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Doctor insights on: Medicine For Neuropathy

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What is the best medicine for neuropathy?

What is the best medicine for neuropathy?

Topic is too broad: Neuropathy is not a single disease - it is a complication found in a number of different conditions. If a single or multiple nerves are affected by neuropathy, the cause is targeted for treatment, but if the cause cannot be corrected, symptomatic pain relief takes place.
Rec: see a pain management specialist for diagnosis and cause treatment. ...Read more

Dr. Olav Jaren
1,345 doctors shared insights

Nerve Damage (Definition)

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


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Can some medicines make peripheral neuropathy worse?

Can some medicines make peripheral neuropathy worse?

Yes: Radiation therapy for cancers have been reported to cause neuropathy, recently, there have been reports of metformin, a medication given to diabetics as a cause of neuropathy so one has to be careful when taking medications to be aware of and report any side effects. ...Read more

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Which CKD medicines may cause renal neuropathy like burning sensation in feet?

Which CKD medicines may cause renal neuropathy like burning sensation in feet?

CKD: Chronic kidney disease itself can cause neuropathy. What medications are you taking? The dose of medications excreted by the kidney should be adjusted according to your estimated glomerular filtration rate. It would be prudent to discuss it with your doctor.
Wish you good health! ...Read more

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Any medicine to reduce diabetic neuropathy.My mom has less sensation in feet and now got tinnitus.Her hesaring is reduced in both ears by 30-35%.Help?

Any medicine to reduce diabetic neuropathy.My mom has less sensation in feet and now got tinnitus.Her hesaring is reduced in both ears by 30-35%.Help?

Certainly: Am surprised this has not been discussed previously, but symptoms can be reduced by Lyrica, Gralise, Nucynta, (tapentadol) and even duloxetine, BUT restoration of nerve fibers possible via use of a medical food, MetanX. Unlikely to help ears, however, so see audiologist to get that addressed. ...Read more

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What is the best neuropathy medicine?

Tough call: Every medication has its pros and cons. A good practitioner will use the entire medication profile to his/her advantage. First of all, your choice of meds depends on the exact symptoms: is it sharp, aching, numbing, burning? Do you have trouble sleeping, is mood or anxiety an issue? Do you have high blood pressure? Have you ever had an ulcer? Are you over/ underweight? So there's no "best" really. ...Read more

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Hi Can diabetic neuropathy be reversed. Is there any latest treatment or medicine that can help in neuropathy! ?

Hi Can diabetic neuropathy be reversed. Is there any latest treatment or medicine that can help in neuropathy! ?

Neuropathy: Management of neuropathy improves over time and you should always follow the advice of your Neurologist.
How is your diabetes going? What blood glucose values are you getting, what meds are you taking, and how good are the results?
Please let me know. ...Read more

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What to do if positive drug caused neuropathy what should I do to stop it from progressing?

What to do if positive drug caused neuropathy what should I do to stop it from progressing?

Neurologist: You should first be evaluated by a neurologist, a doctor who specializes in nerves. He or she can order a nerve test if necessary.
If the pain is sharp, burning , stabbing, or tingling, you may be treated with lyrica, (pregabalin) neurontin, cymbalta, or elavil. ...Read more

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Is Gralise 1200mg a good drug to treat neuropathy?

Is Gralise 1200mg a good drug to treat neuropathy?

Yes: Gralise {gabapentin} js used to treat neuropathy and can be slowly increased to a maximum of 1800mg daily. Though officially approved by the FDA for neuropathy following shingles, it is used for diabetic and other neuropathies. Do not stop suddenly and follow directions faithfully. ...Read more

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Can atenolol cause neuropathy? How would you know if the drug is the cause?

Can atenolol cause neuropathy? How would you know if the drug is the cause?

No...: Atenolol can cause a transient (passing) numbess that may last 10 to 15 minutes after taking the medicine, but true neuropathy, no. ...Read more

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Can protonix (pantoprazole) cause neuropathy? How would you know if the drug is the cause?

Can protonix (pantoprazole) cause neuropathy? How would you know if the drug is the cause?

Not likely but repor: Out of34699 reported all side effects feom protonix (pantoprazole) out o which 56 had neuropathy and that is 0.16&
There is no way to knowif theneuropathy is directly as result of Protonix (pantoprazole) or coincidence ...Read more

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Can avapro (irbesartan) cause neuropathy? How would you know if the drug is the cause?

Can avapro (irbesartan) cause neuropathy? How would you know if the drug is the cause?

Unlikely: There are numerous causes of neuropathy, even some secondary to compression locally. Many medications can cause a bilateral widespread polyneuropathy, but Avapro (irbesartan) is not usually a culprit. Might check with your doctor and decide whether to continue your medication. ...Read more

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Is it beneficial to take medicine such as gabapentin, etc if you don't know what is causing your neuropathy?

Is it beneficial to take medicine such as gabapentin, etc if you don't know what is causing your neuropathy?

Assuming: it provides relieves from the pain or discomfort of neuropathy, it is definitely worthwhile. You don't need to know the cause to benefit from treatment. ...Read more

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What test need to be run for a neuropathy diagnosis and can it be cured and is there a better drug than neurotin?

What test need to be run for a neuropathy diagnosis and can it be cured and is there a better drug than neurotin?

EMG-NCV: Electromyography with nerve conduction velocities is a common way of diagnosing neuropathy (specifically peripheral neuropathy). There are a number of other medicines besides neurontin, such as lyrica, (pregabalin) Cymbalta and the tricyclic class. Hope you feel better. Soon. ...Read more

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

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

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. ...Read more

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Can small fiber neuropathy that cause from drug (antibiotic) get worse with time?

Can small fiber neuropathy that cause from drug (antibiotic) get worse with time?

Small Fiber Neuropat: Hello. How long have you been off this culprit -antibiotic? How long were you taking it? In my patient population, the longer someone has been on the offending medication, the lower the likelihood that the neuropathy will resolve on its own. For this reason, we treat & manage(using neuropathic meds like gabapentin, lyrica, (pregabalin) etc.) the symptoms related to the respective neuropathy. ...Read more

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Is there one medicine for spasticity and muscle spasms? Associated with neuropathy. Which is recommended??

Is there one medicine for spasticity and muscle spasms? Associated with neuropathy. Which is recommended??

No: There are multiple medications we use for muscle spasticity to varying degrees of help including flexeril, zanaflex, soma, baclofen, Valium, and skelaxin (metaxalone) just to name a few. Discuss directly with your doctor what would be best for you. ...Read more

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Which medicine can I take to treat suspected large fiber neuropathy caused by a 10 day overdose of VitaminB6 (to regain my senation to urinate)?

See a neurologist: It's reported that large doses of vitamin B-6 can cause sensory neuropathy, so best to consult an informed neurologist for comprehensive evaluation an tests and avoid practicing medicine on oneself. ...Read more

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Won't emg to test obturator neuropathy secondary to fascial tethering in sports medicine not work b/c emg only shows severe denervation?

Won't emg to test obturator neuropathy secondary to fascial tethering in sports medicine not work b/c emg only shows severe denervation?

Probably: Emg's are helpful (when done well)to confirm nerve compression. If your symptoms have not been going on ' long enough' than they commonly are " negative". So yes an obturator nerve compression would have to fairly severe and long- standing to be " picked up". Good luck! ...Read more

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Could the drug isonizide cause peripheral neuropathy years later? I took it for nine months because of exposure to tuberculosis. I do not have tb.

Highly unlikely: But it may be useful to take pyridoxine 50 daily for one month.

Or possibly one MVI (multivitamin) daily.

Check with your doc. ...Read more

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I found an article online that says acid reflux drugs (especially ppi's) can cause dementia and neuropathy because it reduces vit b12. Is this true?

I found an article online that says acid reflux drugs (especially ppi's) can cause dementia and neuropathy because it reduces vit b12. Is this true?

Huh. What?: Where did you read that? It's true that vitamin B12 deficiency can cause both of these conditions, but PPI medicines? Normally the deficiency occurs in the setting of malnutrition. ...Read more

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Hello. I'm currently prescribed Gabapentin 300mg, 1xday for diabetic neuropathy and fibro pain. Will this show up on a 10 panel drug test? Thank you.

Hello. I'm currently prescribed Gabapentin 300mg, 1xday for diabetic neuropathy and fibro pain. Will this show up on a 10 panel drug test? Thank you.

NO: Gabapentin does not show up on a ten panel drug test.This Urine Drug Test (10‐Panel) checks for the presence of 10 drug metabolites including:
1. Amphetamines
2. Methamphetamines
3. Barbiturates
4. Benzodiazepines
5. Marijuana
6. Cocaine
7. Opiates
8. Phencyclidine
9. Methadone
10. Propoxyphene ...Read more

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Does the prescription drug metanx cause neuropathy to get worse before any improvement is noticed? I am a type II diabetic and was recently diagnosed with mild neuropathy in my feet. I was prescribed metanx. I noticed that my discomfort in my feet got wo

Does the prescription drug metanx  cause neuropathy to get worse before any improvement is noticed? I am a type II diabetic and was recently diagnosed with mild neuropathy in my feet. I was prescribed metanx. I noticed that my discomfort in my feet got wo

Metanx : Metanx should not cause you to get worse but in my view it is expensive and of very minimal benefit. Metanx has not been shown to be better than a combination of b vitamins.
There are far more effective lower cost medications for pain from diabetic neuropathy. Imipramine, gabapentin, cymbalta, and Lyrica (pregabalin) are the main ones.
I find that most (about 95%) people get substantial relief with low dose Imipramine taken at bedtime. It costs pennies.

Daniel weiss md cde facp pns cpi. ...Read more

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What's the best medicine for legs and feet burning for diabetic neuropathy?

What's the best medicine for legs and feet burning for diabetic neuropathy?

Two commonly used: Lyrica (pregabalin) or Neurontin (aka gabapentin) are the most commonly prescribed medications for neuropathic pain. ...Read more

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What is the most effective treatment for neuropathy and swollen hands that is caused by oxiplaten (a chemo drug)?

What is the most effective treatment for neuropathy and swollen hands that is caused by oxiplaten (a chemo drug)?

Difficult to treat: There are 2 forms acute and chronic. There are mixed benefits from use of calcium and magnesium infusion in the acute situation. The drug venlafaxine, an antidepressant has had some benefit in both situations. There are other drugs like Amitriptyline and Gabapentin has been helpful in some cases. It is hard to treat. It may very slowly improve if the drug is stopped. ...Read more

Dr. Bennett Machanic
1,463 doctors shared insights

Neuropathy (Definition)

Weakness, numbness, and pain from nerve damage, usually in ...Read more