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other than neurontin what are acceptable pain meds to treat severely painful diabetes neuropathy

A 44-year-old member asked:
Dr. Susan Wingo
33 years experience Endocrinology
Many: There are two medications that are fda-approved for this condition. They are cymbalta, and lyrica (pregabalin). Other meds are often used as well, i ... Read More
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Dr. Melissa Young
9 years experience Internal Medicine
Many: There's lyrica, (pregabalin) Cymbalta and narcotic pain meds. You can also apply a capsaicin cream to the affected area. You also want to protect your ... Read More
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Dr. Einar Ottestad
19 years experience Pain Management
Many: Lyrica, (pregabalin) cymbalta, tca like desipramine/amitriptylene, anticonvulsant like keppra, topamax, tegretol, teileptal, lamictal. Also consider ... Read More
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A 43-year-old female asked:
Dr. Paul Grin
Dr. Paul Grin answered
36 years experience Pain Management
Good idea: Gabapentinoids have been widely used for diabetic neuropathy. Because the gabapentinoids are not metabolized in the liver and are excreted through th ... Read More
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Dr. Olav Jaren
19 years experience Neurology
PN & RLS Rx: Neurontin (gabapentin) is used to treat both those conditions. It is possible that you have both, but be careful. The symptoms overlap. There are s ... Read More
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A 45-year-old female asked:
Dr. Heidi Fowler
25 years experience Psychiatry
Options: Consider speaking with your physician about using acupuncture as an adjunct to your current treatment plan. It can be very helpful for neuropathy. Go ... Read More
Dr. Bennett Machanic
52 years experience Neurology
A few other choices: Some additional meds to consider include lyrica, (pregabalin) cymbalta, the medical food metanx, and perhaps even acupuncture.
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A member asked:
Dr. Bennett Machanic
52 years experience Neurology
Symptomatic only: Neurontin (gabapentin) does not cure any neuropathy, but does sudue some of the symptoms. It will help pain, tingling, burning, but does not improve ... Read More
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A 27-year-old female asked:
Dr. Mark Reynolds
33 years experience Psychiatry
3600 mg/day: 800 mg four times a day is the upper limit on neurontin (gabapentin). It is my understanding that taking more than 800 mg with any one dose is a waste ... Read More
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A 54-year-old female asked:
Dr. Bennett Machanic
52 years experience Neurology
2 directions.: You are asking for medications which may assist symptoms, but it is far more important to determine underlying cause, and treat that. Neuropathy may ... Read More
A 73-year-old female asked:
Dr. Ronald Krauser
52 years experience Rheumatology
See details: Give the Neurontin (gabapentin) a chance. The response to this med is very dose related so a higher dose may end up being effective.
A 76-year-old female asked:
Dr. Dan Fisher
27 years experience Internal Medicine
Generally OK.: Your doc should be aware of this.
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A 30-year-old male asked:
Dr. Joseph Weiner
42 years experience Psychiatry
It depends: It depends on what's causing your neuropathy. Sometimes older medications called "tricyclic antidepressants" can help both anxiety and neuropathy. ... Read More
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A 70-year-old male asked:
Dr. Jerold Kreisman
48 years experience Psychiatry
Helps relieve sympto: This is average dose. Neurontin (gabapentin) helps peripheral neuropathy. If partially helpful, and without side effects, consider increasing dose. ... Read More
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5 thanks

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