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Suggest Alternative Treatment And Medication For Chronic Neuropathy In Feet
Question: My 90 year old mother is dealing with chronic Neuropathy in her feet, she is not diabetic. Lyrica was tried and produced side effect of a swollen tongue. Other prescribed pain relievers have proven ineffective.
Is there any new approach can you offer??
Is there any new approach can you offer??
Brief Answer:
Amitriptyline/Duloxetine can be tried.
Detailed Answer:
Hi XXXX,
Thanks for being here on Healthcaremagic.com.
I am Dr.Ajay Panwar, a neurologist, here to answer your query.
I have gone through your mother's clinical and medication details.
Lyrica(Pregabalin) is known to cause allergic reaction causing swelling of face and lips.
It should be stopped and other anti-neuralgic medicines like 'amitriptyline' and 'duloxetine' should be tried.
It is important to establish the cause of chronic neuropathy .Since your mother is not a diabetic,it becomes important to establish the etiology.Once the etiology(cause) is established,a targetted approach specific towards the disease can be applied.
Anti-neuralgics(like Lyrica) are not disease specific drugs.
Investigations should be done-Serum vitamin B12,Blood sugar fasting(repeat it),nerve conduction studies.Thyroid disorders also can be a cause of neuropathy.So,please repeat thyroid function tests to see if hypothyroidism is well controlled.
Actually a thorough neurological examination by a neurologist is mandated because she is not responding to anti-neuralgic drugs and it is important to establish the cause of the neuropathy.
Hope I answered your query.If you have some follow-up questions,I shall be glad to answer,else please close the thread and rate it.
PLEASE TAKE MEDICINES UNDER THE SUPERVISION OF A PHYSICIAN ONLY.
Dr.Ajay Panwar,
MD,DM(Neurology)
Amitriptyline/Duloxetine can be tried.
Detailed Answer:
Hi XXXX,
Thanks for being here on Healthcaremagic.com.
I am Dr.Ajay Panwar, a neurologist, here to answer your query.
I have gone through your mother's clinical and medication details.
Lyrica(Pregabalin) is known to cause allergic reaction causing swelling of face and lips.
It should be stopped and other anti-neuralgic medicines like 'amitriptyline' and 'duloxetine' should be tried.
It is important to establish the cause of chronic neuropathy .Since your mother is not a diabetic,it becomes important to establish the etiology.Once the etiology(cause) is established,a targetted approach specific towards the disease can be applied.
Anti-neuralgics(like Lyrica) are not disease specific drugs.
Investigations should be done-Serum vitamin B12,Blood sugar fasting(repeat it),nerve conduction studies.Thyroid disorders also can be a cause of neuropathy.So,please repeat thyroid function tests to see if hypothyroidism is well controlled.
Actually a thorough neurological examination by a neurologist is mandated because she is not responding to anti-neuralgic drugs and it is important to establish the cause of the neuropathy.
Hope I answered your query.If you have some follow-up questions,I shall be glad to answer,else please close the thread and rate it.
PLEASE TAKE MEDICINES UNDER THE SUPERVISION OF A PHYSICIAN ONLY.
Dr.Ajay Panwar,
MD,DM(Neurology)
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
Answered by
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