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Medical Forum / Diseases and Disorders / Arthritis / September 2006

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Lexapro for Pain

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Velroc - 05 Sep 2006 12:07 GMT
Hi, Newbi Bob here. Age 64 with Arthritis of the neck (cervical
spondylosis) which gives me a lot pain and stiff neck.

My question does anybody use Lexapro ( antidepressant) for the pain and
does it work ?

I would also be intersted in any other idea's people have for relief of
the pain.  Right now I take tylenol which works a little, plus a lot
slow stretching of my neck and back.

Thanks,
Bob
ladylove77 - 05 Sep 2006 18:15 GMT
At times, I've gone back to the old treatment for my neck.  I rub it with
BenGay.  When you rub it hard, it burns, but it does help me go to sleep if
my neck is hurting a lot.
Gwen

> Hi, Newbi Bob here. Age 64 with Arthritis of the neck (cervical
> spondylosis) which gives me a lot pain and stiff neck.
[quoted text clipped - 8 lines]
> Thanks,
> Bob
Fire Chief - 05 Sep 2006 19:43 GMT
Bob wrote:

> I would also be intersted in any other idea's people have for relief
>of  the pain.  Right now I take tylenol which works a little, plus a lot
> slow stretching of my neck and back.

I use KETOPROFEN 10% salve/cream daytime, and a
12-hour Lidoderm LIDOCAINE PATCH 5% at night.

Years ago, physical therapy and my insurance gave me
an over-the-door traction kit.  Users fill a bag with
x-number of quarts of water, depending on the weight
(or amount of traction) they desire.  I've been pondering
mounting a swag hook over the computer desk so I
wouldn't be restricted to sitting in fromt of a door.  <g>

... ERROR:  Keyboard not found.  Think <F1> to continue.
Nann Bell - 06 Sep 2006 18:36 GMT
>  Years ago, physical therapy and my insurance gave me
>  an over-the-door traction kit.  Users fill a bag with
>  x-number of quarts of water, depending on the weight
>  (or amount of traction) they desire.  I've been pondering
>  mounting a swag hook over the computer desk so I
>  wouldn't be restricted to sitting in fromt of a door.  <g>

I have one of those, too and have found it most helpful at times.  Hadn't
thought of the hook over the computer though - that would be nice and would
free up the door to my sewing/spare room so I could close it and keep Puddin'
out when he's interfering too much with my sewing!

It depends on the type of neck problem you're having though, whether you
should or shouldn't use one of these.

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Nann
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Nann Bell - 06 Sep 2006 04:42 GMT
> Hi, Newbi Bob here. Age 64 with Arthritis of the neck (cervical
> spondylosis) which gives me a lot pain and stiff neck.
>
> My question does anybody use Lexapro ( antidepressant) for the pain and
> does it work ?

I take Lexapro for fibromyalgia.  It helped a lot with my sleep problems and
with the fogged in feeling you have when you sleep poorly.  I don't really
think it helped directly with my pain though.  I DO think it helped in that
with more rest I was better able to cope with it.  YMMV, of course and some
folks do get more pain relief from ADs than I have.

> I would also be intersted in any other idea's people have for relief of
> the pain.  Right now I take tylenol which works a little, plus a lot
> slow stretching of my neck and back.

What I take for pain now is 50 mg tramadol (aka Ultram) and 500 mg Tylenol
3-4 times/day.  It doesn't get rid of the pain, but it eases it enough for me
to be more functional.

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Nann
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Simply the thing I am shall make me live --- William Shakespeare

GARY Z - 06 Sep 2006 12:01 GMT
Hi Newbie Bob!
I use vicodin for pain. I also use Lexapro for depression. I'm not sure
antidepressants are something to play around with. I did notice that I was
better able to ignore the pain I had with the Lexapro, but it didn't remove
any pain. Now, a few months later, that bit of help seems to have worn off.
The vicodin does give me relief though.
GaryZ

> Hi, Newbi Bob here. Age 64 with Arthritis of the neck (cervical
> spondylosis) which gives me a lot pain and stiff neck.
[quoted text clipped - 8 lines]
> Thanks,
> Bob
Nicole - 06 Sep 2006 16:59 GMT
Bob
A lot of people use anti-depressants for pain.  But, anti-depressants alone
won't take care of your pain.  If you have an inflammatory condition, you
may ask about using a NSAID (ibuprofen, naprosyn, etc).  For pain that isn't
covered with a NSAID, there are pain medications- there are many options.  I
use Avinza (24 hr morphine) and Norco (10mg hydrocodone/325 mg apap) for
break-thru pain.

Tylenol has no anti-inflammatory properties.  It can also be toxic to the
liver if over used.  With a healthy liver, no more than 2000 mg/day should
be taken- that's only 4 extra strength tylenol.
Antidepressants treat pain, and the emotional conditions for which they are
more commonly prescribed, by adjusting level of neurotransmitters in the
brain. They can increase the availability of our body's signals for
well-being and relaxation, which can improve pain control in individuals
with chronic pain conditions that aren't fully responding to the usual
analgesics.

These medications are usually prescribed in far lower doses for pain control
than would be effective to treat emotional imbalances. Because of the
dosages involved, it's far safer for a physician to suggest a combination
treatment with two different antidepressants taken at different times of day
to target different aspects of a chronic pain condition. It is not uncommon
for a low-dose SSRI to be prescribed for morning use, and a low-dose
tricyclic or benzodiazepine for evening use to counteract the insomnia.

Chronic pain conditions treated by low-dose antidepressants include:

 a.. Chronic pain reduction - all
 b.. Insomnia - Benzodiazepines and tricyclics can be used to treat this
condition which often accompanies and worsens chronic pain conditions.
 c.. Irritable bowel - SSRIs help regulate serotonin, which also plays a
role in proper digestion, and can relieve this uncomfortable companion of
some chronic pain syndromes.
 d.. Menstrual pain and discomfort - SSRIs
 e.. Vascular headache reduction - Tricyclics may be prescribed in low
doses to reduce the frequency of migraine attacks, as well as the likelihood
of rebound headaches from the frequent use of pain relievers. It may take a
period of consistent use before the full benefits are realized.
Take care
Nicole

> Hi, Newbi Bob here. Age 64 with Arthritis of the neck (cervical
> spondylosis) which gives me a lot pain and stiff neck.
[quoted text clipped - 8 lines]
> Thanks,
> Bob
 
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