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A MyMSTeam Member asked a question 💭
bloomington, MN
June 5
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Managing MS-related pain when you have a history of a perforated ulcer does require some extra care, as certain common pain relievers can be hard on the stomach. It's really important to work closely with your doctor or neurologist to find the safest option for you.

Here's a general overview of pain medication options that Show Full Answer

Managing MS-related pain when you have a history of a perforated ulcer does require some extra care, as certain common pain relievers can be hard on the stomach. It's really important to work closely with your doctor or neurologist to find the safest option for you.

Here's a general overview of pain medication options that may be considered for MS-related pain:

Generally safer options to discuss with your doctor:
- Gabapentin (Neurontin) — commonly used for MS nerve pain, and is not hard on the stomach
- Pregabalin (Lyrica) — another nerve pain option that doesn't affect the stomach lining
- Duloxetine (Cymbalta) — can help with nerve pain and is stomach-friendly
- Topical treatments like lidocaine patches — these work locally and avoid stomach issues
- Muscle relaxants — may be an option depending on your type of pain

Options to use with caution or avoid:
- NSAIDs like ibuprofen — these can irritate the stomach lining and may be risky with a history of a perforated ulcer
- Opioids — these are typically a last resort for MS pain and carry significant risks

Always let your doctor know about your full medical history before starting any new medication. A pain specialist or neurologist can help tailor a plan that manages your MS pain while keeping your stomach safe.

June 5

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