I have tried gabapentin, cymbalta, amitriptylene, and now Lyrica. Lyrica gives moderate relief.
Unfortunately, none of the medications actually "treat" the neuropathy and there is no other way to reverse it so "pain management" is the only way to go once it sets in
Here the choices are limited
Taking NSAID's have way too many long term side effects to be used for "chronic pain"
So that leaves Opiods which are excellent but you don't want to end up as a junkie with "forever" use
That leaves the gabapentenoids that "block you from feeling the pain" as the "safest" way to treat the pain without leading to addiction or severe side effects
Lyrica (Pregabalin) was developed "specifically" to treat Diabetic nerve pain so for all it's flaws, it's the best and safest of the options
For others not experiencing pain yet you have another option - control your blood sugar so the neuropathy does not set in and advance, because their is no "treatment" and the pain blockers are mediocre at best
@A DiabetesTeam Member
I will be getting nerve block shots on the 30th. I hope it helps. Nerve pains are a whole different ball game. Sending hugs
It doesn’t help my doctor said I will have to take something with it
It's great that Lyrica is giving some relief, even if it's only moderate. There are indeed other options that doctors can consider for peripheral diabetic neuropathy pain management.
Beyond the medications already tried, doctors may explore:
- Topical creams – Such as capsaicin cream or lidocaine patches, applied directly Show Full Answer