How To Cope With Pain Blog header image 1


Using Antidepressants For Pain Disorders

June 1st, 2009 · 7 Comments

Updated 2010 articles in this series:

  1. Why comprehensive treatment works better
  2. Benefits of a psychiatric evaluation
  3. Treatment of psychiatric symptoms
  4. Using psychiatric medications for pain
  5. Learning psychological skills
  6. Making positive behavioral changes
  7. Making positive psychological changes
  8. Benefits of supportive therapy
  9. Benefits of a pain support group
  10. New brain-based treatments

Sign up for free delivery of How to Cope with Pain by email or RSS feed. If you liked this post, I'd appreciate your linking to it from your site or twittering about it.

Tags: 1

7 responses so far ↓

  • len // Jun 22, 2009 at 8:48 am

    i would like to hear from people who have had some degree of pain relief from antidepressants. and which medications gave them relief.also any combinations of meds that have helped them. it would also be helpful to hear from people who suffer from failed back syndrome, and how they cope with this condition. it would also be helpful to get more information on spinal cord stimulators, morphine pumps from people who have had these proceedures

  • mo // Aug 13, 2009 at 12:32 pm

    I tried Cymbalta but I started having very bad side effects including twitches and tremors so I am now trying Effexor. It does help with the burning sensations from sciatica but it isn’t enough on it’s own.
    Gabapentin is a better choice for the burning, numbness, and tingling.

    I have had one back surgery and will not be having any more as the research shows the more surgery you have on your back the worse the outcomes are. I tried decompression and discotomy and had great results for three years until I had a violent patient encounter and re-injured.

    I cope by taking a ton of drugs and having goals. I am in the middle of a combined Bachelors/Masters advanced Nurse Practitioner program that will allow me to return to nursing in a different modified way.

    I walk everyday, I start my day with a short yoga stretching routine so I can move. I try to fill my diet with a lot of fresh fruit so I planted a huge garden full of strawberries and raspberries that my family can barely keep up with. Vegetables are also important so my garden is full of beets, potatoes, peas etc…I grow a lot of root vegetables so in the winter I can still eat my own produce year round. It takes very little effort to create a good garden, you just need someone to turn the soil for you at the start of planting and to do the picking but don’t let the picker eat all your strawberries.

    New research has shown that except for surgery there are no statistically significant interventions that provide any lasting relief. Epidural steroid injections may provide a week or two’s relief if you can tolerate them and spinal cord stimulation can be helpful except for most patients have repeated issues with the implant including infection that the risk isn’t worth the minimal help it provides. More importantly why would you get a morphine pump? Why not rely on a non narcotic? If you need pain relief morphine comes in a long acting pill. I found morphine to be over sedating and because I need my brain to function I use oxycontin in a minimal dose for pain.

    I can honestly say that having constant pain and crappy doctors unwilling to take the time to truly investigate why is what leads to despair. It’s not the pain, it’s the lack of care once doctors reach for and slap that chronic pain label on you. Being labeled with chronic pain means no doctor needs to provide any care other than write your prescriptions.

  • How to Cope with Pain // Aug 13, 2009 at 7:03 pm

    Mo, it’s good to hear you’ve found an assortment of things that do work for you. Put aside what doesn’t work, and focus on what does, right?

  • Jacqueline // Aug 27, 2009 at 3:44 am

    Hello,

    To the lady who mentioned getting slapped as a chronic pain sufferer; how do you get the doctors to give you the pain medication so easily? My sister suffers from sciatica from getting hit by a car, and having two fused vertabrae, just short of being crippled. She’s also overweight which adds to the chronic pain, she can’t get so much as codeine from the doctors, and she has to fight for that. She suffers extremely. She’s almost bedridden, so she can’t exercise much. A doctor use to give her oxycotin, but they stopped that particular clinic from ditributing that type of medication. Tell me , can you suggest what kind, or what doctor she can go see to help her with her pain? Thank you for listening, I look forward to hearing your opinion. My sister really needs help, her quality of life is not good at all; I’m quite concerned.

    Sincerely,
    Jacqueline

  • How to Cope with Pain // Aug 27, 2009 at 9:44 am

    Jacqueline, sorry to hear your sister is having problems. It might be helpful to have a discussion with her pain doctor about overall management, rather than focusing on 1 medication. Given that she’s not doing well, ask what the plan is to increase quality of life.

    Also, most of the time, a plans includes multiple medications as well as an array of pain management treatment. So ask what other types of medication might be helpful, as well as other treatments – PT? psychological pain management? injections? acupuncture?

    Good luck! And thanks to you for being supportive of your sister.

  • Meta Tanenbaum // Jan 30, 2012 at 5:33 pm

    I have 8 years for postherpetic neuralgia pain.This is nerve damage from singles. Please do not always blame your doctors.There is really not much they can do than what is available right now. I have a friend who is a doctor and even she cannot do anything else for herself than she is given me.Some days.Nothing workes.

  • Robyn // Feb 17, 2012 at 4:32 pm

    I have been dealing with unexplained chronic pain for over a year. I was in the ER so much for pain relief they put me on the narcotic abuse list, so a social worker started to come see me when I went into the ER. I am not a narcotic abuser I was in pain! I found relief at Mayo Clinic Pain Management. They were wonderful, they listened to me, even though we have never found out to this day why I have chronic pain, they have it under control. I take Lyrica, Baclofen and Cymbalta everyday with Codeine and oxycodone for flair ups. Even though my life is far from being back to normal, I am out of bed and haven’t been to the ER in 4 months!

Leave a Comment