8 doctors weighed in:

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

8 doctors weighed in
Dr. PHILIP WALLER
Internal Medicine - Rheumatology
3 doctors agree

In brief: 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.

In brief: 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.
Dr. PHILIP WALLER
Dr. PHILIP WALLER
Thank
3 doctors agree

In brief: Anti-convulsants

Depending on the patient, a number of anti-convulsants are useful in diabetic neuropathy.
My preference is for lyrica, (pregabalin) but not all patients tolerate it. Talk to your dr, & consider your options.

In brief: Anti-convulsants

Depending on the patient, a number of anti-convulsants are useful in diabetic neuropathy.
My preference is for lyrica, (pregabalin) but not all patients tolerate it. Talk to your dr, & consider your options.
Dr. Kitturah Schomberg-Klaiss
Dr. Kitturah Schomberg-Klaiss
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Dr. Angus Worthing
Internal Medicine
2 doctors agree

In brief: Nerve medicine

Lyrica, (pregabalin) or its generic predecessor gabapentin, are good options.
Your doctor is the best source of information.

In brief: Nerve medicine

Lyrica, (pregabalin) or its generic predecessor gabapentin, are good options.
Your doctor is the best source of information.
Dr. Angus Worthing
Dr. Angus Worthing
Thank
Dr. Payam Rafat
Podiatry
1 doctor agrees

In brief: Many options.

Topical capsaicin may be helpful for some, while others may benefit with oral medication such as Pregabalin (lyrica), Amitriptyline (elavil), duloxetine (cymbalta), Gabapentin (neurontin), Carbamazepine (tegretol), or valproate (depakote) to reduce the painful symptoms in the feet due to neuropathy.
Watch you sugar intake, and have your vitamin b levels checked and supplemented as necessary.

In brief: Many options.

Topical capsaicin may be helpful for some, while others may benefit with oral medication such as Pregabalin (lyrica), Amitriptyline (elavil), duloxetine (cymbalta), Gabapentin (neurontin), Carbamazepine (tegretol), or valproate (depakote) to reduce the painful symptoms in the feet due to neuropathy.
Watch you sugar intake, and have your vitamin b levels checked and supplemented as necessary.
Dr. Payam Rafat
Dr. Payam Rafat
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