Pistol Posted January 20, 2020 Report Share Posted January 20, 2020 Hello - I have hyperadrenergic POTS with fluctuating BP's. 4 weeks ago I developed severe pain in my neck and down my arm and was diagnosed with a pinched nerve ( C7 ). Anti-inflammatories, heat and PT have not been successful. My doc will most-likely advance to MRI and pain medication ( I cannot take steroids ). In the past certain pain meds such as Lortab etc affected my BP and my POTS symptoms. So my question is: What pain meds have helped you without dropping or raising BP? If I have to decide between pain relief and worsening POTS I will take the pain 😞 Quote Link to comment Share on other sites More sharing options...
p8d Posted January 20, 2020 Report Share Posted January 20, 2020 Oh @Pistol I am so sorry. I have been, and continue to be, in the same situation. I guess it depends on what type of pain it is. I have done fairly well with gabapentin for joint and nerve pain but everything except alprazolam for my neck muscle pain raises my BP. I have tried Skelaxin, orphenadrine, cyclobenzaprine and a couple of others in the muscle relaxant class. Tramadol also raises my BP. My Drs don’t like me taking benzos so I very, very rarely do. Massages and hot packs at PT once a week help for a day or two and I am considering a home massage therapist once a week too. Take care and I will be thinking of you. Quote Link to comment Share on other sites More sharing options...
RecipeForDisaster Posted January 20, 2020 Report Share Posted January 20, 2020 I’m allergic to NSAIDs and Tylenol does nothing for me, so I’m in a particularly bad place when it comes to pain. I use a TENS often and that does help... I use hot packs when I can tolerate them (they can worsen my low BP), Lidocaine patches, and distraction. It’s not great! Tramadol makes my Dysautonomia much worse and I was told to avoid it without even mentioning that. Quote Link to comment Share on other sites More sharing options...
toomanyproblems Posted January 20, 2020 Report Share Posted January 20, 2020 I have a lot of back problems, including a pretty bad lower lumbar scoliosis, probably from my EDS. I use gabapentin for my CRPS pain and it helps the back pain. It's a good drug IMO. If spasms are causing the nerve pain to be worse, valium is still considered the best muscle relaxer. Quote Link to comment Share on other sites More sharing options...
dancer65 Posted January 20, 2020 Report Share Posted January 20, 2020 Hi pistol cant offer any advice meds as I have low BP so just sending hugs t get better soon x Quote Link to comment Share on other sites More sharing options...
Pistol Posted January 21, 2020 Author Report Share Posted January 21, 2020 thank you all for your replies 😗 My doc opted for Tylenol and Cyclobenzaprine. It should only ladt another 3 weeks or so, so I'll live. Quote Link to comment Share on other sites More sharing options...
p8d Posted January 21, 2020 Report Share Posted January 21, 2020 @Pistol check your BP after the cyclobenzaprine. You and I are quite similar and I have noticed that anything ending in “ine”, including Benadryl seriously raises my BP. The Benadryl really surprised me. Quote Link to comment Share on other sites More sharing options...
RecipeForDisaster Posted January 21, 2020 Report Share Posted January 21, 2020 It drops my BP but I’m usually okay if I only take 5mg and get right in bed. I take maybe a tablet twice a year. Quote Link to comment Share on other sites More sharing options...
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