Conversation: The conversation between human and AI assistant.
[|Human|] Aloha from Hawaii:I just heard back from my doctor who ordered an MRI the other night.  His diagnosis is L5, S1 disc protrusion.  I am wondering if there is a medicine of choice for this pain until I can get more physical therapy, etc.  I tried vicodin, tramadol and now he put me on Lyrica.  Someone also spoke of Cymbalta (sp?)
[|AI|]  Hi, You are diagnosed to have L5 S1 disc prolapse, and you have severe neuralgic pain because of it. Lyrica dose to be increased for relief from neuralgia. Cymbalta contains duloxetine which is a selective serotonin and norepinephrine reuptake inhibitor which when used reduces neuralgic pain, dose range from 20 mg to maximum 60 mg daily. If symptoms still persists you should consult neurosurgeon, for epidural steroids. Hope this will help regards Chat Doctor.