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Antidepressants are normally used to treat people with depression. But, low doses of these medicines can help with chronic low back pain, even if the person does not feel sad or depressed. These medicines work by changing the levels of certain chemicals in your brain. This changes the way your brain notices pain. Antidepressants most commonly used for chronic low back pain also help you sleep.

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They work by causing changes in the electric signals in the brain. They work best for pain that is caused by nerve damage. These medicines may help some people whose long-term back pain has made it hard for them to work or pain that interferes with their daily activities. They can also help relieve radiating pain that is common with back problems. Common side effects include weight gain or weight loss, upset stomach, loss of appetite, skin rashes, drowsiness or feeling confused, depression, and headaches.

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