I told him that, then asked him it it was simply possible the doctor just wanted him to be happy from the pain.
I guess I was ahead of Cochrane, again.
I've had 4 major lower back surgeries and suffer peripheral neuropathy in both legs below my knees as a result.
Been taking 60mg duloxetine once a day @ bedtime for years. It absolutely helps me.
...lack reliable evidence of efficacy or safety, ....
That never stopped them before!.....................
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There’s not much evidence that they help with depression either. However they are great if you can to create a population of mass shooters. Or mothers who drown their own children. Then antidepressants are just the ticket
Took amitriptyline for nerve pain / low back pain for years and it was a great help. It also was great for sleep as well. First read about it in a book called the healthy back bible as I didn’t want surgery and two surgeons even said my situation was maybe 50/50 for success if I went through with back fusion surgery. Over the 15 or so years went from 20mg to 100mg and only recently stopped taking it to evaluate current situation. When I first started it, after about three weeks I could certainly feel improvement. YMMV.
Ping
“Most antidepressants used for chronic pain …”
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Lunacy. No credibility.
The duloxetine/Cymbalta has to be tapered up slowly to the effective pain relief level. Nausea is horrendous. 120mg a day took me over a month to get there. Also it works better if you can throw 60mg a day of muscle relaxer baclofen (also needs to be tapered up) and it does have a analgesic effect. Enough so that I was able to finally detox from years of prescribed opioid use. That alone relieves a ton of pain from your body. YES ~ Opioids cause PAIN!
Its all off label prescribing by a valid VA doc with at least 3 reviews. Beats the hell out of the years of off label legally prescribed opioids and Benzos my sadistic doctor had me on, so take your pic.
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And yes, I give them a very hard time about the off label prescribing/use and how Ivermectin is used off label to help with COVID. Man, you think the stuff is radioactive-poison the way some doctors act. I give them both barrels.
The Death and Resurrection of Science
But what really made my hair stand on end was this bit on the author at the end...
...Dr. Peter Gøtzsche co-founded the Cochrane Collaboration, once considered the world’s preeminent independent medical research organization... Following many years of being an outspoken critic of the corruption of science by pharmaceutical companies, Gøtzsche’s membership on the governing board of Cochrane was terminated by its Board of Trustees in September, 2018. Four board resigned in protest...
Cochrane is lost.