A 67-year-old female asked:
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how do i get rid of neuropathy pain from shingles? i've had the pain for almost 2 years. i'm taking 800 mg of gabapentin and it just barely takes

2 doctor answers
Dr. Bahman Omrani
17 years experience Pain Management
Consider topicals: 60-min capsaicin patch 8% applied by your dr topical Lidocaine (lidoderm 5%) can be tried but results less predictable. Your dr may be able to recommend safe & effective topicals through a compounding pharmacy. Tricyclic antidepressants (desipramine>amitriptyline) work for most, but be patient, may take 3-4 weeks to kick in. Gabapentin dose is too low. Lyrica (pregabalin) and Depakote may help.
Answered on Jun 27, 2014
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Dr. Ronald Krauser
52 years experience Rheumatology
Gaba dose too low: 800 mg of Gabapentin is a very low dose. The first thing i would do is increase the Gabapentin dose.
Answered on Oct 12, 2015
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A 38-year-old member asked:
Dr. Ronald Krauser
52 years experience Rheumatology
Not exactly: Gabapentin can help control the symptoms of a peripheral neuropathy but it is less likely to really alter the ultimate course.
1
1 thank
A 43-year-old male asked:
Dr. John Goldman
55 years experience Rheumatology
Is the pain neurop: is your pain neuropathy or is it different. If it is neuropathy you are at the top dose of gabapentin so may need to switch to Lyrica (pregabalin) . U ... Read More
2
2 thanks
A 43-year-old male asked:
Dr. Sung ho Bae
19 years experience Podiatry
2nd opinion time: Sounds like you need a neurology and a pain specialist consult. You may be at the limits of what gaba and Vicodin could do for you.
2
2 thanks

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