What is the drug of choice for the peripheral neuropathy in diabetic pt.?

Anti-convulsants : Depending on the patient, a number of anti-convulsants are useful in diabetic neuropathy. My preference is for lyrica, (pregabalin) but not all patients tolerate it. Talk to your dr, & consider your options.

Nerve medicine: Lyrica, (pregabalin) or its generic predecessor gabapentin, are good options. Your doctor is the best source of information.

Neurontin (gabapentin): I typically start with Neurontin as it has a generic. Other drugs include Lyrica (pregabalin) and cymbalta, but they tend to be more expensive. Remember all drugs have side effects and the inial goal of treatment is sugar control.

Many options.: Topical capsaicin may be helpful for some, while others may benefit with oral medication such as Pregabalin (lyrica), Amitriptyline (elavil), duloxetine (cymbalta), Gabapentin (neurontin), Carbamazepine (tegretol), or valproate (depakote) to reduce the painful symptoms in the feet due to neuropathy. Watch you sugar intake, and have your vitamin b levels checked and supplemented as necessary.