I'm looking for a non opioid non weight gain pain control medication.
This topic is a little more complicated because there are different causes (and sources) of pain. In MS, we focus on neuropathic pain (i.e., pain originating from a scar of multiple sclerosis).
Unfortunately, medications to treat this type of pain can encourage weight gain. Depending on the type of neuropathic pain, medications such as trike oral, topiramate, or keppra could be used, but they have to be used appropriately. If the pain is not neuropathic in nature but is related to musculoskeletal pain, physical therapy can be helpful.
As you can see, more information is needed to determine a treatment strategy. In complicated situations, pain centers can be utilized which use a multifaceted approach of of medication, physical therapy, and wellness approach to tailor care.
A. Scott Nielsen, MD MMSc
Neurologist and MS Specialist at Kaiser Permanente