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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Alternative Medication Instead Of Lyrica-150

I have neuropathy in my feet and legs from 30 + years of assembly line work,and 10 more years of security guard work on these feet .My new obama care insurance won t pay for Lyrica 150 mg. x 3 daily ?? What other meds should My Dr. try for this problem ???
Tue, 28 Feb 2017
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Diabetologist,  's  Response
Hello,
Welcome to healthcare magic
I have read your question completely and understand your concerns.

As you are unable to take Pregabalin, you could try Gabapentin. Start with 100 mg three times a day and after 3- 5 days you can increase to 300 mg 3 times a day. You can then slowly titrate thus upwards upto maximum of 600 mg three times a day. Most of my patients are able to tolerate the maximum dose of Gabapentin well.

Alternatively, you could try Amitriptyline. Start at 10-25 mg at night time. You can then slowly titrate it to maximum of 150 mg nightly within 3-4 weeks. Amitriptyline has some side effects like drowsiness, dry mouth etc, but most of patients tolerate them well at low doses.

You could ask your doctor to check your Serum folate and Vitamin B12 levels, you have folate and B12 supplements if your levels are low.

I am not from USA, hence I do not know if Gabapentin and Amitriptyline are available under Obamacare. Can you kindly visit your doctor and check with him first.

I wish you all the best.

I hope this answer has helped you.

Thank you.

Regards
Dr Sunita Sayammagaru
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Suggest Alternative Medication Instead Of Lyrica-150

Hello, Welcome to healthcare magic I have read your question completely and understand your concerns. As you are unable to take Pregabalin, you could try Gabapentin. Start with 100 mg three times a day and after 3- 5 days you can increase to 300 mg 3 times a day. You can then slowly titrate thus upwards upto maximum of 600 mg three times a day. Most of my patients are able to tolerate the maximum dose of Gabapentin well. Alternatively, you could try Amitriptyline. Start at 10-25 mg at night time. You can then slowly titrate it to maximum of 150 mg nightly within 3-4 weeks. Amitriptyline has some side effects like drowsiness, dry mouth etc, but most of patients tolerate them well at low doses. You could ask your doctor to check your Serum folate and Vitamin B12 levels, you have folate and B12 supplements if your levels are low. I am not from USA, hence I do not know if Gabapentin and Amitriptyline are available under Obamacare. Can you kindly visit your doctor and check with him first. I wish you all the best. I hope this answer has helped you. Thank you. Regards Dr Sunita Sayammagaru