Pain Clinic

MrDJ
MrDJ Member Posts: 342
edited 13. May 2025, 21:37 in Living with arthritis

After waiting 11 months for a pain clinic appointment they finally phoned last Thursday.

My nsaid was stopped last May after 38 years use of Froben 100mg anti inflamatory which finally started rotting my stomach. Up until that day this concoction of meds worked perfectly with no stomach issues what so ever and held my condition at bay.

now its back with a vengence.

the stomach pain did ease after 3 weeks so i was started on a cox 2 Etoricoxib 60mg. sadly the pain started up again in my stomach and now moved to my groin area and has been continuous for past 11 months. I stopped this one a month later but the stomach pain continued.

In the last 6 months my good right hip has totally gone bone on bone and xray shows very severe. my c spine neck has also started pain in last month.

I am on df118 codein and oromorph as well as 20mg methotrexate and 6 weekly anti tnf infusion bio similar remsima but this new doctor at pain clinic wants to start me on Duloxetine starting on 20mg and moving upto 60mg

Doctor asks to check with my mental health team before starting but ive never been seen by anyone for mental health.

Has anyone else been prescribed Duloxetine and what were the side effects.

Im very reluctant to start this drug as i dont fancy beeing totally out of it all the time especially with the morphine and codein which also make you drousy.

Think i would rather go back on my original nsaid and suffer the stomach pain more.

Ive got a mri booked in a month as when i also saw Gastro clinic last week Crones disease was mentioned.

Comments

  • noddingtonpete
    noddingtonpete Moderator Posts: 1,421

    Hi @MrDJ have you seen the following? Might be of use

    https://www.nhs.uk/medicines/duloxetine/about-duloxetine/

    Need more help? - call our Helpline on0800 5200 520Monday to Friday 9am to 6pm

  • MrDJ
    MrDJ Member Posts: 342

    Thanks for that link @noddingtonpete

    well i dont have depression or any of those symptoms mentioned.

    me not liking the sound of this drug so will be holding off until ive spoken to my rheumatologist consultant.

    Thanks.

  • MrDJ
    MrDJ Member Posts: 342

    Thanks for all the replys so far.

    so the pharmacist from gp phoned this morning to discuss this new drug Duloxetine which im not sure about.

    and the gp agreed and sugested to have a read up on Nefopam instead.

    Another drug ive never heard of so any advice on this new one please would be appretiated.

  • Ellen
    Ellen Moderator Posts: 1,975

    Morning @MrDJ

    These threads might be worth a read?

    https://community.versusarthritis.org/search?domain=all_content&query=nefopam&sort=-dateInserted&scope=site&source=community

    Best wishes and it would be interesting to hear how you get on too.

    Ellen.

  • MrDJ
    MrDJ Member Posts: 342

    Intersting read @Ellen thanks for the links.

    Me thinks Im more inclined to try Nefopam and stay well clear of Duloxetine if the choice is upto me.

    Not got a rheumy appt until July but having anti tnf infusion in 2 weeks so will see if i can sneak in to see the doc to ask his advise as well.

    Will keep you updated.

  • Trish9556
    Trish9556 Member Posts: 873
    https://community.versusarthritis.org/discussion/comment/734171#Comment_734171

    Hi @MrDJ

    I can't take NSAIDS due to other meds and a few years back a lovely GP prescribed me Nefopam as an alternative painkiller which I loved. None of the horrible side effects of the other stuff they like to put you on these days. Read up on it and give it a go - it's better than the alternatives if it works for you!

    Trish

  • MrDJ
    MrDJ Member Posts: 342

    Thanks Trish

    sods law just got a cancelation letter for rheumy in july and moved to september so will try and see the doc when im in for infusion in 2 weeks.

    Thanks all for the replies.

  • Ellen
    Ellen Moderator Posts: 1,975

    Good luck @MrDJ sorry your Rheumatology appointment got put back🙄

    Hope you can see someone when you have your infusion which is now hopefully next week.

    Ellen.

  • MrDJ
    MrDJ Member Posts: 342

    Thanks Ellen.

    Infusion tomorrow. after emailing rheumy sec the consultant has replied a one liner saying Duloxetine is worth a try but im still a bit dubious about this drug. I did also mention Nefopam but he didnt mention that one.

  • MrDJ
    MrDJ Member Posts: 342

    Oh well, infusion done. consultant replied to email with a one liner saying worth trying Duloxetine and didnt even mention Nefopam so looks like im stuffed at trying the one i wanted to stay clear of.

  • PJoanne
    PJoanne Moderator Posts: 302

    Hello @MrDJ

    I think you shouldn't feel that you are 'stuck' taking any medication you don't want to. It's your choice! If the GP is willing to issue the Nefopam why not ask them to?

    All the best Joanne

    Need more help - call our Helpline on 0800 5200 520 Monday to Friday 9am to 6pm

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