A new type of pain medication?
And a supposedly non-addictive one.
Of course, many painkillers that ended up being addictive were originally touted as non-addictive, so I would be cautious. On the other hand, this drug works through a different mechanism:
The pill, known for now as VX-548, targets a particular sodium channel that is active only in the body’s peripheral sensory nerves, where it helps transmit pain signals to the brain. The idea is that inhibiting the channel might ease pain without serious systemic side effects — including the risk of addiction and abuse associated with opioids.
In an early trial, researchers found some promising evidence that the drug can take the edge off of post-surgery pain.
That would be great, but what would be even greater would be a new drug for chronic pain, in particular neuropathic pain. I have quite a bit of personal experience with neuropathic pain – unfortunately. I’ve written about it on this blog. One of those posts is this one from 2014, which also touts a possible new drug for pain, in that case neuropathic pain. I’m not sure whatever happened to that drug …
At any rate, this latest medication might also be used some day for neuropathic pain, its developers are saying:
A Vertex spokesperson said the company has started an early trial of VX-548 for neuropathic pain. That’s pain caused by nerve damage, such as diabetic neuropathy.
Waxman said the need for new neuropathic pain therapies is “great,” and peripheral sodium channels should be studied as targets for treatment. But any such therapy would be down the road.
The rest of this post is an excerpt from what I’d previously written about neuropathic pain:
We all know what pain from an injury feels like. But if you’re fortunate, you don’t know – and will never have to learn from personal experience – what neuropathic pain is like.
Nerves ordinarily conduct pain impulses when tissues are damaged, but that sort of pain corresponds to the degree of injury and is time-limited. Once healing occurs, the pain (or almost all of it) goes away. Neuropathic pain is different; it arises from injury to the nerves themselves. They become disordered in a host of ways, and the quality of the pain impulses is quite different from that of the more familiar types of pain, and has a marked tendency to become chronic…
Not that much is known about nerve pain today, and it remains exceedingly difficult to treat. But about twenty years ago, when I began to deal with it myself, it was the relative Dark Ages of pain control.
When I hurt my arms it was terrifying; the pain felt like nothing I’d ever had before, and it was with me 24/7. The best I can do to describe it is to say that among its many horrific qualities was the feeling of having sustained a severe sunburn on the entire surface of both arms. But with a real sunburn, there are salves and ointments to apply, you know why you’re hurting, and you know that in a few days the pain will go away.
This pain was different. It waxed and waned in odd and erratic fashion, although it tended to be at its worst at night, which made sleep nearly impossible and the nights a long drawn-out torment. It wasn’t just the burning, either. There was also tingling and stabbing pain and severe achiness and exquisite sensitivity and weakness and pressure and all sorts of odd sensations that gave me the feeling that my body had become a sadistic trickster bent on driving me mad …
What’s more, although most pain is a warning sign that something is being damaged (stove, hot, get away!), neuropathic pain appears to have no reasonable purpose at all. No tissue is being harmed, and yet the pain goes on and on and on. You can see why a successful treatment for neuropathic pain would be a boon to humankind.
Having had a Thalamic stroke 1 year ago now dealing with the pain syndrome..there is no relief..the entire right side is a “sadistic trickster”… trials?
W walker:
I am so sorry to hear it. I assume you’ve been to a pain specialist?
Neo, have been working on it but there are limitations on VA care..and the alternatives are a sensory overload of cocktails.. there really is a need for alternatives to opioids.
I don’t know that I trust it.
I have had right side neuropathy since a pontine stroke in 2017. I’ve tried a few things too. The various drugs were a disaster.
I have had the best luck with seeing a functional medicine specialist who I started seeing to help with the MS I also happen to have. As she worked with me to get the overall inflammation in my body under control I found that my neuropathy reduced from a 5 level pain to a much more manageable 2. Mine is like my whole left side fell asleep and is in the pins and needles stage of waking up. Worse at night for sure. Also, probably because of the MS where everything is worse, during weather changes.
I wasn’t expecting it but addressing diet, stress levels and appropriate exercise helped more than anything the various neurologists tried.
Some of it isn’t covered by insurance but it’s actually not a whole lot more than deductibles, co-pays and “over reasonable and customary”charges.
Just my two cents for whatever is it’s worth.
Good luck to you both in your pain management journey.
Geez. About ten years ago I had shingles and the frequent neuralgia — tingling, burning, shooting pains — which accompanies it. I imagine it was mild compared to the accounts above. At the beginning I found some relief with lidocaine patches.
I was pretty miserable for months. It took about six years for it to resolve.
It would be great news to find new pain meds without addictive side-effects. I’ll believe it when I see it. Once upon a time Bayer named their new pain medication, “heroin,” after “hero.” We know how that story turned out.
I have no personal experience with this medicine, a friend was recently prescribed it for myalgia. Too early for them to comment on it. You may be familiar with it already. If not, it may be worth looking into.
https://reviews.webmd.com/drugs/drugreview-9845-neurontin-oral