Health Organization for Pudendal Education

Hi

A question for Greeneyes if she doesn't mind - or anyone else.

I have recently started on Nortriptyline (after using amitriptyline) for vulva pain and in the last few days increased the dose to 20mg.

Will this increased dose take a while to take effect ? and have you found that it works ?

Greeneyes - you mention that you use a lidocaine/estrogen cream as well - is this a compounded cream made for you ? and is the estrogen content estradiol ?

what are the quantities of lidocaine & estrogen ?

sorry so many questions - i have Ovestin available to me which contains Estriol a weaker estrogen - i am in the UK - also Vagifem pessaries (estradiol).

If nortriptyline doesn't work for me my doctor has suggested a ketamine cream.

Thank you

Justme x

To answer one of your questions:

Nortriptyline does work, but it should take at least a week before you notice anything. As far as antidepressants go, many have found that Cymbalta works better. Actually, they can both be used in conjunction.

Antiepileptics like Lyrica and gabapentin can are also effective for neuropathic pain.

Thank you for your reply Dave.

The nortriptyline does seem to be taking effect - it seems to thud the nerves.

I also have some gabapentin to use in combination and have now added that back in and will take it up to 900mg per day which i have been told is the first effective level.

Now need to give everything a bit of time.

justme x