Pain Medication and Analgesics

There are many different types of pain killing, or analgesic medications, used in the pain clinic. These drugs come in many forms; topical patches, tablets, capsules and liquids.

Some of these drugs are available over the counter in shops, and some are only available on prescription.

The most important thing to realise, is that only some of these drugs are good at treating the problem of nerve (neuropathic) pain. This makes the precise diagnosis of whether your pain is from nerve damage, tissue damage, or both, very important.

The following list of drugs is more or less exclusively used in the pain clinic for nerve pain:

  • Tricyclic antidepressants – e.g. Amitryptiline
  • Newer antidepressants – e.g. Duloxetine
  • Pregabalin and Gabapentin – the DoH has recently issued a warning about the potential for recreational abuse of these 2 drugs
  • Lidoderm patches
  • Antiepileptic drugs – Carbamazepine, Oxcarbazepine, Phenytoin – all exclusively for trigeminal neuralgia
  • N.S.A.I.D.s – when nerve pain is secondary to inflammation e.g. sciatica from disc prolapse
  • Capsaicin creams – postherpetic neuralgia
  • Botox injections - Botox can be very useful in painful conditions including neuropathic scars and allodynic skin; in for example postherpetic neuralgia
  • Paracetamol, Codeine, Dihydrocodeine, Tramadol all can help in the right patient
  • Strong opiates – oramorph, oxynorm, tapentadol and methadone are all anecdotally more helpful in nerve pain than the others

How I Can Help

There is no need to suffer with debilitating pain; help is at hand! If you are suffering with pain and it will not go away despite the passage of time and using simple pain relieving medications, physiotherapy etc., then I can see you for a comprehensive evaluation of your problem.

Sometimes I alone cannot help you and I work closely with colleagues – surgeons, physiotherapists and psychologists which is important in such care – the multidisciplinary team.

Email enquiries@painmanagement.org.uk or call us on 020 7060 5109 for an appointment. Leave a message if you get through to a voicemail and you will be called back.

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For the latest availability please call 020 7060 5109 or fill out the form below. Please note that there may be a 1-2 week appointment lead time.

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