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Diabetic, Have Peripheral Neuropathy In Feet. Was Taken Off Gabapentin And Given Lyrica. Problem Walking And Gained Weight

Posted on Mon, 21 Oct 2013

Question: I have Perifial Nerapathy in my feet, do to type 2 diabiedies. My doctor slowly tock me off Gabapentin 300mg. x 3, 3-times a day... To Lyrica 50 mg. 3 - times a day. My pain is so bad i`me haveing a hard time event to walk. Plus i`ve gain 10l bs. I have some 300 & 100 mg. of Gabapentin left over. Can I take both. Im`e almost to the point of removeing both my feet...

Answered by Dr. Srikanth Reddy (50 minutes later)

Brief Answer:
Some.clarifications

Detailed Answer:
Hello,

Thanks for using health care magic for posting your query.

I have gone through your question in detail and I can understand what you are going through.

However I would require a couple of more details to help you in answering your query in a better justified way.

1) what was the reason for shifting your medicine
2. Is your sugar level controlled
3. Have you tried any other medicine for peripheral neuropathy

Hope to hear from you at your earliest convenience.

Regards and wish you good health,

Dr. Srikanth Reddy MD

Neuro-Psychiatrist and Sexologist

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Srikanth Reddy (14 hours later)

I had been on Gabapentin for over 1 year, due to the Shingles. My Dr. thought I was getting amune to it. I requested the Lyrica to see if it would be better. Now i`me in more pain than ever before I know the Lyrica is somewhat working because I delibertly missed a dose. The pain got worse. Iv`e got my blood sugar, I beleive, in control. My average is 128. The only other drug I only take when in severe pain is Hydrocodone / acetaminophen 10-325 T. Which is only a temperary releaf.

Answered by Dr. Srikanth Reddy (12 minutes later)

Brief Answer:
you should try other medicines as well

Detailed Answer:
Hello
Thanks for the add on details.
I understand that you did not have complete recovery with either gabapentin and pregabaline. Moreover prgabaline has made the situation further.
In your case you should try other medicines as well like carbamazepine and amitryptiline. You can use them in combination with pregabaline or gabapentin.
You can discuss these optioms with your consultant.
Also keep maintaining a strict sugar control
Regards
Dr. Srikanth Reddy

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Srikanth Reddy (33 minutes later)

What is the answer to my origenal question??? Can I take Gabapentin with Lyrica. Also if my blood sugar hits 160-180 would that afect my pain?
If my blood sugar is high, will that cause more pain to my feet, due to my Peripheral Neuropathy???

Answered by Dr. Srikanth Reddy (11 hours later)

Brief Answer:
Yes you can take them together

Detailed Answer:
Hello
Yes you can take Gabapentin and Lyrica together. The only problem that can occur is over sedation which you should watch for. IN that case then you can reduce the dosage.
Yes, you sugar levels have bearing n your neuropathy pain. It wont be a sudden increase but if your sugars are not maintained, then over a period of time the pain will increase.
Regards
Dr. Srikanth Reddy

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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar