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Pain Management Marinol?
Nov 21, 2012

Sir,

I have read the forums. I really haven't found a definitive answer and I will certainly discuss this with my primary doctor. Right now I am on Insentress/Turvada, soon to be Stribild and did take Atripla. My labs are good, I have missed one does in 6 years. I underwent external radiation for prostrate cancer. I am taking Gabaentin for nueropathy and it works rather well. I have two issues. Joint pain and have seen a specialist and it is thought this is a natural course of the virus. The pain (sometimes I really think I imagine it but its real) can be rather bad. I have run the narcotics and I don't like them, I don't like Tramadol either. Naproxsen helps. Here is the second part, middle of the night I will wake up extremely nauseated, more since the XRT (long completed). Is Marinol a viable relief for both the pain, nueropathy and nausea? Or is there something I don't know about that might be better? I just want the pain and the nausea to stop. I have been well controlled and managed since my diagnosis in 2005.

Response from Dr. Henry

HIV infection has been associated with some increased risk for arthritis but data is still limited on that. If HIV infection is being well treated then contribution of HIV to arthritis is usually lessened. I havent seen any published data on use of Marinol to manage pain and neuropathy (approved for AIDS patients to treat weight loss and severe nausea) though I have heard from patients that marijuana seems to be helpful as an adjunct to other treatments for pain in some cases. Marinol is very expensive (usually much more expensive than marijuana). If any reader knows of a published study looking at use of Marinol for pain/neuropathy please post. KH



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