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Have Intracranial Hypertension With Unsuccessful Brain Surgeries And Chiari Malformation With Headache. Given Hydro Condone. Suggest?
I have intracranial hypertension with 5 unsuccessful brain surgeries then it was discovered I have a chair malformation. I have bboth an LP and VP shunt which still gives me headaches, I also have had a c2 lamenectomy to decompress a Chiari malformation that has left me with yes still constant pain. This has been going on for 13 years. My doc has me on 10/200mg of hydro condone or 4 mg of dilaudid. All of this is lasts for a couple hors, I am looking for something that is longer acting, so I don't have to take so many and always run out. I don't even have time to do housework, clean, play with my kids, to enjoy outtings with my husband. There has got to be some that is longer acting, can you help please??? Thank you and God Bless. Pat....N.C.
posted on
Thu, 26 Sep 2013
Medically reviewed by
Ask A Doctor - 24x7 Medical Review Team
Thu, 26 Sep 2013
Answered on
Fri, 27 Sep 2013
Last reviewed on
Hi,
Thank you for posting your query.
It is unfortunate that you have to suffer so much pain despite surgery and after taking medications, resulting in inability to enjoy life.
You could benefit from medicines such as pregabalin or gabapentin. Pregabalin is usually started at a dose of 75 mg on e daily, and the dose can be gradually increased to 300 mg daily in two divided doses. Gabapentin can be started at a dose of 300 mg twice daily and the dose can be gradually increased to 1200-1500 mg per day.
I hope it helps.
Best wishes,
Dr Sudhir Kumar MD DM (neurology)
Senior Consultant Neurologist
Thank you for posting your query.
It is unfortunate that you have to suffer so much pain despite surgery and after taking medications, resulting in inability to enjoy life.
You could benefit from medicines such as pregabalin or gabapentin. Pregabalin is usually started at a dose of 75 mg on e daily, and the dose can be gradually increased to 300 mg daily in two divided doses. Gabapentin can be started at a dose of 300 mg twice daily and the dose can be gradually increased to 1200-1500 mg per day.
I hope it helps.
Best wishes,
Dr Sudhir Kumar MD DM (neurology)
Senior Consultant Neurologist
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