiddler
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HELP YOU ALL-

Been in treatment for 1 yr. 4 months. Did well on Ceftin/Biaxin for several months. Did Flagyl too. 90% better.

Something then 'happened'. All of my nerve pain (symetrical- lower arms & legs) suddenly (and do I mean suddenly, just one day) flared up to a point of unbearable, nothing like it had ever been before. Horrific. Can't function.

Changed LLMD's- went to Dr.J in NC clinic, who said I was in the middle of a 'neruo' herx. Put me on Minocycline & Biaxin. Gave me Nerontin (sp.?) as pain killer.

That was two weks ago. Neurontin is doing ABSOLUTLY NOTHING. The pain has not decreased AT ALL. The only thing that changed was I experienced numbness & loss of coordination on left side for several days (had never had that before).

Has anyone else had nerve pain for weeks on end with no relief? Do you all think this is a 'neuro herx'? For five weeks?

WHAT THE HE** COULD BE GOING ON?

I have almost had to quit work entirely. I am in so much freaken pain. Am losing my mind.

Had my husband call DR.J today on my behalf, no luck getting him so far.

WILL THIS PAIN GO AWAY?

HEEEEELLLLLLPPPPPPP.

-Sarah (fiddler no more....)


Posts: 58 | From Leonardtown, Md, usa | Registered: May 2003  |  IP: Logged | Report this post to a Moderator
lookin4answers
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Oh, Sarah, I do not have an answer for you. I am sure some will be along with some helpful info.
Just wanted you to know that people do care about what you are going through, and I know it is hard!


Posts: 688 | From SW Arkansas | Registered: Dec 2003  |  IP: Logged | Report this post to a Moderator
riversinger
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If neurontin is not working, call your doctor and ask to have the medication changed. People need different meds to get proper pain relief, so try till you find one that works. There is no reason for you to be suffering so much pain.

Its possible for this to be a neuro herx. Its also possible for something to have changed structurally, so if it doesn't change, that may need to be checked. Some nerves in the cervical (neck) vertabrae can cause pain and inflammation in the entire nervous system.

I have had neuro pain for very extended periods. Once the nervous system gets inflamed it can be very difficult to calm it back down. Effective pain relief is part of what you need, as it breaks the cycle of increasing pain.

For me, Vicodin is what I use to break the cycle, but there are lots of possibilities. Sometimes it takes more than one approach. Increased magnesium, NSAIDS, rx NSAIDS, muscle relaxers, opioids, other drugs in the class with neurontin can all be tried.

Hope something helps soon!


Posts: 2142 | From California | Registered: Nov 2003  |  IP: Logged | Report this post to a Moderator
3greatkids
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I am sooo sorry you are feeling this bad.Yes, I agree and would call Dr. again..and demand relief in some other form...the pain can be horrible and I have been there, along with the rest of us.There are alot of other things...I had to use Lortab..just to make me feel human.

Being in that much pain is not good..Call them back..express your discomfort..surely they will help..I know they are extremely supportive and caring.I hope you can get some relief VERY soon.

Let us know how you are and if we can do anything else.Hang in there..better days ahead.


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RECIPEGIRL
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Hi Sarah,
As always, your LLMD will have the very latest meds to use on nerve pain.

However, my experience is with Elavil
which acts directly on the nerves to turn the pain off. I've seen that others on the site have used it as well. It is not addictive & you only have to take when the pain hits.

My LLMD said I had peripheral inflammatory neuropathy when my legs & feet went into that gnawing, pain.

Elavil is a cheap, very old antidepressant that's also used for pain. It will make you sleepy. If you have heart problems, it can make you have palpitations & if you're on other antidepressants you probably couldn't take it.

That said, what I always did was to take Elavil 10 - 20 mg added to 3 tablets (200 mg each of Motrin/Advil). And yes, as the others said increase your magnesium to bowel tolerance.

Have someone go to Wal-Mart & get you a bottle of liquid Magnesium Citrate located in the laxative section for about $1. This is quickly absorbed, but the key is to use a minute amount every 2 hours-------or you'll get diarrhea.

When I'm in the worst pain, I say the heck with diarrhea & I take 1 - 2 ounces at once. (This is not the best way because diarrhea will upset your electrolytes; but it's either that or go to the ER!)

I've taken Elavil off & on for 12 years for debilitating pain (Lyme headaches, neck, ear pain & sleep). I will always keep an ample supply in the cabinet & I won't leave home without it.

This is a very under-rated med for pain. A Percoset would end the pain for l - 2 hours & then poof, the pain was back. It's not like that with Elavil.

Always take the lowest possible dose, perhaps start with l0 mg. and remember to treat your pain early on. You probably already know all this, but it's critical.

You gotta get out of that pain mode & break the cycle. That nerve pain ------it's just a whole different kind of pain.

As for myself, I would never take a Flagyl on the day I'm having that kind of pain. It does act on the central nervous system &
can easily worsen the pain.

Anyway, keep that Elavil & Motrin in mind. The Pill Book states the usual dose for Elavil is 25 mg three times daily, but I always tried to keep it low. Oh, & don't forget the lowly Valerian herb. It was always a kind of add-on pain killer to my prescriptions.

Be sure not to take more than maximum dose of Motrin as stated on the bottle in one day; take with food.

I also would take Elavil the next morning if I woke up in some left-over pain from the day before. Then, eventually I could just take Motrin & that would reduce the inflammation.

I treated my pain until it was totally gone----- and believe me I hated putting all that Motrin through my system, but I was desperate.

Klonopin (anti-convulsant) l mg. is a great add-on for nerve pain. I take mine sublingually for faster effect. It's addictive, but it works along with the Elavil.

Hope you start to feel better soon & find what works for you.
Take Care,
Jan


Posts: 602 | From Burleson, Texas, USA | Registered: Jul 2004  |  IP: Logged | Report this post to a Moderator
Reibersc
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Neurotin is not a "pain killer". It is an anti seizure medication. It is used by doctors for nerve pain because it is believed that the medication works on the nerves. If it is not working for you...DO NOT...I repeat....DO NOT STOP the neurotin cold turkey. You must wean yourself down from the medicine taking decreasing doses over a period of days, otherwise you may take a seizure. There are some other medicines in the same class as neurotin, namely, zonegran and topamax, which are also anti seizure medicines which might help if the neurotin does not but my guess is that they won't. None of them worked for me.
Posts: 23 | From Philadelphia, PA, USA | Registered: Jun 2004  |  IP: Logged | Report this post to a Moderator
fiddler
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THANK YOU ALL FOR WRITING...

Recipegirl- Dr.J wanted me to increase the Neurotin & add in another pain killer (can't recall which one now- haven't picked it up yet).

Not so sure I want to do this as the Neurotin is having some strange side effects (like I feel totally 'high' in a really bad way for about 1 minute or so (about 30 min. after I take it)- then just wierd...). Don't feel it is touching the pain- just making me feel tired & wierd. So...perhaps it's no good for me?

I am going to ask about this Elavil- have seen reference to it too. But, for now don't think I can do much for a few days.

My LLMD wants me to go off all abx's for three days or so to see if that 'calms things down'. When I call them back on Fri. I will ask about the Elavil. For now guess I'll have to just take what I got & 'pray'. Been going through this torture for weeks- what's a few more days? HAHAHAHA.

Thanks again.

Here's wishing us all if not good, at least 'decent' health in the very near future.

-Sarah


Posts: 58 | From Leonardtown, Md, usa | Registered: May 2003  |  IP: Logged | Report this post to a Moderator
Laurie
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I also became affected fairly suddenly with the neuropathic pain in my lower legs. Having had Lyme for almost 20 years and being hit with all kinds of stuff, this was definitely the worst. Burning, searing, throbbing, tingling pain, like someone had stripped the skin off my legs and poured salt on them. (This also went along with some other nervous system stuff that involved my upper arms and my face, but the neuropathy is what finally caused me to have to stop working.) Thank God for the Neurontin -- I lived in hell for several months before the neurologist my doctor sent me to gave me Neurontin. I started small and eventually had to go up to 2100mg/day. However, even that didn't do it all -- I also had to add 25mg Elavil at bedtime. I do occasionally get "drunk" and sleepy from the Neurontin, but if I eat something, I feel better. And it's better than the pain. Good luck, and hopefully with continued Lyme treatment this pain will abate.
Posts: 459 | From Connecticut - just across the river from the Lymes (Old Lyme, Hadlyme, East Lyme, South Lyme & Lyme) | Registered: Oct 2000  |  IP: Logged | Report this post to a Moderator
Laurie
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Oh yes - the Magnesium - it is helpful for nervous system symptoms (and how many folks with Lyme and/or CFIDS have low magnesium levels!! I did!) But be careful of taking both Magnesium and Neurontin -- check the interractions -- one can cancel the other one out!!
Posts: 459 | From Connecticut - just across the river from the Lymes (Old Lyme, Hadlyme, East Lyme, South Lyme & Lyme) | Registered: Oct 2000  |  IP: Logged | Report this post to a Moderator
liz28
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Can't help with a cure, but can say I did have these symptoms as part of rocephin and minocycline herxes. With the minocycline, I couldn't walk much farther than five feet for two weeks. At one point, I was forced to go outside to buy supplies, and had to stand outside my front door for several minutes coaching myself on how to put a key in a lock and turn it, because I just didn't have the energy for it.

Although the pain abated after two weeks, it returned again a month later, and I was switched to omnicef + zith.

That doesn't mean you're experiencing the same thing, of course, but just for the record, herxes can be as severe as you describe.


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Mo
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Sorry for what you are going through right now..

I'm getting from what you say that you have feelings that the Nurontin is not right for you.

I'd pay attention to that, and look for something else. You really must trust your gut.

As for the neuropathy, has anyone mentioned the possibility that Flagyl use could have cause this as a side effect? I know it can cause periferal neuropathy in some patients, this is sometimes difficult to differentiate from a Herx..but in some cases it is a direct side effect of the medication itself.

Mo


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HaplyCarlessdave
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Whoo Whoo foYoualll-- here comes the night-owl brigade!
So sorry to hear you are going through this sucky neuro pain.
One thing to be sure not to forget about is the effect of various nutrients. You might see if taking a couple of B'50 complex pills helps. Gingko may hekp, too- its blood-thinning properties help get the abx into the brain and nerves where they're needed. Do you have insurance? If so you might see about trying I.v.- in any case, it seems from your description that this may well be a "herx", which shoukld pass in a few days, and you will feel better after that. Drink lots of pure water yo help flush out the toxins which are causing your problems. Try to keep moving. Tell yourself over and over, "The More you Do, the Better you Get! The More you do the better you get,....
Best Wishes for as fast a recovery as possible!
DaveS
PS-- Here, Try some Chopin to help you relax and feel BETTER!

(warning- unless yo have "broadband", be ready to relax or have something to do while it loads- around 7 minutes-- about as long as (or even a little longer than) the piece is, I think!)

[This message has been edited by HaplyCarlessdave (edited 28 July 2004).]


Posts: 4567 | From ithaca, NY, usa | Registered: Nov 2000  |  IP: Logged | Report this post to a Moderator
   

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