Duloxetine if a drug mainly used for depression but it is now also used for neuropathic pain and for the management of chronic pain. It can take up to 2 – 4 weeks to kick in before it helps with pain and you are advised to not take other pain medication with it.
It can only be prescribed by a Pain Consultant. Mine asked me to give this drug a try as he feels a lot of my pain is Myofascial and nerve pain which can be helped if Duloxetine suits me. As with many of my other pain medications the list of possible side effects is so long that it could put you off even trying it. But, I am prepared to give it a go over the next month.
In order to try Duloxetine I have had to reduce my Tramadol right down to 100mg a day and my Amitriptyline to the lowest I can manage on so it should be interesting to see how I feel after I have been on it for a couple of weeks. I am starting on one 30mg tablet a day increasing it to two a day of 30mg and then in another two weeks just one a day of 60mg.
This is the first time in a number of years that I have had to alter nearly all my pain medication in order to try something different out and so I am keeping my fingers crossed that this will really help. Says she, who at the moment is lying on one side to type this as the sciatic nerve pain in back and giving me a lot of discomfort.
Oh, for a pain free life…………..
Burning feet or pins and needles in your feet can be a sign of quite a number of different problems.
I started with this problem about four to five weeks ago. My right foot would burn like mad, but only at night time and when I went to bed. No pain just this burning feeling and sometimes a bit of cramp that would keep me awake at night.
When I looked online most sites like Web MD and Foot Vitals say –
‘Most often, neuropathy is the cause of burning feet. Damaged nerve fibers are more likely to become overactive and misfire. The damaged nerves send pain signals to the brain even though there is no wound or injury.
In most people with neuropathy, the leg nerves become damaged first. These people often have tingling and numbness in the feet as well. Many people complain that their feet are overly sensitive to touch (hyperesthesia) and can have varying degrees of burning pain. It can range from mild to disabling.’
Common causes of paresthesia include:
- Nerve damage
- Blood disorders
- Circulatory disorders
- Nerve entrapments
- Vitamin B deficiency
- Athlete’s foot
- Peripheral Neuropathy
- Exposure to toxins or chemicals
- Contact Dermatitis
With a list as long as this I decided that maybe a trip to my GP was in order. She immediately said that she was pretty convinced it was nerve irritation from my back and to increase my Amytriptyline over the next four weeks.
After a few days of the increase it is definitely not as bad so fingers crossed it should settle down soon.