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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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How To Treat Persistent Nerve Pain On The Right Side Of The Body In A Stroke Survivor?

I had a stroke 2 years ago and was left with nerve pain on my right side. I have been taking Gabapentin to help control the pain and recently had shoulder surgery for torn rotator but it didn t relieve any of the pain. what else should I be thinking about doing...doctors,medications,etc. The gabapentin has effected my memory and I am concerned.
posted on Fri, 17 Jun 2016
Twitter Sat, 15 Feb 2020 Answered on
Twitter Mon, 17 Feb 2020 Last reviewed on
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Addiction Medicine Specialist,  's  Response
Hi,

Well, gabapentin was a good idea. It is quite safe and as an anti-epileptic, it damps down nerves--preferentially pain nerves. The dose can be up to over 2000 mg a day. Lyrica was thought to be quite similar but it's effects are somewhat different. Amitryptiline is a third option. Basically it is not predictable ahead of time what the best will be for a particular person.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Matt Wachsman, Addiction Medicine Specialist
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How To Treat Persistent Nerve Pain On The Right Side Of The Body In A Stroke Survivor?

Hi, Well, gabapentin was a good idea. It is quite safe and as an anti-epileptic, it damps down nerves--preferentially pain nerves. The dose can be up to over 2000 mg a day. Lyrica was thought to be quite similar but it s effects are somewhat different. Amitryptiline is a third option. Basically it is not predictable ahead of time what the best will be for a particular person. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Matt Wachsman, Addiction Medicine Specialist