Treatment for Diabetes Nerve Pain
Prescription Drugs for Diabetes Nerve Pain continued...
Of the TCAs, Elavil has been a very good option for pain, yet it has troublesome side effects, including drowsiness, weight gain, dry mouth, and dry eyes. For people with peripheral neuropathy, there can be additional side effects. Many people also develop blood pressure and heart rate problems and get dizziness when taking Elavil.
A newer drug in this class, Pamelor, is effective and has fewer side effects, so it is better tolerated. Norpramin is also considered good and has the least side effects of all.
Antiseizure drugs. Drugs that prevent epileptic seizures can also relieve certain pain conditions, including neuropathy. The drugs work by controlling the abnormal firing of nerve cells in the brain and other parts of the body, such as legs and arms.
Neurontin is the antiseizure drug most commonly used for nerve pain from peripheral neuropathy. While it's effective at treating painful neuropathy, it tend to cause sedation or dizziness at higher doses. But if the dosage is increased slowly, it is well tolerated.
Lyrica is a seizure medication that is FDA-approved for painful neuropathy. The most common side effects are dizziness and sleepiness.
Opioid medicines. When pain is very severe, people want immediate relief. That's when you may need to see a pain specialist. Sometimes people need strong painkillers called Ultram or Ultracet, possibly in combination with Neurontin. The combination gets people past that acute stage of pain.
Both Ultram and Ultracet are FDA-approved painkillers that contain tramadol, a weak opioid (morphine-like) substance. The drug also weakly affects the brain chemicals serotonin and norepinephrine, similar to antidepressants, which reduces the perception of pain.