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Dr. Peter Attia

👤 Speaker
11186 total appearances

Appearances Over Time

Podcast Appearances

The Peter Attia Drive
#345 ‒ Chronic pain: pathways, treatment, and the path to physical and psychological recovery | Sean Mackey, M.D., Ph.D.

Now, pregabalin can also lead to weight gain. Doesn't it also increase appetite? Both.

The Peter Attia Drive
#345 ‒ Chronic pain: pathways, treatment, and the path to physical and psychological recovery | Sean Mackey, M.D., Ph.D.

Now, pregabalin can also lead to weight gain. Doesn't it also increase appetite? Both.

The Peter Attia Drive
#345 ‒ Chronic pain: pathways, treatment, and the path to physical and psychological recovery | Sean Mackey, M.D., Ph.D.

And they also both enhance sleep, especially pregabalin. And so there's a little bit of an added benefit to patients who were using these to also put the pain out at night when it can be most noticeable.

The Peter Attia Drive
#345 ‒ Chronic pain: pathways, treatment, and the path to physical and psychological recovery | Sean Mackey, M.D., Ph.D.

And they also both enhance sleep, especially pregabalin. And so there's a little bit of an added benefit to patients who were using these to also put the pain out at night when it can be most noticeable.

The Peter Attia Drive
#345 ‒ Chronic pain: pathways, treatment, and the path to physical and psychological recovery | Sean Mackey, M.D., Ph.D.

There was actually a study, I don't know if I'll ever be able to find it, it was sent to me that actually suggested pregabalin didn't just make you drowsy, which was obvious, but also promoted appropriate sleep architecture.

The Peter Attia Drive
#345 ‒ Chronic pain: pathways, treatment, and the path to physical and psychological recovery | Sean Mackey, M.D., Ph.D.

There was actually a study, I don't know if I'll ever be able to find it, it was sent to me that actually suggested pregabalin didn't just make you drowsy, which was obvious, but also promoted appropriate sleep architecture.

The Peter Attia Drive
#345 ‒ Chronic pain: pathways, treatment, and the path to physical and psychological recovery | Sean Mackey, M.D., Ph.D.

I could be totally wrong on that, but it could be your experience.

The Peter Attia Drive
#345 ‒ Chronic pain: pathways, treatment, and the path to physical and psychological recovery | Sean Mackey, M.D., Ph.D.

I could be totally wrong on that, but it could be your experience.

The Peter Attia Drive
#345 ‒ Chronic pain: pathways, treatment, and the path to physical and psychological recovery | Sean Mackey, M.D., Ph.D.

And again, you're using these for the most recalcitrant neuropathic pain typically?

The Peter Attia Drive
#345 ‒ Chronic pain: pathways, treatment, and the path to physical and psychological recovery | Sean Mackey, M.D., Ph.D.

And again, you're using these for the most recalcitrant neuropathic pain typically?

The Peter Attia Drive
#345 ‒ Chronic pain: pathways, treatment, and the path to physical and psychological recovery | Sean Mackey, M.D., Ph.D.

We didn't even do this, I'm sorry. We didn't define chronic pain, but how would you put a definition on that?

The Peter Attia Drive
#345 ‒ Chronic pain: pathways, treatment, and the path to physical and psychological recovery | Sean Mackey, M.D., Ph.D.

We didn't even do this, I'm sorry. We didn't define chronic pain, but how would you put a definition on that?

The Peter Attia Drive
#345 ‒ Chronic pain: pathways, treatment, and the path to physical and psychological recovery | Sean Mackey, M.D., Ph.D.

Antidepressants and their role in pain management?

The Peter Attia Drive
#345 ‒ Chronic pain: pathways, treatment, and the path to physical and psychological recovery | Sean Mackey, M.D., Ph.D.

Antidepressants and their role in pain management?

The Peter Attia Drive
#345 ‒ Chronic pain: pathways, treatment, and the path to physical and psychological recovery | Sean Mackey, M.D., Ph.D.

Sorry, how much lidocaine? I hope it wasn't toxic. I'll come back to the story. It's pretty funny. I'm looking forward to it. Which TCAs are the popular ones? Everybody... I think there's about nine. What are your top two or three?

The Peter Attia Drive
#345 ‒ Chronic pain: pathways, treatment, and the path to physical and psychological recovery | Sean Mackey, M.D., Ph.D.

Sorry, how much lidocaine? I hope it wasn't toxic. I'll come back to the story. It's pretty funny. I'm looking forward to it. Which TCAs are the popular ones? Everybody... I think there's about nine. What are your top two or three?

The Peter Attia Drive
#345 ‒ Chronic pain: pathways, treatment, and the path to physical and psychological recovery | Sean Mackey, M.D., Ph.D.

Oh, amitriptyline. Yep, yep.

The Peter Attia Drive
#345 ‒ Chronic pain: pathways, treatment, and the path to physical and psychological recovery | Sean Mackey, M.D., Ph.D.

Oh, amitriptyline. Yep, yep.

The Peter Attia Drive
#345 ‒ Chronic pain: pathways, treatment, and the path to physical and psychological recovery | Sean Mackey, M.D., Ph.D.

Is it offset by GLP-1 agonists in the modern era?

The Peter Attia Drive
#345 ‒ Chronic pain: pathways, treatment, and the path to physical and psychological recovery | Sean Mackey, M.D., Ph.D.

Is it offset by GLP-1 agonists in the modern era?