Pain Management Specialist Questions Pain Management Specialist

What is the best medication for nerve pain?

I am a 32 year old male and I have nerve pain. What is the best medication for nerve pain?

2 Answers

1) LYRICA (pregabalin) is probably #1, but is NOT cheap and has side effects

2) gabapentin and/or tricyclic antidepressants are probably next in line

3) pain medications (opiates and/or NSAIDS) can be tried if nothing else works or is available

4) Capsaician cream can be tried topically -- as it is approved for painful diabetic neuropathy -- but can take a while to work and may initially cause a burning sensation (at least until "substance P," a pain neurotransmitter, is depleted -- at which time the capsaician's beneficial effect may "kick in."

The first medication that is typically tried for nerve pain is gabapentin. So that is probably considered the best.