Top
40
Doctor insights on: Neurontin For Peripheral Neuropathy Caused By Taxol

Share
Dr. Olav Jaren
1,344 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


2

2
Any treatment for heriditary spastic paraparesis? Accompanied by sensory neuropathy?

Any treatment for heriditary spastic  paraparesis? Accompanied by sensory neuropathy?

Symptomatic treatmen: Hsp is a group of inherited disorders, often insidiously progressive and severe. There are no effective treatments to the underlying damage to the nerve axons so treatment is symptomatic. Baclofen, dantrolene and tinazidine may help with spasticity; oxybutinin with urinary urgency; gabapentin, Pregabalin and duloxetine for neuropathy. Vitamins, d, e and b6 may also help. Physical therapy also. ...Read more

3

3
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.

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

See 1 more doctor answer
4

4
Is Nortriptyline used for neuropathy or nerve pain?

Is Nortriptyline used for neuropathy or nerve pain?

Of course: Combinations of nortriptyline with another psychoactive drug are frequently prescribed for treatment of continuous neuropathic pain. ...Read more

See 3 more doctor answers
5

5
Why would a Vascular Study be recommend to me, by surgeon, for Chronic Idiopathic Peripheral Neuralgia/Neuropathy and Pudendal Neuralgia.

Why would a Vascular Study be recommend to me, by surgeon, for Chronic Idiopathic Peripheral Neuralgia/Neuropathy and Pudendal Neuralgia.

To Rule Out Ischemia: I am not certain why the test was ordered, but suspect that it may have been an attempt to insure that you are not suffering from peripheral vascular disease--which can mimic some of the symptoms of a peripheral neuropathy/neuralgia. ...Read more

See 1 more doctor answer
6

6
I have Idiopathic Peripheral Neuropathy causing sensory loss in feet. Is the electrical stimulation treatment effective in treating condition?

I have Idiopathic Peripheral Neuropathy causing sensory loss in feet.  Is the electrical stimulation treatment effective in treating condition?

Peripheral neuropath: The treatment of peripheral neuropathy relies heavily on the cause of the nerve damage. The pain of the neuropathy usually controlled with medications. Treatment with the electrical stimulation fields has been investigated and analgesic benefits have been reported, but not consistent. ...Read more

See 1 more doctor answer
7

7
Can diabetes M2 be associated with sciatic neuropathy as a cause for damaged nerve endings?

Can diabetes M2 be associated with sciatic neuropathy as a cause for damaged nerve endings?

Sciatic Neuropathy: Hello. Diabetes isn't usually associated with true sciatic neuropathy. It can result from nerve compression (tumor, hematoma, etc.) and injury in the gluteal region or thigh. In the gluteal region, it is most often caused by trauma (posterior hip dis;ocation, pelvic fracture). Nerve can be directly injured during an intramuscular injection into the buttocks. ...Read more

9

9
Mixed motor sensory peripheral neuropathy in both legs. ncs also found ulnar neuropathy both elbows. what disease can cause this?

Mixed motor sensory peripheral neuropathy in both legs. ncs also found ulnar neuropathy both elbows. what disease can cause this?

An approach: We approach peripheral neuropathy etiology by blood and urine testing, but can focus our tests based on whether this is an axonal or Schwann cell involvement, which your EMG-NCS should have indicated if done properly. Most common causes in USA are diabetes, and nutritional deficiency, associated with alcohol. Worldwide, may well be leprosy or HIV. ?Concierge? ...Read more

10

10
What chemotherapy induces peripheral neuropathy?

What chemotherapy induces peripheral neuropathy?

Some: There are some chemo that can give you peripheral neuropathy for instance taxane (docetaxel, paclitaxol), vinca alkaloids ( vincristine), platinum ( oxaliplatin, cisplatin, carboplatin) etc. ...Read more

See 2 more doctor answers
11

11
Can foot drop and mononeuritis multiplex be solely caused by low vitamin b12?

Can foot drop  and mononeuritis multiplex be solely caused by low vitamin b12?

Not typically: Vitamin B12 along with vitamin b6 and Folic Acid have a crucial role in nerve function. Low or high levels of vitamin B12 can cause symptoms affecting the nervous system; however, to have a one-sided foot drop and a mono neuritis (one nerve) multiplex is not as common - it's usually systemic (overall). Talk to your primary care physician for a complete work-up, a possible referral to neurology. ...Read more

See 1 more doctor answer
12

12
Is there a special treatment for peripheral neuropathy and nerve damage caused by inhalation of cleaning chemicals.

Is there a special treatment for peripheral neuropathy and nerve damage caused by inhalation of cleaning chemicals.

Neuropathy: No specific treatments at this time. The treatment usually begins with medications in the antidepressant or anticonvulsant categories. A nerve test Is performed to determine the type of peripheral nerve and the extent of the injury. Transcutaneous electrical nerve stimulation and spinal cord stimulation may help too. Compound creams applied to the affected areas can provide significant relief. ...Read more

See 1 more doctor answer
13

13
Can peripheral neuropathy be cured?

No: A true peripheral neuropathy, once it develops, can not be cured. Other conditions such as nerve entrapment may mimic symptoms of peripheral neuropathy and can be corrected. ...Read more

See 1 more doctor answer
14

14
Can cytomegalovirus cause peripheral neuropathy or vestibular neuritis?

Can cytomegalovirus cause peripheral neuropathy or vestibular neuritis?

Yes: I can only relate to vestibular neuritis and yes it is virtually always a viral infection of the vestibular nerve or the ganglion cells of the vestibular nerve. Cytomegalovirus is one of the viruses that can cause this. It is usually a self limited disease and there is no specific treatment except for symptomatic relief. ...Read more

17

17
Why would a Vascular Study be recommend by a surgeon for Chronic Idiopathic Peripheral Neuropathy/Neuralgia (severe left foot) and Pudendal Neuralgia?

Why would a Vascular Study be recommend by a surgeon for Chronic Idiopathic Peripheral Neuropathy/Neuralgia (severe left foot) and  Pudendal Neuralgia?

Complete: These types of conditions are not straight forward. There are many interconnecting bodily systems so this test is being ordered to rule out all potential causes. For examples, some of my pudendal neuralgia patient's have had disorder of varicose veins that compress and aggrevate the nerve. ...Read more

See 2 more doctor answers
18

18
How successful are neuro ophthalmologists in determining the cause of optic nerve damage not caused by glaucoma, MS, diabetes or tumors.

How successful are neuro ophthalmologists in determining the cause of optic nerve damage not caused by glaucoma, MS, diabetes or tumors.

The right doctor: You are going to the correct doctor to diagnose this. But be patient_not all disorders can be diagnosed and many take time and observation and repeat exams ...Read more

19

19
What is the remedy for peripheral extremityop neutopathic pain caused by disc fusion @ l5?

A disc fusion: In and of itself shouldn't cause neuropathy, an injury or entrapment of a nerve would. Why not return to the surgeon and see what they think. If you are unable to find help, i would recommend you contact dellon nerve institute. There are a few with the main one in baltimore. ...Read more

21

21
How can u just wake up one day and have peripheral neuropathy, trigeminal neuralgia? Could this be linked to CNS inflammation? What cause? 31yrwf

Possibly: Peripheral neuropathy can be any nerve , or more often refers to a type of "stocking-glove" area of feet or hands seen in diabetes, thyroid disease, B12 deficiency , .Trigeminal neuralgia is specific to that nerve , and can involve branches of the trigeminal individually.Most cases are from compression of the nerve by the superior cerebellar artery. Treatments ;gasser. Gangion block, micros. Decompr. ...Read more

23

23
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?

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

See 1 more doctor answer
24

24
What is the average dosage of gabapentin for peripheral neuropathy?

Neurontin (gabapentin) dosage: It varies depending on individual conditions and response to medication. It is difficult for say in your conditions. For most of my patients, they are taking 600-800mg three times daily for peripheral neuropathy. ...Read more

See 1 more doctor answer
25

25
Does gabapentin prevent peripheral neuropathy from getting worse?

Not exactly: Gabapentin can help control the symptoms of a peripheral neuropathy but it is less likely to really alter the ultimate course. ...Read more

26

26
Is long term use of gabapentin for relief of peripheral neuropathy a good idea?

Is long term use of gabapentin for relief of peripheral neuropathy a good idea?

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

See 2 more doctor answers
27

27
What is a good med for peripheral neuropathy? I can't take Gabapentin.

What is a good med for peripheral neuropathy?  I can't take Gabapentin.

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

28

28
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

See 2 more doctor answers
29

29
What if you can't find the cause of peripheral neuropathy?

What if you can't find the cause of peripheral neuropathy?

It is difficult: You most likely will find the cause. There are thousands of causes of neuropathy. Most common causes are just a few. If you have a hard time finding answer then go to an academic neurology center where the cases are discussed with many other doctors to find an answer. ...Read more

See 2 more doctor answers
30

30
Why does pancreatitis cause peripheral neuropathy?

Why does pancreatitis cause peripheral neuropathy?

Several reasons: Chronic pancreatitis can cause Diabetes mellitus which in turn can cause diabetic neuropathy. Malabsorption of fat soluble vitamins can lead to Vitamin B12 deficiency which can cause a peripheral neuropathy. Chronic pancreatitis patients often suffer from severe chronic abdominal pain which appears to be partly due to a peripheral neuropathy of sorts. ...Read more

32

32
What causes peripheral neuropathy in a 31yr old woman? What is treatment?

What causes peripheral neuropathy in a 31yr old woman?  What is treatment?

Diabetes, chemothera: Py, alchohol abuse, renal failure and the list goes on. Is it focal or regional, do you have other medical conditions etc. Would only be the beggining of the medical history questions your physician would ask. In some cases rremoving the offending agent or cause may reverse the damage, in other cases there is only symptomatic treatment. Please discuss this in depth with your physician. ...Read more

See 1 more doctor answer
34

34
What are the treatment Of peripheral neuropathy cause be alcoholic ?

Vitamins/therapy: Obviously begin by eliminating all alcohol intake, vitamin therapy can include an oral B complex, B-12 injections or sublingual(under the tongue dissolving tablets) B-12, Physical therapy including a series of MLS laser treatments can be helpful too. Prescription medications such a gabapentin or Lyrica (pregabalin) if painful and interfering with sleep or daily activities but often have side effects. ...Read more

35

35
Can peripheral neuropathy cause severe burning in the abdomen & head?

Can peripheral neuropathy cause severe burning in the abdomen & head?

Peripheral neuropath: Most of the peripheral neuropathies affect the arms and legs. However, at your age, burning pain can be likely due to herpes zoster (shingles). Look for any skin lesions. Dry skin may also cause burning type of pain. Simple vaseline may be helpful. See a physician if it lasts longer ...Read more

36

36
Does later stage hiv/aids usually cause more symptoms than just peripheral neuropathy?

Does later stage hiv/aids usually cause more symptoms than just peripheral neuropathy?

YES: Superinfection, eye disease, dementia, depression, and opportunitic fungal disease..are just a few of the many possibilities. ...Read more

38

38
Besides the common causes of peripheral neuropathy, what else could possibly cause it? No alcohol, no diabetes, or toxins

Besides the common causes of peripheral neuropathy, what else could possibly cause it? No alcohol, no diabetes, or toxins

Everyone has toxins: Toxins are the cause of 95% of human disease. Everyone has them and most do not know it or which ones they have. You body probably is having a rough time getting g rid of the toxic load that you have , but do know about . Find a acam doctor who is experienced in determining the types of toxins and the extent to which you are affected and how to get rid of them. ...Read more

See 1 more doctor answer

Gabapentin (Definition)

Also called neurontin, (gabapentin) is an anticonvulsant medication used to treat seizure, also for post-herpetic neuralgia & other neuropathic pains, as well as restless leg syndrome. It works by lowering excitation ...Read more


Dr. Adam Lewis
504 doctors shared insights

Peripheral Neuropathy (Definition)

A generic medical term for dysfunction of the nerves that carry information to and from the central nervous system (the ...Read more