
Suggest Medication For Severe Tingling In The Hands And Feet

CYMBALTA may help together with Good sugar control.
Detailed Answer:
Good day.
You seems to have diabetic peripheral neuropathy.
Good diabetes control is very essential in controlling the symptoms of neuropathy. If lyrica is not working, we could use alternate drugs. I would suggest Cymbalta. Ideally it should be taken with the main meal. Start with a small dose and go up the dose.
It is worth doing a Vitamin B12 and Thryroid blood works as well. There are several other causes other than diabetes to cause such symptoms and I presume your internist would have ruled out those causes.
Good diabetes control is very essential. What medicine are you taking now for diabetes. Addition of Insulin at night is helpful to bring down the sugars.
You need to talk to your Internal medicine specialist or Endocrinologist about the prescription of Cymbalta.
Regards
Binu


Thank you and regards, XXXXXXX
Cymablta and lyrica
Detailed Answer:
I have used Lyrica in numerous patients and to be XXXXXXX i have not seen swelling as a side effect. But existance of neuropathy itself cause swelling in ankle ( neuropathic edema).
Cymbalta doesnt cause swelling in ankle. It is used for treatment of diabetic polyneuroopathy and it effectively treat depression as well. You will have to start a low dose with the main meal and slwoly build up the dose over 2-4 weeks.
Wish you a speedy recovery
Regards
Binu

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