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Re: Neurontin to Topomax » Larry Hoover

Posted by ed_uk on June 6, 2005, at 14:02:17

In reply to Re: Neurontin to Topomax » ed_uk, posted by Larry Hoover on June 6, 2005, at 13:02:42

Hi Lar,

>My doctor had talked about valproic acid. Ever heard of it used this way?

Yes.....but AFAIK, it's not often prescribed for this purpose - at least not in the UK. I suppose you've already tried Tegretol. Trileptal might also be helpful, it generally seems to have less side effects than Tegretol. Nortriptyline or desipramine can be effective for neuropathic pain, they seem to be better tolerated than amitriptyline. I've got a feeling that you said you can't tolerate TCAs though.

>The oxycodone really doesn't do much more than to "round the edges" off of that. I'm already at the practical limit of oxycodone, I imagine.

RE OxyContin........

The manufacturer suggests that most patients never need more than 400mg oxycodone/24hours.....I've never heard of anyone taking more than 1000mg/24hours. As you know, most people take much less than this.

Kind regards,
Ed.


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