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What dose of the Gabapentin are you on? Frequency and dosage?
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100mgs three times daily
I usually increase the dose after a week to 150 mg thrice a day.
And then increase 50 mg per week in every dose (thrice a day) if there is no improvement.
Since, the allodyna or the hyperesthesia is going to take at least 2 to 3 months to go away.
Oh really? Guess I better go back to my GP then! I am unfamiliar with this medication so didn't think about that.
Adding an anti depressant is also a good idea.
ick! That long?
Its a nerve membrane stabilizer.
Also ask your GP, if Pregabalin would be better.
ah - heard of that. I'll give him a ring tomorrow.
anything topical you can suggest to ease things?
Yes, a local liquigel of capsaicin will be best here. That is what I have found to be most useful.
hmm - used that once before (can't remember what for) and had a really dreadful reaction to it. I am unable to eat curries and very spicy foods because I an sensitive to them.
And another thing, if your GP fails to recognize this most discomforting symptom, then ask for a referral to the pain specialist, they are well versed with these conditions and are not afraid of prescribing the right medication. It is vital you get this alleviated since it is bothering you a lot, it seems and complex regional pain syndrome or reflex sympathetic dystrophy, can develop. That is very difficult to treat.
That's what I was afraid of!
I've seen patients with CRPD - it's scary!
Alright, then a Ketoprofen 5 % and a Gabapentin 5 % liquigel can help.
I will offer these to my GP
Yes, that is my concern here as well. Hope this gets better and I know it will since you are being proactive about it and that is a very positive sign.
(or rather suggest!)
haha yes. Please do that.
Thank you so much. Really appreciate your advice
It was a pleasure.
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Dear Dr Uzair
I just wanted to let you know that I saw my GP armed with the extra information you supplied and he was very receptive to it! (Surprise!)
He has increased the gabapentin from the 100mg tds to 300mg bd and the effect has been remarkable. Thank you so much for your input. It made a huge difference.