Interesting story about a pain med available in Europe...
Flupirtine is an aminopyridine that functions as a centrally acting non-opioid analgesic. It first became available in Europe in 1984, and is sold mainly under the names Katadolon, Trancolong, Awegal, Efiret, Trancopal Dolo, and MetanorIt was approved for the treatment of pain in 1984 in Europe. However, it has never been introduced to the United States market for any indication. It is unique as a non-opioid, non-NSAID, non-steroidal analgesic.
One story posted about this med:
I am medically retired from the military now for 10 years. Fibromyalgia, chronic pain, and a bunch of other issues have made my live difficult. When the USAF sent us to Germany 7 years ago (my husband is still in the Military), I was treated by German civilian providers and all my care ended up with one Pain Specialist. Here I was prescribed many new things, with the best being Katadolan (Flupirtine). This medication replaced 50% of my breakthrough pain narcotics and replaced all non-analgesic pain killers and muscle relaxers. I also was given Katadolan as an infusion every other week or when I lost all control of my pain and had to go to the doc for extra sessions. I could live a much better quality of life after my treatment with Katadolan was started! I used this drug for almost 7 years before we were transferred back to the US.
My experience in just a few months with no Katadolan has been miserable. Doctors have nothing to replace it. No infusions offered or meds offered except more narcotics. Hydromorphone pills and many trips to the ER for Hydromorphone IVs have been my new treatments. This is not acceptable since my goal is to reduce my narcotics in the first place, and that the narcotics just don't help the pain.... just masks it. When the drug wears off, I'm no better than before!
I am shocked and a bit embarrassed that the US doesn't use this simple drug that has been in Germany for over 20 years.