14 doctors weighed in:
Other than Neurontin (gabapentin) what are acceptable pain meds to treat severely painful diabetes neuropathy?
14 doctors weighed in

Dr. Susan Wingo
Internal Medicine - Endocrinology
6 doctors agree
In brief: Many
There are two medications that are fda-approved for this condition.
They are cymbalta, and lyrica (pregabalin). Other meds are often used as well, including tricyclic antidepressants such as nortriptyline and trazodone, and anti-seizure meds such as topiramate, Gabapentin (neurontin), and carbamazepine. Capsaicin (chemical that makes jalapenos hot) creams can also be helpful and don't need a prescription.

In brief: Many
There are two medications that are fda-approved for this condition.
They are cymbalta, and lyrica (pregabalin). Other meds are often used as well, including tricyclic antidepressants such as nortriptyline and trazodone, and anti-seizure meds such as topiramate, Gabapentin (neurontin), and carbamazepine. Capsaicin (chemical that makes jalapenos hot) creams can also be helpful and don't need a prescription.
Dr. Susan Wingo
Dr. Susan Wingo
Thank
Dr. Einar Ottestad
Pain Management
3 doctors agree
In brief: Many
Lyrica, (pregabalin) cymbalta, tca like desipramine/amitriptylene, anticonvulsant like keppra, topamax, tegretol, teileptal, lamictal.
Also consider supplements Alpha lipoic acid, acetylcarnitine, and fish oil which have proven efficacy in dn.

In brief: Many
Lyrica, (pregabalin) cymbalta, tca like desipramine/amitriptylene, anticonvulsant like keppra, topamax, tegretol, teileptal, lamictal.
Also consider supplements Alpha lipoic acid, acetylcarnitine, and fish oil which have proven efficacy in dn.
Dr. Einar Ottestad
Dr. Einar Ottestad
Thank
Dr. Melissa Young
Internal Medicine - Endocrinology
3 doctors agree
In brief: Many
There's lyrica, (pregabalin) Cymbalta and narcotic pain meds.
You can also apply a capsaicin cream to the affected area. You also want to protect your feet from injury, no walking barefoot and inspect you feet daily for small cuts and blisters.

In brief: Many
There's lyrica, (pregabalin) Cymbalta and narcotic pain meds.
You can also apply a capsaicin cream to the affected area. You also want to protect your feet from injury, no walking barefoot and inspect you feet daily for small cuts and blisters.
Dr. Melissa Young
Dr. Melissa Young
Thank
2 comments
Dr. Larry Armstrong
You can also try some antidepressants like Elavil or Pamelor.
Dr. Thomas Byrnes
Especially for patients without insurance or prescription plan, I have seen very good results with low dose nortriptyline.
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