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Feeling Numbness And Tingling. Blood Test Normal. Have Neuropathy In Feet. Suggestions?

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Posted on Wed, 23 Oct 2013
Question: I would like to know why I have neuropathy in my feet, when I have had every blood test known to man, and all came back normal or negative. It is a feeling of numbness and tingling.
doctor
Answered by Dr. Jorge Brenes-Salazar (24 minutes later)
Brief Answer:
Dilantin neuropathy

Detailed Answer:
Dear patient,

Thanks for your query. Judging by your comment, you must have had all the basic tests, metabolic, hormonal, etc to explain a peripheral neuropathy and all came back normal.

I suspect that you are suffering from Dilantin neuropathy, which is a very well described phenomenon that could happen at any time during the course of medication but usually in chronic users. It is like you are saying characterized by a sensory neuropathy with tingling and numbness, but no motor signs.

It is many times reversible when discontinuing the drug; I suggest you talk to your prescribing provider and look for an alternative as soon as possible.

Let me share a reference about a great experiment that proved the nerve damage with this agent:

WWW.WWWW.WW
Also, if you go to Pfizers website on the medication, it is listed as a side effect.


Yours truly,

Dr Brenes-Salazar MD
Cardiology
Mayo Clinic MN
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Jorge Brenes-Salazar (23 minutes later)
Thankyou, this does make total sense, as I have had epilepsy since childhood. One more question. I have to be on Dilantin or I will have grand mall seizures. I have not had a grand mall for 15 or 20 years. Are there alternatives to dilantin, that will control seizures as well? Thankyou for your time!
doctor
Answered by Dr. Jorge Brenes-Salazar (19 minutes later)
Brief Answer:
Yes, several options

Detailed Answer:
Yes, indeed there are several options other than Dilantin for grand mal seizures, the two most commonly prescibed are valproic acid and levetiracetam (Keppra); both are quite effective.

Glad I could help, wish you the best

Dr Brenes-Salazar MD
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Jorge Brenes-Salazar (46 minutes later)
Thankyou very much!!! I will be talking to my doctor about these medications next week. Please have a wonderful weekend :)
doctor
Answered by Dr. Jorge Brenes-Salazar (7 minutes later)
Brief Answer:
Thank you

Detailed Answer:
Thank you, best regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Jorge Brenes-Salazar

Cardiologist

Practicing since :2007

Answered : 1198 Questions

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Feeling Numbness And Tingling. Blood Test Normal. Have Neuropathy In Feet. Suggestions?

Brief Answer:
Dilantin neuropathy

Detailed Answer:
Dear patient,

Thanks for your query. Judging by your comment, you must have had all the basic tests, metabolic, hormonal, etc to explain a peripheral neuropathy and all came back normal.

I suspect that you are suffering from Dilantin neuropathy, which is a very well described phenomenon that could happen at any time during the course of medication but usually in chronic users. It is like you are saying characterized by a sensory neuropathy with tingling and numbness, but no motor signs.

It is many times reversible when discontinuing the drug; I suggest you talk to your prescribing provider and look for an alternative as soon as possible.

Let me share a reference about a great experiment that proved the nerve damage with this agent:

WWW.WWWW.WW
Also, if you go to Pfizers website on the medication, it is listed as a side effect.


Yours truly,

Dr Brenes-Salazar MD
Cardiology
Mayo Clinic MN