Doctor insights on:
Long Term Use Of Gabapentin For Relief Of Peripheral Neuropathy
Gabapentin: In general, Gabapentin is well tolerated and used safely long term. But as with any other medications, it has potential side effects such as mood disturbances, dizziness, fatigue, leg swelling, low white cell count, low platelet count, and renal failure. In rats, pancreatic cancer is reported. It should be used with caution in chronic kidney disease and should not be stopped suddenly. ...Read more
A complete nerve transection will leave an area totally numb. The distribution of the numbers depends upon where the nerve was cut. A partial nerve injury may leave the area tingly or incompletely numb. Finally even if the nerve is not cut the swelling and bruising to the tea can affect the nerve as well. Usually we consider sharp penetrating injuries as likely having nerve lacerations when sensation is lost. A hand surgeon can examine the hand and pinpoint the site or extent of nerve injury and recommend ...Read more
Not major problem: Many choices including Lyrica (which may be tolerated better than gabapentin, but also consider Horizant and Gralise). Might try Cymbalta, Savella, (milnacipran) amitryptyline, but may benefit from lamotrigine, levetiracetam, other tricyclics or even SSNRI's. But maybe find etiology of neuropathy and treat cause directly. ...Read more
Was prescribed Neurontin (gabapentin) 1200 mg a day. Does it help releive peripheral neuropathy symptoms and how long does it take to have an effect?
I take gabapentin 300 mg twice a day for severe bilateral peripheral neuropathy pain. Is 900 mg a day safe for kidneys? I'm stage 3, PKD patient.
Increase Gabapentin?: Gabapentin (g) toxicity in patients with chronic kidney disease (ckd) is under recognized. Patients with CKD often receive inappropriately high g dosage for their kidney function, occasioning overt toxicity; advanced age and comorbidity predispose CKD patients to toxicity. I would ask your nephrologist's (c) opinion before increasing the dose, as the n knows you the best. ...Read more
Can I take cymbalta (duloxetine) and gabapenten together for sudden onset peripheral neuropathy of the feet. What is the usual dose that cymbalta (duloxetine) startsvto be effe?
Go to your PCP: It would be best to start one medication at a time to see your response. Every individual response to Cymbalta (duloxetine) is different but you can start at 30 mg. Once you've established the dose for Cymbalta (duloxetine) and your neuropathy is still troublesome, you can add Gabapentin. It is best to have your doctor monitor your medication. ...Read more
Md recommended I change from Neurontin to lyrica (pregabalin) for peripheral neuropathy. Should I expect to have decreased feelings of numbness in toes and feet?
Different treatments: Peripheral neuropathy is when the nerves do not function as they should when the sensory nerves are affected, the sensations can range from complete lack of sensation to a "lightning bolt" pain that occurs sporadically. Both of these medications are used to treat peripheral neuropathy as well as several others. Not all medications work for everybody so use it for a while to be sure. ...Read more
I'm not responding to any meds given for sudden onset peripheral neuropathy of the feet. Can dilaten help. Tried gabapenten lyrica (pregabalin) Elavil cymbalta.
Dilantin: The use of Dilantin is unlikely to reduce the pain of peripheral neuropathy if the other anti-convulsant medications have failed to relieve the pain. Alternative treatments such as transcutaneous electrical nerve stimulation, capsaicin cream, Lidocaine patches and identifying and treating the cause of the neuropathy may help you feel better. ...Read more
I am looking for any kind of research article that shows injections of marcaine as a treatment of peripheral neuropathy. Any ideas?
Having peripheral neuropathy 1 leg and foot for several weeks. Last chemo 2 years ago and am on tamoxifen now. Any ideas how to minimize the discomfort?
Severe leg pain for at least 4 decades and reflexes in knees now non-existent. Diangosis peripheral neuropathy ten years ago. Low back pain 10 yrs. Any idea?
Peripheral Neuropath: Different possibilities exist for leg pains: neuropathy, vascular disease, and sciatica. Each of these can be ruled in/out based upon history, examination, and studies. Neuropathy is typically diagnosed with history of diabetes, chemo, toxic exposures, or no cause, and is associated with numbness/pain in a stocking distribution with absent reflexes. Emg/ncv can be helpful. Mri/ct usually negative. ...Read more
Is chronic diffuse sensorimotor peripheral neuropathy with predominant external & secondary demyelinative changes a long-term disability?
It can be: Sensorimotor peripheral neuropathies have many types and various causes. Some of them can be disabling, even long term in some cases. A thorough search will have to include blood tests and urine tests. In some cases spinal tab (lumbar puncture) can be necessary. In delineating the diagnosis. ...Read more
Not sure: Lidocaine should work very quickly for you. If you haven't felt any changes over the first 30 minutes, then I'm not sure if it's going to work for you. Best of luck! ...Read more
Any neurologist: Any neurologist can handle this issue.Get a more detailed answer ›
It depends on how the myelin was injured. If myelin was severed/ traumatized axon only damage neuron will grow ideal conditions 1mm / month
Instead if disease process responsible for myelin damage (autoimmune disease i.e. MS, ALS,) this damage is permanent myelin sheath will not grow back damage is permanent. Peripheral diabetic Neuropathy if addressed before perm damag meylin can regenerate ...Read more
How long will I need to take vitamin B6 for peripheral neuropathy that was caused by chemotherapy?
For over a year & 3 months I've suspected Severe Idiopathic Gasteroparesis my stomach muscles no longer contract suspect peripheral neuropathy as well?
Sounds like: You would benefit from a personalized virtual consult on Health Tap. This forum is best used for more generalized questions. A physician will need to know more about your symptoms and their timing, but can certainly provide helpful advice. ...Read more
75mg Lyrica (pregabalin) and 20mg baclofen for peripheral neuropathy. How long after can I take 5/325 norco for pain??
Treat the cause: The best way to 'cure' neuropathy is to target the cause. Only 60-70% of patients with neuropathy have a known cause, any many are irreversible. However, controlling the underlying medical condition causing neuropathy can improve or delay the progression of neuropathy. For example: control diabetes, treat thyroid problems, treat rheumatoid arthritis, avoid alcohol, take a b complex vitamin. ...Read more
In peripheral neuropathy with thalidomide, is lenalidomide a good alternative for newly diagnosed multiple myeloma with velcade (bortezomib) dexamethasone?
Apart from observations & a history of Diabetes 2, are there any blood test results that can provide evidence of peripheral neuropathy of the feet? If so, what are they? There is apparently good blood flow to the feet. A Dr is being consulted..
I am having diabetic neuropathy. It is very painful. My doctor wants to try neurontin (gabapentin). It may also help with my restless legs syndrome. Any ideas?
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 special symptoms for RLS that PN does not have- such as it improves with walking. People with RLS often have a low ferritin level, and such cases improve with iron therapy. ...Read more
I have been taking Neurontin (gabapentin) for peripheral neuropathy because I was told it will stop nerve damage from progressing. Is that true?
Taking Neurontin (gabapentin) 900 mg daily. Causing dizziness. Been taking 6 weeks. Peripheral neuropathy causing feeling of cold toes in warm house. Suggestions?
Herbs can treat but: Are you asking if herbs may cause peripheral neuropathy? It is usually caused by diabetes, side effects of pharmaceuticals & toxins like heavy metals. Some chinese & ayurvedic herbs are contaminated with heavy metals so those could be a cause. However, many herbs have been shown to be helpful in treating neuropathy. See www. Caring. Com/articles/peripheral-neuropathy-treating-it-the-natural-way. ...Read more
Yes, but: It can, but in one so young, a cause should be identifiable and likely a treatment available. Start with a neurologist. ...Read more