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Thread: Inquiry on pain relieve options for My Dad

  1. #1

    Inquiry on pain relieve options for My Dad

    Hi Dr. Wise Young,

    my Dad has a tumor removed from his spinal cord in 2009. It is a benign tumor but due to the removal it causes damaged to his spinal cord system and he is experiencing pain especially at his lower part of the body. Around 3 years ago he had an ANS St. Jude neuro-stimulator implanted, but now according to him, it is not working properly to reduce his pain. Currently he is taking lyrica every 3 hours to ease his pain.

    My question is that what direction of treatment should we be looking at as I notice there are several options such as:

    1/ May be the ANS neurostimulator not working/configured properly, so reprogram/reposition the device could reduce the pain problem he is experiencing
    2/ or may be we should look at the alternative approach such as the stem cell treatment in China. and if so what is the best one? I notice there the one using Schwann cell (KunMing hospital), umblical cord (Guang Zhow hospital), and fetal stem cell (Wu Medical center).

    Your opinion on this is highly appreciated Sir. Thanks Dr. Wise.

    Yours Sincerely,
    Rommy Rempas

  2. #2
    He is taking too much lyrica that is something that has a maxinum dosage and from the sounds of it he is taking way too much of it. This is from pfizer directly.


    • For all indications, begin dosing at 150 mg/day. (2.1, 2.2, 2.3, 2.4, 2.5)
    • Dosing recommendations:


      • INDICATIONDosing RegimenMaximum Dose
        DPN Pain (2.1)3 divided doses per day300 mg/day within 1 week
        PHN (2.2)2 or 3 divided doses per day300 mg/day within 1 week. Maximum dose of 600 mg/day.
        Adjunctive Therapy for Adult Patients with Partial Onset Seizures (2.3)2 or 3 divided doses per dayMaximum dose of 600 mg/day.
        Fibromyalgia (2.4)2 divided doses per day300 mg/day within 1 week.
        Maximum dose of 450 mg/day.
        Neuropathic Pain Associated with Spinal Cord Injury (2.5)2 divided doses per day300 mg/day within 1 week. Maximum dose of 600 mg/day.
    T6 Incomplete due to a Spinal cord infarction July 2009

  3. #3
    I will leave Dr. Young an email to check this post.
    ckf

  4. #4
    Thanks Smashms and SCI-Nurse.

    My dad is taking 6 doses of 75 mg of Lyrica each day after further question to him on this matter. He is gaining weight because of this, now his weight is 176 + lbs, height is 5.4 ft.

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