peripheral neuropathy, gabapentin has Duloxetine, pregabalin, and duloxetine plus gabapentin for diabetic peripheral neuropathic pain.
Gabapentin, Duloxetine Provide Comparable Reductions in Knee OA Pain Gabapentin and duloxetine were found to provide comparable analgesia and
2) Gabapentin : 2) Gabapentin : 3) Duloxetine:
duloxetine combined with olanzapine. After remission of The ranking order of efficacy was gabapentin, venlafaxine, pregabalin, duloxetine/gabapentin
duloxetine may be mitigated by the sedative and weight gain Duloxetine, pregabalin, and duloxetine plus gabapentin for diabetic
Gabapentin, Duloxetine Provide Comparable Reductions in Knee OA Pain Gabapentin and duloxetine were found to provide comparable analgesia and
by G Irving 2024 Cited by 28ted with duloxetine plus gabapentin vs. pregabalin (each p ≤ 0.05). At end duloxetine plus gabapentin, p ≤ 0.001; duloxetine vs. duloxetine plus
Duloxetine augmented with gabapentin (as combined therapy). Treatment: Drug: Duloxetine augmented with gabapentin. Duloxetine augmented with
pregabalin/duloxetine. When cross tapering from gabapentin → pregabalin or gabapentin → duloxetine, the dose of gabapentin should be reduced by 300mg
Comments
This story is great fun; it's sexy too. I especially enjoyed the heroine/narrator's personality, including her fairly strong—but decidedly quirky—ethical principles. I do feel sorry for her uncle, though. He got left out of the action entirely. Perhaps there will be a Part 3? Fine with me, if so.
Not much good news. Went to my neuropathist on Wednesday for a series of tests. 'Yes', I have nerve damage and 'no', the doctor looking at the results couldn't understand why. Essentially, they ran an escalating electric current from various spots on my lower leg and foot to toes to see how I responded. I highly recommend this as a means of torture.
On the downside, I am becoming resistant to my pain medication, so life sucks coming and going. My psychiatrist upped my Gabapentin from 300 Mg to 400 Mg [3x a day] and it isn't helping. Woot? I'd kill for a decent night's sleep.
Thank you for asking. I really wish I had better news.
James aka FinalStand
On the beneficial side, I know where I want to take Chapter 5 in this tale. I have much of it mapped out in my mind.
They travel to the mainland in pursuit of the Atlanteans ... which completes the 13th Circle of the Black Witches Coven (whoops!) ~ giving the descendants of the other 7 the power they have been long denied. There is still the government task force on the serial killings to deal with plus the on-going conflict with the White Coven. The main mystery remains ~ what was an Atlantean doing breeding with an Abenaki and teaching at least one half-breed offspring magic over 400 years ago ... and why would a normally amoral Altantean 'noble' be interested in said half-breed today?
God - sometimes I really wish I had a clone ... or two.
James aka FinalStand
The good news is I am writing regularly again. The source of this is my psychiatrist has put me on a new medication called DULoxetine HCL DR. It is an anti-depressant and pain-management drug. The 'down side' is it isn't a drug you normally give to bi-polar suffers because it causes you to 'cycle'. In my case I've begun to cycle rather rapidly ~ but considering this gives me hours of inspiration, I'll take it!
The not so good news is that while I've been inspired, I've been inspired to work on WMD 4 at the moment, churning out over 10,000 new words and hopefully getting to a point where I can submit it to my editors before this weekend.
That done, I'm unsure if I'll finish right away writing the sections I need for Chapter 48 ~ Cael's trip to Chicago to wrap up some of his family business, the pre-dinner 'celebration' for the Great Hunt, the conclusion for the Great Hunt - all of which I know how will turn out. I just need to put thought to page.
Honestly, I've got almost all of Ebb Tide 4-B in the bag as well.
Best of all, in my opinion, I HAVE NOT written anything in any NEW stories in four days. That may sound odd, but with the way my mind works, it means I'm able to concentrate on my established story lines ... which means things will finally get done!
Thanks you all for your patience.
James aka FinalStand
As for everyone else ... life keeps adding on the 'happy' {sarcasm}.
My neurologist decided to prescribe a more powerful tool to manage the pain in my feet. So, he gave me a foot cream. What wasn't obvious was the non-prescribed 'side effects' of the foot cream which included ... (sigh) ...
Well, as my feet have been hurting like sons-a-bitches, I was slathering that cream on three and four times a day. It had minimal positive effect which was leagues ahead of the pain I was going through. Besides, it was foot cream. What was the worse that could happen?
Baclofen (2%) ~ [Lightheadedness or fainting, trouble seeing, severe tiredness, weakness],
Cyclobenzaprine (2%) ~ [Anxiety, restlessness, seeing or hearing things that are not there, severe drowsiness, fainting, or confusion],
Diclofenac (3%) ~ [Sudden or severe headache, or problems with vision, speech, or walking],
Gabapentin (6%) ~ [Behavior problems, aggression, restlessness, trouble concentrating, moodiness (especially in children), problems with coordination, shakiness, unsteadiness, unusual moods, or behaviors, thoughts of hurting yourself, feeling depressed, dizziness, drowsiness, sleepiness, tiredness],
Lidocaine (2%) ~ [which, somewhat stunningly, isn't trying to fuck with my head]
So I've been staggering around in a semi-lucid state for the past several days, unable to figure out why I couldn't do much, if any, writing. It took me complaining to my wife to provide some clarity.
I repeat - it is freaking foot cream!
I've stopped with the foot-crack and am back to dealing with the pain. Hopefully I'll be back to writing soon too.
James aka FinalStand
I often think about how I'd love to read a story on here in the BDSM category where the sub was chronically ill and how that'd change the play. I'd love to read the steps the Dom would take to make BDSM accessible for the sub while still being mindful of her symptoms and limitations, which can be a broad, varied, long, and constantly changing list. It'd be fascinating to read the tricks and work arounds the Dom would use to still accommodate the sub's desires while constantly having to keep an eye on her health and limits considering that the chronically ill often push themselves harder than they should in every day life and pay for it later with pain, exhaustion, and/or an increase in symptoms of their illness. I've considered pitching this idea one of my favorite authors here but she's in the middle of a long series right now. Anyway, this story is the closest I've come to finding something like that here and it was lovely. Usually what I come across that includes disability, especially in Romance, are stories where a person is either blind or deaf, or a spouse or parent finding love again after cancer has taken their spouse/child. While those are great, they don't necessarily encompass the often shifting landscape of living with many neurological or rare diseases or even of living with cancer (rather than being the widow/widower). Representation matters and it was great to come across a story where the person has a symptom like mine. Thank you.