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Member
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Join Date: Jan 2009
Location: Paradise
Posts: 855
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Member
Join Date: Jan 2009
Location: Paradise
Posts: 855
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Quote:
Originally Posted by Rolacoy
Is the only treatment nerve block for RSD? Also pain meds, I guess. I am taking:
• Cymbalta 60mg (to heal nerves)
• Hydrocodon Acetaminoph 7.5-500 (1/2 tablet every 6 hours for pain)
• Methocarbamol 750 MG (1/2 tablet every 6 hours muscle relaxer)
•LYRICA 75 mg, (6 Capsules for Nerve pain)
One of the listed side effects of Cymbalta is elevated blood pressure. I went from 30mg 10 days ago and 7 days ago my blood pressure went from my normal of 124/75 to as high as 154/80. Along with that is a slight head ache, I never have head aches. I am seeing the neurologist tomorrow afternoon. I want to disscuss getting off Cymbalta or at least go back to 30mg.
Two questions:
• Does Cymbalta or Lyrica help the treatment of RSD?
• Is nerve block the only treatment?
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Everyone is different. Lyrica helped me a lot but felt like I drank a bottle of cheap wine while on it and soon developed arrythmias so had to discontinue. 
Regarding nerve blocks, I am assuming you mean stellate blocks for an upper extremity issue? If so, your response may well depend on whether your pain is sympathetic mediated pain (SMP) or sympathetic independant pain (SIP). Mine (SMP) responded well, although short-term, to blocks and so I go in every 4 or 5 months for one or two as they still knock down my pain and associated CRPS symptoms several notches before wearing off after several months. They aren't so bad. I don't like them...but I'll put up with them because they still work, at least right now. Not sure what I'll do when that stops being an option. If you chose that route, you will know after one or three if it is right for you.
Initially (pre-blocks) I was taking 12 vicodin ES per day with little effect. I was not happy. Post-blocks, my doc agreed with me that I would soon blow up my liver at that pace so now have changed to one and one-half Norco per day which has much less tylenol in it. I should add that only the blocks allowed me to make that change.
I did do the Soma's for a short bit but they made me cranky and feel like I needed to chase the dog around the house with a fly-swatter..(just kidding PETA)
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