Not all that long ago, Canadian Indian Affairs mandated that native pain sufferers had to try gabapentin/cymbalta like drugs first before certain opioids. I wrote about how poorly cymbalta worked:
Now even gabapentin failed to help back pain with or without sciatica. One wonders about the ethics of such sweeping proclamations.
Atkinson JH, Slater MA, Capparelli EV, et al.
A randomized controlled trial of gabapentin for chronic low back pain with and without a radiating component.
Pain. 2016 Jul;157(7):1499-1507.
- 108 cases; 46 radiating and 62 non-radiating
- “There was no significant correlation between gabapentin plasma concentration and pain intensity. Gabapentin appears to be ineffective for analgesia in chronic low back pain with or without a radiating component.”
Comment – I do a variety of injection and manual approaches to treating back pain. Those relying on meds alone are going to be disappointed. – and Indian Affairs – shame on you. I have people with back pain/sciatica on gabapentin – I guess I can stop its use.