- Opioids: Hydrocodone, Oxycodone, Fentanyl, Methadone, Dilaudid
- Neuropathy medications: Nortriptyline, Gabapentin, Topamax, Imipramine, Lyrica, Cymbalta
- Herbal medications: medical marijuana
- Alternative treatments: acupuncture
- Radical procedures: intrathecal pump trial, lumbar spinal cord stimulation trial
Opioids provide temporary relief, and require increasing doses to keep working. Side effects require additional medications to counteract.
The neuropathy medications are difficult to track, but I can tell you that when we tried to take BR off of Topamax, his skin temperature shot through the roof, and he couldn't be touched without wincing in pain.
Medicinal marijuana has been an effective drug. When BR used the correct dose of marijuana, all the effects went to controlling the pain. He remained clear-headed and was not what most people would consider "high".
Acupuncture provided some relief, and BR would like to get that going again.
The intrathecal pump trial using dilaudid was a complete failure.
The jury is still out on the SCS trial. As predicted, it isn't a home run by any stretch of the imagination.
I know we have some readers with chronic MS related pain out there. What have you found most effective in controlling that pain?