Suggest Alternate Medication For Cymbalta To Treat Neuropathy
You should get the FAA Approved List for Definitive Response
Detailed Answer:
The FAA's list of approved medications for pilots is rather funny because such a list ACTUALLY DOES NOT EXIST. NOTWITHSTANDING, the FAA does have a set of medications that they will approve for specific diagnoses being treated.
In your case what you're doing is using drugs typically FDA approved for depression to treat neuropathy. Medically speaking it is acceptable for SSRI's to be used as a treatment for neuropathy although in my opinion they are poor in efficacy. The problem is that most of the more robust drugs for neuropathy are NOT APPROVED by the FAA such as NORTRIPTYLINE or AMITRIPTYLINE.
Lexapro and Zoloft are approved medications but read what the FAA states about these drugs:
Anti-Depressants / Anxiety - Single-use Anti-Depressants such as: Celexa (Citalopram Hydrobromide), Lexapro (Escitalopram Oxalate), Prozac (Fluoxetine Hydrochloride), Wellbutrin (Bupropion) or Zoloft (Sertraline Hydrochloride) may be approved by the FAA for depression on a case by case basis only. Approval is very strict, and does not permit applicants to be approved by an AME or even the FAA office in Oklahoma City. These cases are decided by the FAA office in XXXXXXX D.C..
I have found that ALPHA LIPOIC ACID can treat some milder cases of neuropathy. Of course, the best way to treat neuropathy is to treat the root cause such as diabetes mellitus, thyroid dysfunction, Vitamin B12 and D deficiency, or certain forms of autoimmune diseases. In order to know whether or not you have any of these disorders you need to have a full panel of laboratory analyses performed.
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