How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Neuro Doctor Your Own Question

Neuro Doctor
Neuro Doctor, Neurologist (MD)
Category: Neurology
Satisfied Customers: 3740
Experience:  American Board Certified Neurologist, Internal Medicine
56178413
Type Your Neurology Question Here...
Neuro Doctor is online now
A new question is answered every 9 seconds

Is is safe to take xanax and lyrica together. Tingling and

Resolved Question:

Is is safe to take xanax and lyrica together. Tingling and numbness is so bad that I had to take xanax to calm it down. It is about time to take lyrica. Should I? Also, my pharmacist friend suggested that my pain could derive from thoracic outlet syndrome. For legs too - maybe it is my sleeping habits + posture that are compressing my nerves. Does that even remotely make sense?
Submitted: 1 year ago.
Category: Neurology
Expert:  Neuro Doctor replied 1 year ago.

Dr Sathya :

Hi

Dr Sathya :

I am very glad to help you with your question again.

Dr Sathya :

I am going through these additional details now, I will reply here very soon.

Dr Sathya :

Yes, you may take xanax and lyrica together for sure.

Dr Sathya :

There are no major or serious drug interactions if you take them together.

Dr Sathya :

The combination may make you more drowsy, because both are sedation causing meds, but other than that there should not be any serious or major concerns.

Dr Sathya :

I hope you are not encountering any technical problems in accessing this chat. Please take your time.

Dr Sathya :

Regarding your other question; re; TOS (thoracic outlet syndrome) & the sleeping habits & posture;

Dr Sathya :

I guess you experience symptoms like dizziness too, in addition to tingling feeling, TOS is not expected to cause dizziness.

Dr Sathya :

And the tingling/pain feeling of TOS is confined only to the upper limbs, but if you experience tingling feeling in the face & lower limbs too then this cannot be from TOS.

Dr Sathya :

TOS typically presents in the upper limbs, symptoms are mostly confined to the inner aspects of the upper limbs, and neck & shoulder movements may trigger or worsen the tingling. If your tingling is confined only to the upper limbs and also mostly to the inner aspects of the upper limbs then this could be TOS, but not otherwise.

Dr Sathya :

And I guess you might had an EMG/Nerve conduction test too before, if you had this test then TOS should have been picked up on that test.

Dr Sathya :

If this test was not done on the upper limbs, and if you have symptoms typical for TOS - as pointed above - then you may talk to your clinic neuro for an EMG test, otherwise this test is not needed (if symptoms are not typical for TOS and if EMG was already done on the upper limbs).

Dr Sathya :

Sleeping habits and posture may cause nerve compression, but this will happen only if you sleep for prolonged period on the same side, or assume same posture for long time, not otherwise.

Dr Sathya :

Regarding posture you may talk to a physical therapist/occupational therapist too, they can examine your posture and make recommendations if any are necessary.

Customer: I woke up last night so much in pain bacause my left arm totally went numb.
Dr Sathya :

Okay I see.

Customer: i had chest pain and my rm kept have spasms and numbness pain
Dr Sathya :

is this a new symptom?

Dr Sathya :

have you had similar symptoms ever before?

Customer: i never had awaken by these types of symptoms before
Dr Sathya :

is the neck bothering a lot?

Customer: it was scary
Dr Sathya :

yes I can understand

Dr Sathya :

is the neck bothering too?

Customer: i have echo stress test this monday
Customer: stiffness and pain in left shoulder but not neck
Dr Sathya :

yes with these symptoms you need heart related tests too

Dr Sathya :

obviously with chest pain - heart tests are necessary

Customer: i did ekg again last week but nothing
Dr Sathya :

a shoulder MRI will help too

Customer: my cadiologist then approved echo
Customer: i see
Dr Sathya :

if ekg looks okay serious possibilities like heart attack etc unlikely.

Dr Sathya :

but echo/stress tests are nevertheless needed

Customer: but what really dont get is the tingling in ALL extremities
Dr Sathya :

just to be on the safer side

Customer: so TOS not a possibility?
Dr Sathya :

no, TOS is unlikely (with all 4 extremities tingling)

Customer: Still leaning towards fibro?
Dr Sathya :

Yes, as we discussed before your symptoms are from some fibromyalgia (atypical), may be some anxiety/stress too

Dr Sathya :

also "fear of serious diseases"

Customer: Lyrica is not helping much
Dr Sathya :

what dose now?

Customer: fibro causes sleep disturbnces due to nmbness?
Customer: 75 x2
Dr Sathya :

yes, fibro actually can cause almost any symptom

Customer: i am afraid to increase dose due to that nightmareish episode of dizziness
Dr Sathya :

Okay I see

Dr Sathya :

obviously a concern

Dr Sathya :

so you may add xanax as necessary

Dr Sathya :

xanax will help in relaxing too

Dr Sathya :

both can be taken together

Dr Sathya :

have you tried ALA?

Customer: xanax helps a bit but so difficult to get prescription
Dr Sathya :

Alphalipoic acid?

Customer: no
Customer: is it OTC?
Dr Sathya :

okay I see, prescription is indeed a constraint

Dr Sathya :

yes

Dr Sathya :

you may start around 100 mg twice daily

Dr Sathya :

I will mention few other options too

Dr Sathya :

you may also consider CoQ10

Dr Sathya :

Acetyl L Carnitine too

Dr Sathya :

All these supplements may help with tingling feeling

Dr Sathya :

these are very safe pills too

Dr Sathya :

if no help you can always stop them

Dr Sathya :

you will not lose anything, either they help, or no, but no side effects are expected

Customer: So which one should i try first?
Dr Sathya :

I recommend ALA first

Customer: Okay
Customer: will it help with numbness as well?
Dr Sathya :

Yes, any nerve irritation symptoms like tingling, numbness, and some feel relief of the nerve pain too

Customer: Good to know that
Dr Sathya :

worth trying.

Customer: should i see a ortho or rhemato?
Dr Sathya :

you may get the heart tests first, then if necessary you may see a rheumo rather than an ortho.

Dr Sathya :

ortho more helpful if bone fractures, joint dislocations are suspected

Dr Sathya :

which we are not suspecting in you

Customer: Ok
Customer: anything else I can do to at least sleep?
Dr Sathya :

xanax should help, because the combination with lyrica may cause more sedation.

Customer: Ok
Customer: thanks doc
Customer: on my way to get ala now
Customer: I can take it now right?
Dr Sathya :

You are welcome, I once again reassure you that this doesn’t look like anything serious, and also hope the above treatments help you and you recover quickly & completely, all the best!

Dr Sathya :

Yes sure

Dr Sathya :

ALA can be started now itself

Customer: Thanks
Customer: Great
Dr Sathya :

Welcome, all the best!

Neuro Doctor, Neurologist (MD)
Category: Neurology
Satisfied Customers: 3740
Experience: American Board Certified Neurologist, Internal Medicine
Neuro Doctor and other Neurology Specialists are ready to help you
Customer: replied 1 year ago.

I started taking ALA as recommended. So far, nothing. 100mg x2 a day. Should I increase it to 600mg?

Expert:  Neuro Doctor replied 1 year ago.

Hi, sorry I couldn't reply earlier as I was away from the computer and just returned, and thanks for the waiting.

 

Sorry to see that there is no response so far, but that is actually the beginning dose and may not help so now you may gradually start optimizing the dose. First you may increase upto 200 mg twice daily, and if this dose no help in about a week or so then you may increase to around 300 mg twice daily (=600 mg/day), which is generally considered the highest dose on this med, but this being a nutritional supplement there is no well defined highest dose and even higher doses may be safe too but I do not recommend taking above 600 mg/day - just to be on the safer side.

 

If the ALA dose gradually increased and it does not help at around 600 mg/day then at that point you may consider starting the other options I mentioned like Acetyl L Carnitine or CoQ10 etc. either one of these two may be started. On Acetyl L Carnitine the beginning dose is usually 250 mg/day, then it can be slowly increased up to around 1000 mg/day or so. As you go higher in the dose it may be preferably taken twice daily. On CoQ10 the beginning dose is around 50 mg twice daily and gradually it can be increased up to around 1200 mg/day in divided doses.

 

And see that these are nutritional supplements and are used by lots people and generally considered as very safe and any serious side effects are hardly known to occur, and beneficial effect wise these may help your nerve irritation symptoms and in addition to that effect these agents may have multiple other beneficial effect since these are considered anti oxidant agents too. I am not trying to promote these agents I am only trying to emphasize that these agents are used commonly and even in combination too, so if need arises you may try later combining them too. Of course if the lower doses of ALA itself will help you then you may continue on that alone, and as per your preferences. I am just mentioning that in case higher doses are needed or a need to combine these different agents arises then that can be considered too.

Neuro Doctor, Neurologist (MD)
Category: Neurology
Satisfied Customers: 3740
Experience: American Board Certified Neurologist, Internal Medicine
Neuro Doctor and other Neurology Specialists are ready to help you

JustAnswer in the News:

 
 
 
Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.
 
 
 

What Customers are Saying:

 
 
 
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O. USA
< Last | Next >
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O. USA
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C. Freshfield, Liverpool, UK
  • This expert is wonderful. They truly know what they are talking about, and they actually care about you. They really helped put my nerves at ease. Thank you so much!!!! Alex Los Angeles, CA
  • Thank you for all your help. It is nice to know that this service is here for people like myself, who need answers fast and are not sure who to consult. GP Hesperia, CA
  • I couldn't be more satisfied! This is the site I will always come to when I need a second opinion. Justin Kernersville, NC
  • Just let me say that this encounter has been entirely professional and most helpful. I liked that I could ask additional questions and get answered in a very short turn around. Esther Woodstock, NY
  • Thank you so much for taking your time and knowledge to support my concerns. Not only did you answer my questions, you even took it a step further with replying with more pertinent information I needed to know. Robin Elkton, Maryland
 
 
 

Meet The Experts:

 
 
 
  • Dr. Mark

    Neurologist (MD)

    Satisfied Customers:

    1985
    Neurosurgeon - Brain, spine, and peripheral nerve surgery
< Last | Next >
  • http://ww2.justanswer.com/uploads/neurosurg/2009-10-06_120923_profile.jpg Dr. Mark's Avatar

    Dr. Mark

    Neurologist (MD)

    Satisfied Customers:

    1985
    Neurosurgeon - Brain, spine, and peripheral nerve surgery
  • http://ww2.justanswer.com/uploads/NE/neuromd2012/2012-6-6_171449_frank.64x64.jpg Dr. Frank's Avatar

    Dr. Frank

    Board Certified Physician

    Satisfied Customers:

    6629
    Board certified general Adult Neurologist, with experience in experimental neuroimaging and neurodiagnostics.
  • http://ww2.justanswer.com/uploads/jesbrain2015/2010-5-21_162329_jack.jpg Jack Scariano Jr's Avatar

    Jack Scariano Jr

    Neurologist (MD)

    Satisfied Customers:

    1056
    Board Certified Neurology 1982 30 years experince. Also expert in Pain Medicine
  • http://ww2.justanswer.com/uploads/PR/pradocs/2012-7-23_23649_201272323220JApicture105x113.64x64.jpg Dr. Bob's Avatar

    Dr. Bob

    Neurologist (MD)

    Satisfied Customers:

    2846
    Neurology & Int Medicine (US Trained): 20 yrs experience
  • http://ww2.justanswer.com/uploads/HE/healthydoc/2011-7-22_193154_LevGrinman2.64x64.jpg healthydoc's Avatar

    healthydoc

    Board Certified Physician

    Satisfied Customers:

    1848
    Board Certified U.S. Neurologist
  • http://ww2.justanswer.com/uploads/BrainLifeDoc/2010-10-04_004701_AMF_2008_2_pix.jpg Dr. F's Avatar

    Dr. F

    Board Certified MD

    Satisfied Customers:

    266
    Neurosurgeon with more than 20 years experience in practice and teaching.
  • http://ww2.justanswer.com/uploads/Phytube/2010-9-7_192331_PicVB1a_164by64.jpg Phytube.com's Avatar

    Phytube.com

    Neurologist (MD)

    Satisfied Customers:

    86
    Pediatric Neurology and Developmental Medicine with Special Research In Pain Medicine/Medications