Suggest Treatment For Diabetic Neuropathy
Pregabalin/Methylcobalamin-strict blood sugar control.
Detailed Answer:
Hi XXXX,
Thanks for being on healthcaremagic.com.
I am Dr.Ajay Panwar,a neurologist,here to answer your query.
If you would have presented to me as an outpatient, I would have told you that main line of management of diabetic neuropathy is-
1)Strict diabetes control to prevent further progression of the disease
2)Antineuralgic medicines-like pregabalin,gabapentin
3)Methylcobalamin supplementation
4)Physical rehabilitation
However,I would like to know her symptoms so that I can tell you about the treatment accordingly-Is she having pain?or weakness? or sensory symptoms? or bladder/bowel symptoms?
Treatment is actually tailored according to the symptoms.
Hope that helps.I shall be glad to have you in follow-up with further questions.
Regards
Dr.Ajay Panwar,
MD,DM(Neurology)
For how long he is taking Gabapin?
Detailed Answer:
Hi XXXX,
Thanks for being in follow-up.
Gabapin along with methylcobalamin should bring improvement in symptoms.Symptomatic improvement may take a few weeks time.
For how long he has been taking Gabapin now?
Regards
Dr.Ajay Panwar,
MD,DM(Neurology)
Amitriptyline/Duloxetine/capsaicin patch
Detailed Answer:
Hi XXXX,
Thanks for being in follow-up.
In that case,I suggest that she should be put on alternative anti-neuralgic medicines like amitriptyline or duloxetine. Further,Capsaicin patches can also be applied.
Regards
Dr.Ajay Panwar,
MD,DM(Neurology)