JudyM wrote: His pcp gave him a script for gabopentine, but that didn't make much sense to me, and he wasn't sure it would do anything. Anyone ever heard of gab being useful for this??? I'll fill it if it will help, but it's a nerve drug...
I'll probably get into shit here : not the first OR last time ..... BUTT I suspect the pcp cannot prescribe the full range of meds including potent pain meds ????? ... which hubby NEEDS ! ....BEE-Cause neuromodulator meds will NOT do shit for the kind of pain you are talking about .. unless they're use is seconday to a potent PRIMARY anal
gesic i.e. IMO NSAIDS or opioids ... forget the Tylenol stuff... for this kind of pain = useless ...BTDT.
If any of these Einsteins
ever had THEIR OWN Grade TEN pain from the anorectal area, they would not even waste the time to write a script for gaba.
YES, JMO ... BUTT I have been doing this for over 30 years as a vet and the last 7 as a patient. => viewtopic.php?f=1&t=13273&start=45#p103240
Talk to somebody in the docs office who knows what they are dealing with and knows what they are doing.
END RANT !
Now to the meds which WILL work :
the Proctosone / Proctosedyl types ( many other names I am sure ) have the following 4 things which are ALL needed......
AND are available as suppositories, creams or ointments for internal or external use.
1. LOCAL anus
like lidocaine, cinchocaine, dibucaine
2. ANTI infective like framycetin
3. surface protectant like esculin
4. anti-inflammatory like hydrocortisone
You need it ALL, and may have to supplement with proper oral analgesics until things get better..... BTDT.
Tell the pcp to go back to school or PM me if he has an issue with proper patient care.
Just really pisses me off when a bitchy old vet knows a better standard of care than a supposedly licenced medical person... when someone is in pain.
Oh yeah... end rant...again !
Get the right meds and get the pain under control and talk to the right people !