A member asked:

My mother experiences a burning feeling in her legs. it is hard for her to sleep at night. she is on pregabalin already. is there any non-prescription pills/cream/patch etc that can help with pain? she has also tried nerviva cream - but not helping?

2 doctors weighed in across 2 answers
Dr. Hiep Le answered

Specializes in Nephrology and Dialysis

Dose of pregabalin may need to be increased to have the optimal effect. If she has received 300 mg a day, another medication such as Duloxetine may be added. Topical medications such as Capsaicin and Lidocaine may be tried but the effectiveness is usually limited.

Answered 2/18/2022

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Key issue is the underlying cause of her "burning" pain in her legs. Most likely, it involves a peripheral neuropathy, and cause should be uncovered. Presume a neurologist is involved? If not, should be. A number of symptom relieving interventions could be employed, even using some "off label" approaches.

Answered 2/18/2022

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