Can I start Neurontin on my 2nd day after Coolsculpting on Abs in order to prevent nerve pain?

Question

I had CoolSculpting on my outer thighs two months and on the 5th day, I had severe burning and itching that latest thru day 14th. I recently had 4 Advantage applicators placed on my abs and in order to get ahead of the nerve pain (and since Neurontin can take days to be effective), is there anything wrong with starting this medication today to help mitigate "day 5" issues?

Ramandeep Sidhu, MD · Answer

Usually the burning sensation is very mild but if you had issues with it first time and neurontin worked for you , yes you can start neurontin ahead of time but be mindful that even neurontin has side effects that you should discuss with your provider.

Jason Emer, MD · Answer

Yes, pain can be managed with neurontin. Keep in mind, for best results with Coolsculpting, a combination approach is needed. I recommend adding radiofrequency treatments like Vanquish, Venus Legacy, Exilis Ultra for skin tightening and with Z wave/Cellutone for skin smoothing. However, a Vaser with ThermiRF procedure is the best combination for a toned result, but requires more downtime. See an expert. Best, Dr. Emer

Sarah B. Sawyer, MD · Answer

I think it is reasonable to start Neurontin ahead of the pain. The medication is safe. I have not seen it take days to work, but if you did experience that, I think you could give a call to the place you got treated and see if they can do that for you! Best wishes, Dr. Sawyer

Joanne Lopes, MD · Answer

Neurontin does help with post coolsculpting nerve pain . A small percentage of patients will experience an intermittent burning sensation . This can be accompanied with cramping if the coolsculpting was performed on the abdomen . It usually occurred after treatment with the original large applicators on the upper abdomen . With the newer cool advantage applicators this is less of an issue in those patients who are sensitive to this side effect .

Suzanne Yee, MD · Answer

Yes we prescribe Neurontin for the discomfort of the nerve pain from Coolsculpting.  We have prescribed the medication at the second treatment if the patient is getting anther Coolsculpting treatment and they had nerve pain the first time.

Lesley Loss, MD · Answer

Our practice was one of the first 50 accounts in the country to start performing CoolSculpting since it was FDA cleared back in 2010. To date, we have performed over 5,000 treatments.  Neuropathic pain post CoolSculpting is very real and about 1% of our patients experience it with the new Advantage hand pieces.  Neurontin/Gabapentin works very well for the pain and it is probably OK to start in advance of the pain if you are concerned, but I would check with your provider who did the treatment.  The main side effect of the neurontin is that it can cause some drowsiness.  Best, Lesley Loss MD

Can I start Neurontin on my 2nd day after Coolsculpting on Abs in order to prevent nerve pain?

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