What is the best combo of meds?
 

I am newly diagnosed and am wondering what is the best combo of meds to help me get relief now that I am diagnosed. I know every person is different but I don't even know where to start :confused:

Who are you seeing? You are best off to address CRPS with a multi-disciplinary approach. It's not just meds, but meds of course are important.

By that, I will tell you that I use a Podiatrist, a General Practitioner, a Pain Management doc, chiropractor and occasionally a massage therapist. I also practice yoga and meditation. Don't laugh. The mind-body connection should never be overlooked! Complementary therapies can really help along with conventional medicine. I cherry pick from both.

With CPRS, everybody is unique. What works for one may or may NOT work for another. I take gabapentin, amitripytyline, trazodone (for sleep mainly) and naproxen sodium for pain/inflammation. Tramadol for breakthrough pain. I was on narcotics but weaned myself off of them.

You need to experiment and you need to find professionals that truly understand CRPS. CRPS is one of the most misunderstood medical conditions. Period, exclamation point. It took me 6 docs and a year just to get a diagnosis, another year to figure out the best way to treat it, another year to get it to settle down, and another year to develop a daily "routine" to manage this condition.

This is a good place to learn, to vent and to get support. You are not alone. Good luck to you!

Everyone is different.

I have two spinal cord stimulators one for my rsd/crps in my hands in my cervical area and one in my thoracic area for rsd/crps in my feet.

I also am one of a few that has rsd in my eyes. I must do courses of steroids in drop form for my eyes and restasis and also artificial tears.

My med regime is fairly tame. I use topomax 200mg for nerve pain. I have incision spread and breakthrough pain, welbutrin 150 mg 2x day (situational depression), diazapem for tightening/spasm as needed and norco 10 for breakthrough. I also take vitamins and biotin. Rsd wreaks havoc on nails, skin and hair.

Without my stims I would be wheelchair bound with hands that don't open. With them I can move and write. I am having a flare, but I know it will end soon.

Unfortunately, I am being tested for MS. I think it's silly because rsd and ms flare symptoms are almost the same. Oh well. I hope this helped!

TK

Hi, sorry you're dealing with this thing too :rolleyes:

Yes, everyone is hugely different, and most docs haven't a clue. There is no definitive treatment plan for CRPS other than physio to keep moving, and pain control. Nerve meds can be helpful, but equally they don't always work, or work for long... I see a pain management specialist, an occupational therapist and physio, and my GP if I have to lol. He has not much knowledge of CRPS.

My CRPS started in my knee, but is now in my whole left leg to my buttock, and in both feet. In the last few months it has spread to my left arm and left side of my back. Like some g*t drew a line down the middle of me and zapped the left...

I started on amitriptyline which helped within a few days. A few months on it wasn't working, I was switched to Lyrica (pregabelin) and that was ok for about 12 months before it wasn't working so well, and I was having horrible electric shock pains, so I was taken off that. Then to Gabapentin for last 6 months or so. I had codeine or tramadol for pain as needed, but found they just dont touch the crps pain. Nasty gastric/liver issues after a while with two episodes of sickness where I couldn't take anything for a few days. Realised that not taking full dose hadn't affected pain levels so I've gradually come off, and am now med free apart from lidocaine patches that I use occasionally.

I'm not saying everyone should come off their meds, or that many people don't need them, but I think docs throw all sorts at CRPS and see what sticks. The most useful things are physio and pain control, but if the pain meds don't work then I question how useful it is to keep putting those toxins in - some of the side effects have been worse than the CRPS symptoms! I feel more like myself again now, don't have dry mouth and eyes, gastric issues, weight gain all the time, skin and hair are slightly less crappy as well lol. I have pain, but then I did before when I was on the meds....

All you can do is read and research and make some choices for yourself. You have to push to get the treatment you want, but my pain doc likes that I have educated myself and have reasons for the things I ask for. I was far too trusting in the docs in the early days, but so many of them know less than me about this, and some advice/treatment I was given by a few was laughable/terrifying. Listen to your body, keep as active and busy as you can, keep your mind stimulated and live as best you can with this thing. Depression is a big factor in CRPS, don't underestimate what CRPS can do in your head! If you feel blue a lot, cry too often, feel hopeless etc, push to see a psychologist, talking it through really does help.

Good luck :)

Bram.