Reflex Sympathetic Dystrophy (RSD and CRPS) Reflex Sympathetic Dystrophy (Complex Regional Pain Syndromes Type I) and Causalgia (Complex Regional Pain Syndromes Type II)(RSD and CRPS)


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Old 08-22-2007, 10:49 PM #21
wakegirl wakegirl is offline
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yeah unfortuantely i dislocated my shoulder at work and went on wc, about a year and a half later the wc claim was dismissed because i have a "preexisting condition". i had subluxed my shoulder in the past and had some rsd flare problems sso i had to see the doctor for 4 months, but i had no previous dislocation so i am not to sure how it they came to that conclusion. anyway my insurance was through work and when the wc claim was denied and i hadnt been to work since the day after i got hurt my insurance dumped me. i got social security disability but the medicare doesnt kick in until the beginning of next month, so i have to pay for my scripts...thanks mom and dad. its definitly a little depressing to go from living on my own for years to relying on the rents. oh well i guess i am really thank full that they had the ability to help.
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Old 09-01-2007, 12:48 PM #22
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Default gabapentin to pregabalin?

I have been on gabapentin for a few months with no improvement in pain. I am almost off of it after tapering down. I'm trying to get on amitriptyline but am having a hard time becuase of side effects.

I am interested in Lyrica but if neurontin was of no help to me is it likely that Lyrica won't work for me either?

-Suzanne
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Old 09-01-2007, 01:50 PM #23
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Hey wakegirl and Desi,

After my 1995 spine and back injuries (that also led to my RSD), it was obvious from the start that the 8 to 10 propoxyphene I had been taking for a previous spine injury wasn't going to be strong enough. I talked with my pharmacist about which pain drugs offered the biggest bang for the buck, and she told me that mg for mg, hydrocodone is about 7 times stronger than morphine; that 7.5mg of hydrocodone was about equivalent to 50mg of morphine.

I believed she was telling me the truth, and it didn't hurt that my pcp had already written a scrip for it, so hydro made sense to me. Since then, I have reached the point where hydro isn't enough: The mfg warns not to take more than 50mg a day, and I needed more than that. My neurosurgeon switched me to 40mg of oxycodone and 30mg of hydro daily.

I find that 5mg of oxy gives better relief than 15mg of hydro, and is enough to keep my pain pretty quiet, as long as I don't do anything at all. I learned to stop doing things after I figured out that all of my attempts to fight the pain and keep walking only made me weaker and in more pain. My formal surrender came when I began using a power wheelchair to get to the bathroom; I was falling so often I was risking an even more serious injury.

Anyway, these drugs control my spine/back pain, but don't seem to have much effect on the RSD pain (which we know doesn't respond well to opiates), so the quantity I take is too low to help with your awful pain: But if my pharmacist was right in saying that hydro is 7X stronger than morphine, and if my experience with oxy gave even greater relief, I suggest thinking about one of these two,

Work comp pays for it, but my monthly scrip for 240 oxycodone only costs $45.00, and that sounds like more bang for the buck than morphine (which has been around so long it should be dirt cheap). I hope you will give this some thought...Vic
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Old 09-02-2007, 08:21 AM #24
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Default Gabapentin

Hi
My PM prescribed me with Gabapentin and to be quite honest it did nothing for my pain, however everyone is different. My PM took me off it a while ago because he thought the Gabapentin was causing me "Balance Problems" but it wasnt. Write back and tell us how you get on.
Good luck
Pain free hugs
Alison
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