Thank you for posting your query at DoctorSpring.com
I understand your concern and will try my best to help you.
You mentioned neuropathic pain. Can you mention what are the symptoms that you're experiencing, like the site of pain and the severity?
Also what medication were you on previously?
Neuropathic pain has a lot of causes like diabetes, multiple sclerosis, peripheral neuropathy, alcoholism, facial nerve problems, back problems ( e.t.c )
It is more important to address the primary issue first.
Kindly provide me with some more history,and then i can guide you further,
Patient replied :
my body is in pain, tingling all over if I touch anywhere on my body I feel pain and at night it causes immense RLS (restless leg syndrome) where I cant help but twitch or having to constantly move my legs. I wounded pretty bad in Afghanistan I suffered two broken legs from an IED (road side bomb) and severe TBI (traumatic brain inury)in November of 2010 and my symptoms starting happening from there. I have been mainly using Gabapentin on Tramadol to control the pain...I have been using that for 2 years old patientnow with great relief but with the Veteran Affairs and how they work, they give you a 3 week supply when you have an appointment on the 4th week and its so frustrating because I will be in horrible pain for a week. It is a constant 5, but if I move around the pain can go into 6 without proper medications.
Hello. Thank you for the follow up.
I understand your concern.
Since Tramadol has worked well for you, it is advisable to keep using the same drug. But both tramadol and gabapentin are prescription drugs and for the matter, any first line management medicine such as SSRIs or Tri-cyclic anti-depressants that are also used off-label for chronic neuropathic pain, are all prescription drugs. To avail them, you need to go to a doctor.
The other available OTC drugs such as acetaminophen or ibuprofen does work, with limited success. Hence if there is no other way for you to get your medicines till your next appointment you can try OTC
Tab. Ibuprofen 400 mg, can be taken after every 6 hours depedning on the severity of the pain for 5-7 days after food along with Tab. Ranitidine 150 mg twice daily 1-0-1.
Sometimes alternatively in such cases physical therapy is helpful. So you can get in touch with a local physiotherapist for the same.
Hope this is helpful,