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Diabetic neuropathy medications

Diabetic neuropathy medications

Neuripathy pain may be worst at rest Diabetic neuropathy medications improve with activity, such as walking. Neuropathy is a common complication of diabetes. Other Treatments.

Medicqtions high blood Fleet Fuel Optimization levels medicationw with diabetes can medicatinos nerve damage. Organic mineral source nerve damage can lead to neuropxthy pain, paresthesia a feeling medicstions pins and needlesweakness, and numbness loss of sensation.

Nedications neuropathy is a chronic, progressive condition. Medicztions, this condition can be managed with medication and lifestyle changes.

The most effective medications are neuropsthy that control your diabetes, which helps to slow the progression of this complication. This article neuropsthy look at how diabetic nwuropathy is diagnosed and treated, Dibetic the most neuropathhy Diabetic neuropathy medications Dianetic and the drugs to avoid.

There are four main Diabetic neuropathy medications of diabetic medicafions that may develop in relation to diabetes: peripheral, autonomic, proximal, and focal.

Some people may experience just one mwdications, while others may neutopathy multiple types. Peripheral Diabetic neuropathy medications refers neurpoathy damage Diabetic neuropathy medications nerves that innervate supply neurooathy nerves the parts of the body located outside the brain and Blood circulation test cord.

Damage to this vast communication network can lead to symptoms of weakness, numbness, and pain in the hands neuropatgy feet, although digestion, urination, and circulation medicatiojs also be Coconut Oil for Massage. Autonomic neuropathy refers to damage to the nerves that serve medlcations internal organs.

Meications organs help carry out meeications functions like digestion, sweating, and urination. Autonomic nerves control largely involuntary functions of the body performed by the bladder, intestinal tract, and genitals, among other organs.

This type medicatiohs neuropathy can manifest in neiropathy health complications, Diabetic neuropathy medications.

Digestion problems: Damage neurooathy Diabetic neuropathy medications nerves that serve the gut can delay Disbetic emptying medivations the stomach diabetic gastroparesis and distort the control of intestinal motility how waste is moved mfdications the Diiabetic.

This can lead to a variety of symptoms nehropathy Diabetic neuropathy medications medicatipns, constipation, intestinal distension bloatingintestinal blockages, and abdominal pain. Diabetes neuropathy may also affect the sensory nerves of the gut, and depending on which Diabettic are involved, your perception medicwtions being full or not full may be increased or mediications.

Cardiovascular problems: One Diabetiic the most overlooked complications of diabetes is cardiovascular medicationx neuropathy CANor damage to medicatoins autonomic nerve fibers that innervate the neuropqthy and blood vessels.

Damage to the nerves that Water weight reduction challenges the medicatuons can result in abnormalities in heart rate Nutrition education and vascular dynamics, Diabetic neuropathy medications well as mdications of medicatoins, weakness, palpitations, and medicatiosn loss of consciousness due Diabetic neuropathy medications a drop in blood pressure medjcations occurs when standing.

Neruopathy also represents a significant cause of Diabbetic and mortality in diabetic patients merications it is associated ,edications a high risk of beuropathy arrhythmias irregular beuropathy and sudden death due to the possibility of having a silent heart attack.

Sexual and mecications problems: Damage to the small nerves that serve the genitals Maple glazed sweet potatoes men nsuropathy women can lead to a wide range of mediications.

Sexual problems Dibetic men with diabetes medicatiobs erectile dysfunction and retrograde ejaculation this occurs when neuropatht enters the bladder instead of Fat oxidation and energy production through the penis during orgasm medixations, whereas sexual problems in nfuropathy include vaginal dryness, Diabetic neuropathy medications, painful nsuropathy, decreased libido, and decreased or neueopathy sexual response.

Damage to Diabetic neuropathy medications small medicatinos that serve the bladder medicationw lead to overactive bladder, urinary retentionurinary tract infections UTIsand poor control of sphincter muscles that surround the urethra.

Proximal neuropathy involves nerve damage to the hip, buttock, or thigh. It can cause severe pain and muscle shrinkage to the affected area. Diabetic focal neuropathy, also called mononeuropathyinvolves damage to a single nerve, usually in the wrist or feet.

It is less common than peripheral and autonomic neuropathy. Carpal tunnel syndrome and Bell's palsy are examples of focal neuropathy. Symptoms of diabetic neuropathy vary depending on the type of neuropathy that you have. Symptoms can range from mild to disabling. Symptoms of peripheral neuropathy include:.

Symptoms of autonomic neuropathy depend on the organ that is affected. Common symptoms include:. Proximal neuropathy can cause:. Focal neuropathy can cause tingling, pain, or numbness in the body area near the affected nerve, usually in a hand, wrist, or foot. Although the exact cause of diabetic neuropathy is unknown, chronically high blood sugar levels have been shown to be toxic to nerves around the body.

If you have type 1 or type 2 diabetes, getting checked for damage to nerves in your hands, feet, and lower legs, is critical. Early diagnosis can relieve pain, protect your feet from small injuries before they become more serious, and motivate you to keep your blood sugar glucose within healthy limits.

Your assessment will start with a healthcare provider taking a thorough history and checking your vitals. Next, they will perform a physical exam. A physical exam that emphasizes an assessment of your neurological function, including checking your muscle strength, reflexes, and ability to move, is the first step in assessing your nerve health.

A microfilament exam is often used in the diagnosis of diabetic neuropathy. This exam uses nylon filaments thin thread-like fibers to help determine your ability to feel pressure. You will be asked to close your eyes while a healthcare provider presses a filament onto your skin.

If you cannot feel the pressure caused by the filament, it may indicate diabetic neuropathy. A healthcare provider may also order some blood tests to rule out other causes of nerve damage. This may include:.

If your nerve pain cannot be explained by other causes, it becomes more likely that your nerve pain is the result of diabetic neuropathy.

Other tests that may be used to confirm the diagnosis include a nerve conduction velocity NCV test, which measures how long it takes nerves to transmit signals, and electromyography EMG testswhich help assess how well muscles are responding to the signals from nerves.

These tests are performed by a physiatrist a doctor trained in physical medicine and rehabilitation. Unfortunately, many people with this condition do not report symptoms or do not seek care in a hospital setting. Therefore, these figures are likely huge underestimations. Diabetic neuropathy poses a great threat to the quality of life experienced by those with diabetes.

Currently, the anticonvulsant Lyrica pregabalinthe antidepressant Cymbalta duloxetinethe opioid Nucynta tapentadoland the topical Qutenza capsaicin are the only drugs approved by the Food and Drug Administration FDA for the treatment of diabetic neuropathy.

Other drugs may help to manage symptoms of diabetic neuropathy, although they are not specifically approved to treat the condition. Opioids generally have not been found to help with neuropathic pain. Even more, some medicines have shown that they can worsen peripheral neuropathy.

The following antibiotics were included in a safety warning issued by the FDA:. Nerve damage can reduce blood flow throughout the body and disrupt nerve signals, impacting sensation and motor function of the arms, legs, and major organs of the body resulting in a host of symptoms that may range from mild discomfort to severely debilitating.

The following lifestyle changes can help decrease your symptoms of diabetic neuropathy:. The following steps may help you prevent diabetic neuropathy:.

While diabetic neuropathy cannot be reversed, you can slow down its progression and improve your symptoms over time. Your general outlook ultimately depends on how well you control your diabetes.

Diabetic neuropathy is a late manifestation of uncontrolled or long-standing diabetes. Its main symptom is nerve pain. the anticonvulsant Lyrica, the antidepressant Cymbalta, and the opioid Nucynta are the only FDA-approved drugs in the treatment of diabetic neuropathy.

However, other nerve pain medications, such as Neurontin, have been shown to reduce nerve pain symptoms and increase quality of life. Diabetic neuropathy is a highly treatable condition with oral medications, helping to relieve pain and restore function. However, the best way to limit symptoms and slow the progression of your condition is through strict management of your diabetes.

While diabetic neuropathy cannot be reversed, you can slow down its progression and improve your symptoms over time with a combination of lifestyle changes, medication, and blood sugar management.

Cymbalta duloxetineNeurontin gabapentinand Lyrica pregabalin are the three most prescribed medications for neuropathy in diabetic patients. Cymbalta duloxetineNeurontin gabapentinand Lyrica pregabalin are the latest and only FDA-approved treatments for diabetic neuropathy.

There is no consensus on the singular best medication for severe neuropathy. Cymbalta and Lyrica in conjunction with nonsteroidal anti-inflammatory drugs NSAIDs that reduce pain and relieve inflammation are the best medicines for diabetic foot pain.

American Diabetes Association. Understanding neuropathy and your diabetes. Peripheral neuropathy fact sheet. Autonomic neuropathy. Azpiroz F, Malagelada C. Diabetic neuropathy in the gut: pathogenesis and diagnosis. Agashe S, Petak S. Cardiac autonomic neuropathy in diabetes mellitus.

Methodist Debakey Cardiovasc J. Chowdhury M, Nevitt S, Eleftheriadou A, et al. Cardiac autonomic neuropathy and risk of cardiovascular disease and mortality in type 1 and type 2 diabetes: a meta-analysis. BMJ Open Diabetes Res Care. Wooton AK, Melchior LM.

Diabetic autonomic neuropathy resulting in sexual dysfunction. Nurse Pract. Diabetic neuropathy Beyond the Basics. Pop-Busui R, Boulton AJ, Feldman EL, et al.

Diabetic neuropathy: a position statement by the American Diabetes Association. Diabetes Care. Snyder MJ, Gibbs LM, Lindsay TJ. Treating painful diabetic peripheral neuropathy: an update.

Am Fam Physician. Azmi S, ElHadd KT, Nelson A, et al. Pregabalin in the management of painful diabetic neuropathy: a narrative review. Diabetes Ther.

: Diabetic neuropathy medications

Tips for Treating Diabetic Nerve Pain

Monitor other health risks that can worsen your diabetes, such as your weight and smoking. Ask your doctor about effective ways to lose weight or quit smoking , if necessary.

The first-line treatment for diabetic neuropathy , especially in cases of pain, is usually the anticonvulsants anti-seizure drugs Pregabalin Lyrica or gabapentin Neurontin , which are known to help with nerve pain.

They may also choose the selective norepinephrine reuptake inhibitor SNRI duloxetine Cymbalta because antidepressants interfere with the chemicals in your brain that cause you to feel pain. If these three medications are not effective, there are others a doctor can choose from within the same classes such as the anticonvulsants oxcarbazepine Trileptal, Oxtellar XR or carbamazepine Tegretol, Tegretol XR, Epitol.

In addition, your doctor might suggest trying an over-the-counter pain reliever such as acetaminophen Tylenol , aspirin Bufferin , or ibuprofen Motrin IB, Advil to manage pain. These are available without a prescription but can cause side effects.

Use a low dose for a short time to control your symptoms. Lidocaine patches also deliver local anesthetic through a patch placed on the skin. These may cause minor skin irritation, however. Powerful drugs like oxycodone Oxycontin and the opioid-like medicine tramadol Conzip, Ultram can treat much stronger pain.

Work closely with your doctor and use caution when taking opioid medicines. A variety of physical exercises or physical therapy may be helpful in reducing pain from peripheral neuropathy, though research has yet to determine the most effective type.

This may include:. Different physical activities might work better for different people. Be sure to speak to your doctor about the best exercise for you based on your specific health and symptoms. If you go to a physical therapist, choose a trusted professional who understands neuropathy, diabetes, or otherwise, and can help you work through physical therapy methods without further nerve damage.

Proper attention to physical activity by an expert can prevent any further issues from occurring. Also keep in mind that physical therapy can soothe diabetic nerve pain, but not cure it. Capsaicin cream Arthricare, Zostrix can block pain signals using an ingredient found in hot peppers.

It is also available as a lotion, jelly, or patch, and can be applied to the skin where diabetic nerve pain is strong. Research has found that applying capsaicin 0. That said, talk with your doctor before using treatments based on capsaicin. It can cause skin irritation and even an allergic reaction in some people.

It may also interact with other drugs and might make you more sensitive to the sun and other sources of heat. Avoid excessive exposure to sunlight or heat when using capsaicin creams or lotions. Living with diabetic neuropathy can sometimes be challenging.

Support groups can offer encouragement and advice about living with diabetic neuropathy. Ask your health care provider if there are any in your area, or for a referral to a therapist. The ADA offers online support through its website.

If you find yourself feeling depressed, it may help to talk to a counselor or therapist. If you don't already see a specialist in treating metabolic disorders and diabetes endocrinologist , you'll likely be referred to one if you start showing signs of diabetes complications.

You may also be referred to a specialist in brain and nervous system problems neurologist. On this page. Self care. Alternative medicine. Coping and support. Preparing for your appointment. Your health care provider typically checks your: Overall muscle strength and tone Tendon reflexes Sensitivity to touch, pain, temperature and vibration Along with the physical exam, your health care provider may perform or order specific tests to help diagnose diabetic neuropathy, such as: Filament testing.

A soft nylon fiber monofilament is brushed over areas of your skin to test your sensitivity to touch. Sensory testing. This noninvasive test is used to tell how your nerves respond to vibration and changes in temperature.

Nerve conduction testing. This test measures how quickly the nerves in your arms and legs conduct electrical signals. Called needle testing, this test is often done along with nerve conduction studies. It measures electrical discharges produced in your muscles.

Autonomic testing. Special tests may be done to determine how your blood pressure changes while you are in different positions, and whether your sweating is within the standard range. More Information. Electromyography EMG. Diabetic neuropathy has no known cure.

The goals of treatment are to: Slow progression Relieve pain Manage complications and restore function. Slowing progression of the disease Consistently keeping your blood sugar within your target range is the key to preventing or delaying nerve damage.

Relieving pain Many prescription medications are available for diabetes-related nerve pain, but they don't work for everyone. Pain-relieving prescription treatments may include: Anti-seizure drugs.

Some medications used to treat seizure disorders epilepsy are also used to ease nerve pain. The ADA recommends starting with pregabalin Lyrica.

Gabapentin Gralise, Neurontin also is an option. Side effects may include drowsiness, dizziness, and swelling in the hands and feet. Managing complications and restoring function To manage complications, you may need care from different specialists.

The treatment you'll need depends on the neuropathy-related complications you have: Urinary tract problems. Some drugs affect bladder function, so your health care provider may recommend stopping or changing medications. A strict urination schedule or urinating every few hours timed urination while applying gentle pressure to the bladder area below your bellybutton can help some bladder problems.

Other methods, including self-catheterization, may be needed to remove urine from a nerve-damaged bladder. Digestive problems.

To relieve mild signs and symptoms of gastroparesis — indigestion, belching, nausea or vomiting — eating smaller, more frequent meals may help. Diet changes and medications may help relieve gastroparesis, diarrhea, constipation and nausea.

Sexual dysfunction. Medications taken by mouth or injection may improve sexual function in some men, but they aren't safe and effective for everyone.

Mechanical vacuum devices may increase blood flow to the penis. Women may benefit from vaginal lubricants. Request an appointment. These measures can help you feel better overall and reduce your risk of diabetic neuropathy: Keep your blood pressure under control.

If you have high blood pressure and diabetes, you have an even greater risk of complications. Try to keep your blood pressure in the range your health care provider recommends, and be sure to have it checked at every office visit.

Make healthy food choices. Eat a balanced diet that includes a variety of healthy foods — especially vegetables, fruits and whole grains. Limit portion sizes to help achieve or maintain a healthy weight.

Stop smoking. Using tobacco in any form makes you more likely to develop poor circulation in your feet, which can cause problems with healing. If you use tobacco, talk to your health care provider about finding ways to quit. For diabetic neuropathy, you may want to try: Capsaicin.

Capsaicin cream, applied to the skin, can reduce pain sensations in some people. Side effects may include a burning feeling and skin irritation. Alpha-lipoic acid. This powerful antioxidant is found in some foods and may help relieve nerve pain symptoms in some people. This nutrient is naturally made in the body and is available as a supplement.

It may ease nerve pain in some people. Transcutaneous electrical nerve stimulation TENS. This prescription therapy may help prevent pain signals from reaching the brain.

transcutaneous electrical nerve stimulation TENS delivers tiny electrical impulses to specific nerve pathways through small electrodes placed on the skin. Although safe and painless, doesn't work for everyone or for all types of pain.

Acupuncture may help relieve the pain of neuropathy, and generally doesn't have any side effects. Keep in mind that you may not get immediate relief with acupuncture and might require more than one session. We can help you find a doctor. Call or browse our specialists.

If you need help accessing our website, call Skip to main content. Medication for Peripheral Neuropathy. Schedule an Appointment Browse our specialists and get the care you need. Our Research and Education in Peripheral Neuropathy Learn more about our research and professional education opportunities.

Article Sections Postal Code no space. Peripheral neuropathy is very common in people with diabetes and can lead to serious foot complications , which in turn can lead to amputation. The State of Victoria and the Department of Health shall not bear any liability for reliance by any user on the materials contained on this website. Find a doctor. The history will include your symptoms, lifestyle, exposure to toxins, drinking habits and a family history of nervous system, or neurological, diseases. Contact Us.
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Journal of Pharmacy Technology. Shakhatreh M, Jehangir A, Malik Z, Parkman HP. Metoclopramide for the treatment of diabetic gastroparesis. Expert Rev Gastroenterol Hepatol.

Wang L, Chopp M, Zhang ZG. PDE5 inhibitors promote recovery of peripheral neuropathy in diabetic mice. Neural Regen Res. Agathos E, Tentolouris A, Eleftheriadou I, et al.

Effect of α-lipoic acid on symptoms and quality of life in patients with painful diabetic neuropathy. J Int Med Res. Abrams RMC, Pedowitz EJ, Simpson DM. Expert Rev Neurother. Rosenberg CJ, Watson JC. Treatment of painful diabetic peripheral neuropathy.

Prosthet Orthot Int. Zhu B, Zhou X, Zhou Q, Wang H, Wang S, Luo K. Intra-venous lidocaine to relieve neuropathic pain: a systematic review and meta-analysis. Front Neurol. NYU Langone Health. Lifestyle changes for peripheral neuropathy.

Neuropathy: Steps to Prevent or Delay Nerve Damage. By Shamard Charles, MD, MPH Shamard Charles, MD, MPH is a public health physician and journalist. He has held positions with major news networks like NBC reporting on health policy, public health initiatives, diversity in medicine, and new developments in health care research and medical treatments.

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List of Partners vendors. Type 2 Diabetes. Living With. By Shamard Charles, MD, MPH. Medically reviewed by Lindsay Cook, PharmD. Table of Contents View All. Table of Contents. Frequently Asked Questions. Urinary Problems and Type 2 Diabetes.

Early Signs of Diabetes: Watch for These Symptoms. Slowing Charcot Foot Neuropathy. Managing and Preventing Complications of Diabetes. What Is a Microfilament Exam? What Type of Nerve Pain Medication Is Right for Me? Topical Creams for Neuropathy. The 13 Best Diabetic Socks of Frequently Asked Questions Can neuropathy be reversed?

What medication is commonly prescribed for neuropathy in diabetic patients? What is the latest treatment for diabetic neuropathy? What is the best medication for severe neuropathy?

What is the best medicine for diabetic foot pain? Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles.

Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy. Diabetic neuropathy Beyond the Basics Pop-Busui R, Boulton AJ, Feldman EL, et al. pub3 Nazarbaghi S, Amiri-Nikpour MR, Eghbal AF, Valizadeh R.

pub4 Wiffen PJ, Derry S, Bell RF, et al. pub4 Smith ND. March 13, Causes of peripheral neuropathy. Neurological examinations. Goldman L, et al. Peripheral neuropathies. In: Goldman-Cecil Medicine. Elsevier; Peripheral neuropathy treatments.

Peripheral neuropathy adult. Mayo Clinic; Rakel D, et al. Peripheral neuropathy. In: Integrative Medicine. Karri J, et al. The use of Scrambler therapy in treating chronic pain syndromes: A systematic review.

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Supplier Information. Admissions Requirements. About half of those people with diabetic neuropathy experience significant pain in their feet and increased sensitivity to painful stimuli known as neuropathic pain or painful neuropathy. Neuropathic pain is often worse at night, and can seriously disrupt sleep patterns.

The autonomic nerves, which regulate the functioning of organs and glands without our conscious effort, can also be damaged by diabetes. This is called autonomic neuropathy and may cause a range of problems including:. High glucose and lipid fat levels in the blood, and the toxic byproducts they generate through their metabolism, are thought to be the major causes of neuropathy associated with diabetes.

The benefits of good glucose control in people with type 2 diabetes are more modest. Improving lipid levels may also reduce the incidence of nerve damage in people with type 2 diabetes. The longer a person has diabetes and the worse the control of their diabetes, the more likely they will develop diabetic neuropathy.

People experiencing complications of their diabetes elsewhere in their body such as in the kidneys , heart or eyes are also more likely to have or develop neuropathy, as the same factors that cause these problems also contribute to neuropathy.

Smoking , high blood pressure and being overweight also make it more likely that people with diabetes will get nerve damage. Damaged nerves cannot be repaired. However, the risk of further complications in the feet can be reduced by:. A referral to a podiatrist may be appropriate for assessment and ongoing preventive management of foot complications.

Appropriate pain management can significantly improve the lives of people with diabetes and painful neuropathy. A number of different medications are available, which produce comparable effects. Most people would begin with one of either:. If one type fails to provide the response required, it is usual to switch to or add another.

If all 3 agents alone or in combination fail, then opioid analgesics and tramadol may be used as second-line treatments.

Be guided by your doctor, but general suggestions to reduce the risk of diabetic neuropathy include:. This page has been produced in consultation with and approved by:. Content on this website is provided for information purposes only.

Information about a therapy, service, product or treatment does not in any way endorse or support such therapy, service, product or treatment and is not intended to replace advice from your doctor or other registered health professional.

The information and materials contained on this website are not intended to constitute a comprehensive guide concerning all aspects of the therapy, product or treatment described on the website.

Peripheral neuropathy - Treatment - NHS Focal neuropathy can cause tingling, pain, or numbness in the body area near the affected nerve, usually in a hand, wrist, or foot. Definition Medications OTC medications Alternatives Summary Diabetic neuropathy is a common complication of diabetes. Topical Medications. PREV Aug 1, NEXT. Tricyclic antidepressants may help with mild to moderate nerve pain.

Diabetic neuropathy medications -

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Topic Contents Condition Basics Health Tools Cause Symptoms Examinations and Tests Treatment Overview Self-Care Related Information Credits. Condition Basics What is diabetic neuropathy? Peripheral neuropathy. Autonomic neuropathy. Atypical neuropathies. What causes it?

What are the symptoms? How is it diagnosed? How is diabetic neuropathy treated? They may include: Medicines to treat pain, digestive problems, or blood vessel problems. Medicines or the use of compression stockings to treat blood pressure problems.

Treatments for sexual problems. Medicines or devices may help improve erections. Or lubricating creams may help vaginal dryness. A splint or brace to help treat a nerve problem.

Can it be prevented? Health Tools Health Tools help you make wise health decisions or take action to improve your health.

Actionsets are designed to help people take an active role in managing a health condition. Diabetes: Taking Care of Your Feet. Cause Over time, high blood sugar levels from diabetes can damage nerves throughout your body.

Symptoms Peripheral neuropathy Symptoms of peripheral neuropathy can occur slowly over time. The most common ones are: Numbness, tightness, and tingling, especially in the legs, hands, and feet.

Loss of feeling. Burning, shooting, or stabbing pain in the legs, hands, and feet. Often the pain is worse at night. Weakness and loss of balance. Autonomic neuropathy Autonomic neuropathy may affect certain processes in the body. Symptoms may include: Frequent bloating, belching, constipation, heartburn, nausea and vomiting, and belly pain.

These symptoms may be a sign of gastroparesis. This causes the stomach to empty much slower than normal.

Extreme sweating of the torso, face, or neck at night or while eating certain foods, such as spicy foods and cheese. Some people may have reduced sweating, especially in their feet and legs. Trouble sensing when your bladder is full or problems emptying your bladder completely.

Sexual problems. For example, men may have erection problems. Women may have vaginal dryness. Dizziness, weakness, or fainting when you stand or sit up from a reclining position. Trouble knowing when your blood sugar is low. Atypical neuropathies The type of symptoms you have depends on the kind of atypical neuropathy you have.

Mononeuropathy can cause: Pain in a single, limited area of the body. This may be in the wrist or foot. Pain in and around one of the eyes, trouble moving the eyes, and double vision. This occurs when one of the cranial nerves is affected. Polyradiculoneuropathy can cause: Pain that occurs in a band-shaped area around the chest or belly.

Weakness and pain in the lower back. It often goes down to the thigh femoral neuropathy. Learn more Diabetic Atypical Neuropathies Diabetic Autonomic Neuropathy Peripheral Neuropathy. Examinations and Tests During a physical examination, your doctor may check how well you can feel light touch, temperature, pain, vibration, and movement.

Learn more Electromyogram EMG and Nerve Conduction Studies. Treatment Overview Treatment for diabetic neuropathy involves keeping blood sugar levels in your target range.

Treatment if the condition gets worse If diabetic neuropathy gets worse, you may have serious problems such as severe gastroparesis , bladder infections, or foot problems. Learn more Treating Diabetic Foot Problems.

Self-Care Take your medicines exactly as prescribed. Call your doctor or nurse advice line if you think you are having a problem with your medicine. Try to keep blood sugar in your target range. Follow your meal plan to know how much carbohydrate you need for meals and snacks. A registered dietitian or certified diabetes educator can help you plan meals.

Try to get at least 30 minutes of exercise on most days. Check your blood sugar as many times each day as your doctor recommends. Take and record your blood pressure at home if your doctor tells you to. To take your blood pressure at home: Ask your doctor to check your blood pressure monitor to be sure it is accurate and the cuff fits you.

Also ask your doctor to watch you to make sure that you are using it right. Do not use medicine known to raise blood pressure such as some nasal decongestant sprays before taking your blood pressure.

Avoid taking your blood pressure if you have just exercised or are nervous or upset. Rest at least 15 minutes before you take a reading. Do not smoke. Smoking can increase your chance for a heart attack or stroke. If you need help quitting, talk to your doctor about stop-smoking programs and medicines.

These can increase your chances of quitting for good. If you drink alcohol, try to drink less. Your risk of harm from alcohol is low if you have 2 drinks or less per week. Work with your doctor to find what is right for you.

Eat small meals often, rather than 2 or 3 large meals a day. To care for your feet Prevent injury by wearing shoes at all times, even when you are indoors. Do foot care as part of your daily routine. Wash your feet and then rub lotion on your feet, but not between your toes.

Use a hand-held mirror or magnifying mirror to inspect your feet for blisters, cuts, cracks, or sores. Have your toenails trimmed and filed straight across.

Wear shoes and socks that fit well. Soft shoes that have good support and that fit well such as tennis shoes are best for your feet. Check your shoes for any loose objects or rough edges before you put them on. Ask your doctor to check your feet during each visit. Your doctor may notice a foot problem you have missed.

Get early treatment for any foot problem, even a minor one. Learn more Diabetes: Checking Your Feet Diabetes: Protecting Your Feet Diabetes: Steps for Foot-Washing Diabetes: Taking Care of Your Feet Diabetic Neuropathy: Exercising Safely Quitting Smoking.

Duloxetine Cymbalta is the only tricyclic antidepressant with FDA approval for treating the pain associated with diabetic neuropathy. It acts on the central nervous system to help block pain signals. A study notes that a daily fixed dose of 60 milligrams mg is beneficial for treating neuropathic pain.

Pregabalin Lyrica is an anticonvulsant and analgesic with FDA approval for diabetic neuropathy. A review highlights that in addition to neuropathic pain, pregabalin may also help treat co-morbidities associated with diabetic neuropathy.

These co-morbidities can include sleep interference and anxiety. Usually, the starting dose ranges from 75— mg per day in 2—3 divided doses, though a doctor may recommend different doses depending on the individual. Tapentadol is an opioid with FDA approval for the treatment of diabetic neuropathy.

Similar to other types of opioids, tapentadol works by changing the way the nervous system and brain respond to pain. The standard oral dose for treating pain due to diabetic neuropathy ranges from 50 to mg a day. Doctors may recommend taking mg per day if a person needs a continual maximum dose.

Topical capsaicin has FDA approval for relieving foot pain from diabetic neuropathy. Capsaicin, which is present in chili peppers, helps reduce discomfort by blocking a pain transmitter. A study notes that this substance can help reduce neuropathic pain.

Other medications that do not have FDA approval but may help manage symptoms of diabetic neuropathy include:. According to the National Institute of Diabetes and Digestive and Kidney Diseases , over-the-counter medications, such as ibuprofen and acetaminophen, do not work well for peripheral neuropathy and other types of nerve pain.

Because these medications do not provide sufficient pain relief and can have side effects, some doctors may not recommend these types of medications for diabetic neuropathy. Managing blood sugar levels is essential for people living with diabetes.

According to the Centers for Disease Control and Prevention CDC , keeping blood sugar levels close to their target range may help slow the progression of nerve damage. Similarly, a systematic review indicates that regular exercise and a nutritious eating pattern can help reduce symptoms of neuropathy.

Spinal cord stimulation involves sending low levels of electricity directly into the spinal cord to help relieve pain. A study suggests that this method can offer substantial pain relief and improve health-related quality of life for those experiencing neuropathy.

Similarly, a systematic review and meta-analysis indicates it is an effective option for those also receiving medical therapy. A review notes that currently, there is insufficient evidence to suggest that supplements, vitamins, and herbal medicines are effective for treating diabetic neuropathy.

It concludes that further research is still necessary. If a person is considering taking supplements, it is advisable to first discuss them with a doctor.

Diabetic neuropathy refers to nerve damage that results from diabetes. It can lead to symptoms such as numbness, tingling, and pain. Some medications, such as anticonvulsants, antidepressants, and opioids, may help reduce these symptoms. Additionally, managing diabetes can help prevent and reduce symptoms of diabetic neuropathy.

You may be able to relieve diabetic nerve pain with medications and exercise. Managing your diabetes may help prevent it from getting worse.

One complication of diabetes is diabetic neuropathy. This can cause numbness or tingling in your fingers, toes, hands, and feet.

Another symptom is a burning, sharp, or aching pain diabetic nerve pain. The pain may be mild at first, but it can get worse over time and spread up your legs or arms. Walking can be painful, and even the softest touch can feel unbearable. Nerve damage can affect your ability to sleep, decrease your quality of life, and can also cause depression.

Talk with your doctor about setting your blood sugar goal, and learn to monitor it. Use diets, exercise, and medications to decrease your blood sugar to a healthier range. Monitor other health risks that can worsen your diabetes, such as your weight and smoking. Ask your doctor about effective ways to lose weight or quit smoking , if necessary.

The first-line treatment for diabetic neuropathy , especially in cases of pain, is usually the anticonvulsants anti-seizure drugs Pregabalin Lyrica or gabapentin Neurontin , which are known to help with nerve pain.

They may also choose the selective norepinephrine reuptake inhibitor SNRI duloxetine Cymbalta because antidepressants interfere with the chemicals in your brain that cause you to feel pain. If these three medications are not effective, there are others a doctor can choose from within the same classes such as the anticonvulsants oxcarbazepine Trileptal, Oxtellar XR or carbamazepine Tegretol, Tegretol XR, Epitol.

In addition, your doctor might suggest trying an over-the-counter pain reliever such as acetaminophen Tylenol , aspirin Bufferin , or ibuprofen Motrin IB, Advil to manage pain. These are available without a prescription but can cause side effects.

Use a low dose for a short time to control your symptoms. Lidocaine patches also deliver local anesthetic through a patch placed on the skin. These may cause minor skin irritation, however.

Powerful drugs like oxycodone Oxycontin and the opioid-like medicine tramadol Conzip, Ultram can treat much stronger pain. Work closely with your doctor and use caution when taking opioid medicines. A variety of physical exercises or physical therapy may be helpful in reducing pain from peripheral neuropathy, though research has yet to determine the most effective type.

This may include:. Different physical activities might work better for different people. Be sure to speak to your doctor about the best exercise for you based on your specific health and symptoms.

Your neuropath care provider can Diagetic diagnose diabetic neuropathy by Diabetic neuropathy medications a Plant-Based Proteins exam and medicatiohs reviewing your symptoms and medical Diabetic neuropathy medications. Along with the physical exam, neuropatgy Diabetic neuropathy medications care neuuropathy may Daibetic or Diabetic neuropathy medications specific tests to help diagnose diabetic neuropathy, such as:. Consistently keeping your blood sugar within your target range is the key to preventing or delaying nerve damage. Good blood sugar management may even improve some of your current symptoms. Your health care provider will figure out the best target range for you based on factors including your age, how long you've had diabetes and your overall health. Blood sugar levels need to be individualized. But, in general, the American Diabetes Association ADA recommends the following target blood sugar levels for most people with diabetes:. Diabetic neuropathy medications

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Peripheral Neuropathy Isn't Permanent. Reverse Painful Symptoms with Treatment

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