Doctor insights on:
Nortriptyline For Neuropathy
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
How much weight gain is possible on nortriptyline? Is it worth going on for nerve issues/pain and neuropathy/tremors?
Depends. . .: Weight gain is one of the common side effects of nortriptyline and its precursor, amitriptyline. How much weight you gain depends upon you, the individual. Same goes for whether its worth trying it to treat nerve issues as you've asked. Do your research & talk to your doc about all your options, especially risk vs benefit which varies from person to person & w/time & circumstance. ...Read more
My doctor prescribed nortriptyline 25 mg to take by mouth at bedtime for brain/ nerve damage. Is this effective?
What do you suggest if my doctor prescribed nortriptyline 25 mg to take by mouth at bedtime for brain/ nerve damage.?
Most Rx limited help: The central nervous system is made up of the brain and the spinal cord; all the nerves to the rest of the body stem from the cns, and is called peripheral nervous system; neuropathy (n) is a disorder of the peripheral nerves. Examples are diabetic neuropathy, alcohol-induced n. And carpal tunnel, a n. Of the median nerve in the wrist. Gabapentin, lyrica, (pregabalin) tegretol etc may help but no cures, yet. ...Read more
Find the cause: The best treatment for neuropathy is to treat the cause (for diabetic neuropathy: control blood sugars, lose weight. For thyroid-related neuropathy, optimize thyroid medication dose. For B12 deficiency, replace lost vitamin b12. For toxic neuropathy, drink no alcohol; etc). Prescription medications for neuropathy do not cure the condition or heal the nerves, they only help alleviate nerve pain. ...Read more
Way too broad: That question can't possibly be answered in 400 characters, or 400 words, or 400 lines, or even, if you're a neuroscientist, in 400 pages. Some researchers spend their entire careers studying just one type of neuropathy. If you want to educate yourself, I recommend starting at http://www. Neuropathy. Org. ...Read more
Poor nerve function: Nerve disease/damage thought to be caused by poor blood supply to nerves &/or high blood sugar. There are 2 types of neuropathy: peripheral and autonomic. Peripheral causes loss of feeling in hands/feet, weakness & imbalance. This can lead to wound development & possible amputation. Autonomic leads to heart problems, problems w/ body temp, erectile dysfunction, dry skin, & digestive problems. ...Read more
Numbness, pain, weak: Just as there are many causes for neuropathy, there are many symptoms as well. Neuropathy can cause numbness, pain (typically with a burning or electrical quality), or weakness. It can also cause imbalance (due to inability to feel in the feet) as well as blood pressure problems (because of loss if innervation of the heart and blood vessels). ...Read more
Nortriptylene: Generally a doctor would prescribe an antidepressant like nortriptylene to help someone's life, not ruin it. Depression itself can ruin a life! But this medicine can also bring side effects like rapid heart rate, dry mouth, constipation, and sexual problems. If you're having symptoms you think may be related to this medicine, it's time to discuss it with your doctor. Other options are available. ...Read more
No specific foods: While no foods will improve your neuropathy, unless you have a vit b deficiency, keeping the factors that caused the neuropathy in control are most important. For example, patients with diabetic neuropathy need to keep their sugars under control to decrease the risk of progression of their neuropathy. Diabetics should try eating healthier, lower glycemic foods. Hope that helps! ...Read more
Burning tingling: Sensory neuropathy is broken down into large fiber (loss of sensation, loss of proprioception) and small fiber (burning, tingling sensation). It's the small fiber component that most patients complain about. They also relate sensation of ants crawling on their feet and legs. ...Read more
Many types: There are many types of neuropathy, many associated with other disorders. Just a few. Acute motor, subacute sensorimotor, asymmetric polyneuropathies, chronic sensorimotor polyneuropathies, inherited polyneuropathies of mixed sensorimotor types-idiopathic type, metabolic type, neuropathy with mitochondrial disease, relapsing polyneuropathy, mononeuropathy/plexopathy. Some examples in topic tags. ...Read more
Older antidepressant: Classified as a tricyclic antidepressant, and considered of modest benefit these days due to significant anti-cholinergic side effects (drowsiness, dizziness, dryness of mouth, blurring, and perhaps effect on bladder). Confusion may occur in older folks. Had some value in migraine prevention at one point. Used rarely these days as better meds are available. ...Read more
Side effects persist:
Established blood level measuring and therapeutic ranges are available to guide dosing and provide feedback if doses threaten safety for example cardiac.
Most abandon meds that provide significant side effects. They can be unpleasant but can cause various medical problems in their own right. Weight gain, dry eyes/mouth, urinary hesitancy, sedation, memory problems. All are reversible. ...Read more
Many ways: Neuropathy in of itself can be related to many different disease processes, such as diabetes. Improved control of the disease process may result in some improvement in the neuropathy symptoms. Other treatments may include meds in anti-seizure class that act to "calm" over active nerves causing discomfort. If refractory to meds and conservative tx, neuromodulation through spinal cord stimulation. ...Read more
Depends: There are many causes of neuropathy, including diabetes, B12 deficiency, alcohol, autoimmune (lupus, rheumatoid, vasculitis), heavy metal toxicity, chemotherapy, nerve entrapment. Many forms of neuropathy can be treated and pain can be reduced or eliminated. Treatment depends on the cause. ...Read more
Poisoned nerves: Long term use of excessive alcohol causes nerve damage. The symptoms can be burning pain, tingling sensation, numbness, or weakness. Other symptoms of alcohol polyneuropathy include problems with walking, blood pressure that drops too much when standing causing lightheadedness/fainting. Symptoms are worse when there is also vitamin deficiency such as thiamine deficiency, which can cause dementia. ...Read more
What are you saying: Neuropathy refers to damage to nerves and in the case of peripheral neuropathy nerve of the peripheral nervous system. This may be caused either by diseases of or trauma to the nerve or the side-effects of systemic illness. There are central neuropathies also which can be related to the damage to the nerves of the central nervous system. Are you saying this to the teacher? ...Read more
Talk w/psychiatrist: Before making this decision, please discuss it with the doctor who prescribed it for you (hopefully a psychiatrist). Together you need to review the initial problems you were having, and see where you are with them now. Otherwise these could return when the nortriptylene is tapered or stopped. ...Read more
Radial neuropathy: The radial nerve travels across the back of the humerus (upper arm bone) and supplies the brachioradialis muscle and the skin sensation to the back of the hand (among other things). The muscle helps you turn a doorknob clockwise with your right hand (CCW with the left). Radial neuropathy often occurs when we lean our arm over the back of a chair and fall asleep. It also causes a "wrist drop". ...Read more
Neuropathy: Multifocal motor neuropathy is a progressive muscle disorder characterized by muscle weakness in the hands, with differences from one side of the body to the other in the specific muscles involved. It affects men much more than women. Symptoms also include muscle wasting, cramping, and involuntary contractions or twitching of the leg muscles. ...Read more
Classified as a tricyclic antidepressant, and considered of modest benefit these days due to significant anti-cholinergic side effects (drowsiness, dizziness, dryness of mouth, blurring, and perhaps effect on bladder). Confusion may occur in older folks. Had some value in migraine prevention at one point. Used rarely these days as ...Read more