Painful diabetic neuropathy treated succesfully with anti-neuropathic medication
Painful diabetic neuropathy giving painful neuropathic feet
A 47 year old gentleman was seen in the Pain clinic, with type 2 diabetes and with a small fibroneuropathy in the feet. Secondary to this, he had neuropathic pain in the feet and it was becoming increasingly difficult to treat. He had been on Diclofenac, Co-dydramol, Gabapentin and Amitriptyline. Unfortunately, the Gabapentin and Amitriptyline gave him side effects including excessive tiredness and urinary retention.
Improvement in painful diabetic neuropathy on altered antineuropathic pain medication
When he was seen in the clinic, things were deteriorating and he was put on Pregabalin 75 mg twice per day. This was titrated up to 300 mg twice per day. Although he did get some adverse effects with dizziness, overall his pain was significantly improved and he remained stable on this dosage of medication.
He will be reviewed in the clinic in another 3 months time to see if it is possible to wean down his dose.
