Diabetic foot & leg pain

windjammer

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I am type 2 diabetic and have been having severe pain in my feet and legs. My Dr., this week, prescribed GABAPENTIN 100MG 2X DAILY.

This stuff works but nearly turns me into a Zombie.....staying very drowsy.

My reason for posting is to ask if anyone is taking something for this problem that doesn't make you sleepy. I also want it to be generic.
 
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I too share the same problem as a type 2 diabetic and had the same reaction plus it drove my blood sugar level unacceptably high level....cancel that one. I have tried most of the standard prescriptions used for DPN and now trying Cymbalta....only on it for a week now and haven't seen a perceptible change.

Might be a solution for you....check with your Dr.
Randy
 
Have you discussed medication options with your physician? There may be other meds that work better for you.
 
I think Gabapentin is generic, the brand name being Neurontin.

I take 300mg. twice daily for neuropathy, to let me walk more normally. It works for me. Patients are all different.
I hope you find something that works for you.

I had a bad muscle cramp in an arm this week. Extra Strength Tylenol worked for that.
 
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If the pain is in the joints or involves inflammation, you might consider Meloxicam (prescription ony, I believe). I had a hugely painful knee a couple of months before I was finally diagnosed with Type II diabetes (resting BGL of 300+), and in retrospect I am pretty sure the knee problem was an indicator symptom that I just didn't recognize at the time. Meloxicam got it tolerable in 24 hours and sent it packing in five days. It's just a heavy-duty NSAID, so maybe a milder OTC drug in the same family would help.

If the foot/leg pain is more in the peripheral neuropathy class, I don't think Meloxicam is the drug you want.

Tylenol scares me because of the liver-damage potential, so I avoid that. I am still mostly an aspirin guy for run of the mill pains like headaches and strains.

I have never had conventional diabetic foot pain, so maybe my comments are not on target.
 
.....I tried the gaba/neurontin approach and it zombied me out too.

Only thing that helped over 6 months of misery was finally good A1c control AND some good doses of Vit B did me a TON of good. Consult with a good nutritionist as part of your health care plan to see whether they might have some additions to what your MD might care to include.

There's a lot of individual variation of symptoms and response to various therapeutic involvement in those of us riding with the Sweet Water Gang....
 
Went to a new Podiatrist a couple of weeks ago for foot pain, (Diabetic Neuropathy & heel spurs). When I asked about B12 he told me about the success his patients had using Metanx, which is a concentrated dose of Folic acid, B12 & B6.
So far there has been a noticable improvement with the shooting pains, which were more like lightning bolts down the legs, and tenderness of the feet.
Still to early to tell but no side affects.
Hope this helps.
 
Neurontin was the shiny new product when it was first prescribed to me..... The side effects drove me up the wall, the cost was through the roof. I asked my doc for something simpler.... Elavil, it is generic and cheaper than dirt. It is used to treat depression, peripherial neuropathy and bed wetting, hence my only side effect was dry mouth at night. I cut my dose in half and got along with it quite well. It relieved 75% of my pain.
Keeping your blood sugar low is the best remedy.
 
get in shape and do more walking (like I am one to point fingers:rolleyes:) before the only leg pains you feel are phantom leg pains.

I think hazelnut or something like that is supposed to help leg circulation.

The pain is a message. Treat the cause, not the pain.
 
Any of you have any experience with Tramadol?
New Dr. just prescribed it while waiting for definite diagnosis of DPN.
 
Is this an over the counter drug ?

No, it's a prescribed pain killer just not a CDS.

@Frank46 Label says twice a day, but doc said every 4,6,or 8 hrs depending on need. Max is 400mg per day and my script is for 50mg tabs.
Doc's best rec is use as little as possible.

I was interested to see if it worked and/or if anyone had problems like with the OPs.
 

Is this OTC?

My doc just put me on daily b12 tabs, no noticeable difference yet.


You might also get some diabetic shoes. proper shoes can fix
many pains including leg and back.
I found a store called Foot Solutions that sells nothing but shoes
for diabetics. I bought some called Drew brand Force V that
have a bunch of support built into them and my foot pain has
diminished. (not the PN, just regular foot pain)
I am also getting some custom orthotics thru them.

Here is the website with store finder:Foot Solutions - Foot Pain & Relief Products

Here is a good online shoestore:Shoes | Diabetic-Friendly | OnlineShoes.com

when shopping for diabetic shoes always look for the HCPCS Code A5500

Also check out Joya shoes. Claim to be the softest shoe in the world.

My guy at FS (he is a diabetic too) told me that great strides are being made in the nerve regeneration area. Ask your dr. about that.
 
Second day of taking the TRAMADOL. No problems so far, no dizzyness etc. Sharp pains are basically gone, but numbness is still there. 2 50mg tabs a day. They seem to last about 9hr+/-
 
Back in the 80s they told me that my neuropathy was from drinking, smoking, coffee, and diabetes. I qualified on all counts. Then the numbness was in 8 fingers and from my knees down. I started taking small amounts of Elavil and Ultram (Tramadol). I had seiges of burning and stabbing pains every day or two. Over 20 years later I'm numb from my ankles down and in only 4 fingers. I have had no sudden changes, to say the least. I still have the seiges and only Hydrocodone will take the edge off. Trouble with that is I have to damn near beat them out of my Dr. In the last few months, my pharmacy has started giving Tramadol with the same guardedness as the Vicadin. ymmv
 
cmore, sorry for the delayed response, the Metanx is prescription only according to their pamphlet. For online info just add .com to the name for the website.
 
Some two years back I was diagnosed with borderline diabetes. I already had problems with cholesterol which at that point was pretty well under control with meds(Pravastatin and Fenofibrate) but I got started with that too late as I had a blocked artery in my left leg due to platelets stickking together in that main artery and it required bypass surgery and was put on aspirin and Plavix afterwards. That was back in 2004. The diagnosis of the diabetes was round 2010. I managed to keep from having to take meds/shots as I got it under control with diet...good cholesterol went up and the bad went down and my triglycerides went from 580 to under 200. Moreover I lost 30 pounds by diet change alone.

Blood clots hit my left leg two years ago while getting ready for a hernia operation because I was taken off aspirin and Plavix so I wouldn't bleed to death on the operating table. Those five days off caused the blood clots in my upper thigh where the bypass was and there was a "stricture" I think is what the vascular doc called it, in my calf. My foot was turning grey. So, here we go with another emergency operation. I was put on Heparin in the hospital and later back on aspirin, Plavix and now also Warfarin. I have PAD so I can identify with foot and leg pain and my ankle and parts of my left foot are numb along with my knee.

I have to have an INR level of 2.5-3.0 or can get into big trouble again so I have to have that checked every two weeks. It was ever few days when all that started. Oh, to be young again when I just took an aspirin for a headache now and then.
 
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