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Spine & Pain Management in Anderson, Easley, Greenville, Upstate SC

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If we prescribe an anti-depressant, that doesn't mean you're depressed. Anti-depressants are used for other reasons, too. In fact, they help control pain by changing your body's chemicals.

There are 3 categories of anti-depressants: tricyclic anti-depressants (TCAs), serotonin and norepinephrine reuptake inhibitors (SNRIs), and selective serotonin reuptake inhibitors (SSRIs). TCAs, SNRIs, and SSRIs each work in a different way.

TCAs raise the level of certain neurotransmitters—chemicals messengers—while SNRIs change the re-absorption of neurotransmitters in the body. However, even though SSRIs are sometimes prescribed, they don't work well for chronic pain.

Anti-depressants can treat chronic pain associated with diabetic neuropathy, fibromyalgia, neck pain, and low back pain.

Examples of TCAs are amitriptyline hydrochloride (Elavil) and nortriptyline (Pamelor). Examples of SNRIs are duloxetine (eg, Cymbalta) and venlafaxine (Effexor). Examples of SSRIs are hydrochloride (Prozac) and sertraline paroxetine (Zoloft). We do not prescribe SSRIs for pain control in our practice.

Anti-seizure Medications
Also known as
anti-convulsants or anti-epileptics, anti-seizure medications work to suppress the nerve signals going to your brain so pain messages aren't transmitted as well. As with anti-depressants, if we or prescribe an anti-seizure medication, that doesn't mean we are treating you for seizures.

Anti-seizure medications can treat chronic pain caused by diabetic neuropathy and fibromyalgia.

Examples of anti-seizure medications are pregabalin (Lyrica) and gabapentin (eg. Neurontin).


Common Meds: