Medication Management

Medication Management For Chronic Pain 

Chronic pain is typically managed using multiple modalities. At Nashville Pain Center, one of the modalities used is medication management. A wide range of medication classes are available for use in pain management. A short description of each type is given below.

Antidepressants :

Antidepressants have been known for a long time to be effective in managing chronic pain. Amitriptyline is one of the first antidepressants to be used for chronic pain at much lower doses than what is used for management of depression. Venlafaxine, duloxetine and milnacipran are the latest antidepressants used extensively for management of chronic pain. These medications are effective in managing fibromyalgia, chronic arthritis related pain and neuropathic pain as in diabetic peripheral neuropathy or radiculopathy from irritated spinal nerves. Generally these medications need to be taken in gradually escalating doses for a few weeks before relief can be noticed. One of the adverse effects unique to this class of medications is serotonin syndrome that presents with symptoms of severe hot flashes, irritability, palpitations, etc.