Treatments for Diabetic neuropathy
Treatments for Diabetic neuropathy:
The first step in the treatment of diabetic neuropathy is prevention. Diabetic neuropathy cannot be cured and the damage done to the nerves cannot be repaired, so it is vital that people with diabetes prevent its occurrence.
Prevention includes a consistently following a plan to treat diabetes and normalize blood sugar levels as much as possible to prevent nerve damage. This generally includes medications, regular medical and blood sugar monitoring, and lifestyle and dietary changes.
Meticulous skin care and skin hygiene is critical to preventing infections of the extremities. People with diabetic neuropathy are at risk for serious infections, such as gangrene. When a bacterial infection has developed, antibiotics, regular medical monitoring and special dressings are used to treat it.
Once diabetic neuropathy has developed, treatment plans are individualized depending on the specific type of diabetic neuropathy, severity, symptoms, complications, the presence of coexisting diseases, the age of the patient, and other factors. Treatment generally involves a multifaceted plan that minimizes the pain and abnormal sensations of diabetic neuropathy and the risk of developing complications, such as gangrene and disability.
Treatment may include medications to help minimize pain and other uncomfortable sensations. Alternative or complementary treatments that may be helpful for some symptoms include acupuncture and biofeedback.
Medications may also be prescribed to help control other problems, such as impotence, hypotension, and incomplete bladder emptying.
Treatment may also include physical therapy. The use of walkers and other assistive devices, such as grab rails in the bathroom, may be needed to maintain independence and maximize safety for people with advanced diabetic neuropathy.
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Drugs and Medications used to treat Diabetic neuropathy:
Note:You must always seek professional medical advice about any prescription drug, OTC drug, medication, treatment
or change in treatment plans.
Some of the different medications used in the treatment of Diabetic neuropathy include:
- ArthriCare for Women Extra Moisturizine
- ArthriCare for Women Multi-Action
- ArthriCare for Women Silky Dry
- ArthriCare for Women Ultra Strength
- Antiphogistine Rub A-535 Capsaicin
Unlabeled Drugs and Medications to treat Diabetic neuropathy:
Unlabelled alternative drug treatments for Diabetic neuropathy include:
- Elavil Plus
- Carbitrol Extended Release
- Gen-Carbamazepine CR
- PMS Carbamazepine
- Taro-carbamazepine CR
- Tegretol Chewable Tablet
- PMS Imipramine
- Paxil CD
- Albert Pentoxyfylline
- Apo-Pentoxifylline SR
- Nu-Pentoxifylline SR
Latest treatments for Diabetic neuropathy:
The following are some of the latest treatments for Diabetic neuropathy:
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Diabetic Neuropathy The Nerve Damage of Diabetes: NIDDK (Excerpt)
Treatment aims to relieve discomfort and prevent
further tissue damage. The first step is to bring blood sugar under
control by diet and oral drugs or insulin injections, if needed, and by
careful monitoring of blood sugar levels. Although symptoms can sometimes
worsen at first as blood sugar is brought under control, maintaining lower
blood sugar levels helps reverse the pain or loss of sensation that
neuropathy can cause. Good control of blood sugar may also help prevent or
delay the onset of further problems.
Another important part of treatment involves special care of the feet,
which are prone to problems.
A number of medications and other approaches are used to relieve the
symptoms of diabetic neuropathy.
Relief of Pain
For, burning, tingling, or numbness, the doctor may
suggest an analgesic such as aspirin or acetaminophen or anti-inflammatory
drugs containing ibuprofen. Nonsteroidal anti-inflammatory drugs should be
used with caution in people with renal disease. Antidepressant medications
such as amitriptyline (sometimes used with fluphenazine) or nerve
medications such as carbamazepine or phenytoin sodium may be helpful.
Codeine is sometimes prescribed for short-term use to relieve severe pain.
In addition, a topical cream, capsaicin, is now available to help relieve
the pain of neuropathy.
The doctor may also prescribe a therapy known as transcutaneous
electronic nerve stimulations (TENS). In this treatment, small amounts of
electricity block pain signals as they pass through a patient's skin.
Other treatments include hypnosis, relaxation training, biofeedback, and
acupuncture. Some people find that walking regularly or using elastic
stockings helps relieve leg pain. Warm (not hot) baths, massage, or an
analgesic ointment such as Ben Gay may also help.
Indigestion, belching, nausea, or
vomiting are symptoms of gastroparesis.
For patients with mild symptoms of
slow stomach emptying, doctors suggest eating small, frequent meals and
avoiding fats. Eating less fiber may also relieve symptoms. For patients
with severe gastroparesis, the doctor may prescribe metoclopramide, which
speeds digestion and helps relieve nausea. Other drugs that help regulate
digestion or reduce stomach acid secretion may also be used or
erythromycin may be prescribed. In each case, the potential benefits of
these drugs need to be weighed against their side effects.
To relieve diarrhea or other bowel problems, antibiotics or clonidine
HCl, a drug used to treat high blood pressure, are sometimes prescribed.
The antibiotic tetracycline may be prescribed. A wheat-free diet may also
bring relief since the gluten in flour sometimes causes diarrhea.
Neurological problems affecting the urinary tract can result in
infections or incontinence. The doctor may prescribe an antibiotic to
clear up an infection and suggest drinking more fluids to prevent further
infections. If incontinence is a problem, patients may be advised to
urinate at regular times (every 3 hours, for example) since they may not
be able to tell when the bladder is full.
Sitting or standing slowly may help prevent
light-headedness, dizziness, or fainting, which are symptoms that may be
associated with some forms of autonomic neuropathy. Raising the head of
the bed and wearing elastic stockings may also help. Increased salt in the
diet and treatment with salt-retaining hormones such as fludrocortisone
are other possible approaches. In certain patients, drugs used to treat
hypertension can instead raise blood pressure, although predicting which
patients will have this paradoxical reaction is difficult.
Muscle weakness or loss of coordination caused by diabetic neuropathy
can often be helped by physical therapy.
Urinary and Sexual Problems
Nerve and circulatory problems of
diabetes can disrupt normal male sexual function, resulting in impotence.
After ruling out a hormonal cause of impotence, the doctor can provide
information about methods available to treat impotence caused by
Short-term solutions involve using a mechanical vacuum device
or injecting a drug called a vasodilator into the penis before sex. Both
methods raise blood flow to the penis, making it easier to have and
maintain an erection. Surgical procedures, in which an inflatable or
semirigid device is implanted in the penis, offer a more permanent
solution. For some people, counseling may help relieve the stress caused
by neuropathy and thereby help restore sexual function.
In women who feel their sexual life is not satisfactory, the role of
diabetic neuropathy is less clear. Illness, vaginal or urinary tract
infections, and anxiety about pregnancy complicated by diabetes can
interfere with a woman's ability to enjoy intimacy. Infections can be
reduced by good blood glucose control. Counseling may also help a woman
identify and cope with sexual concerns.
(Source: excerpt from Diabetic Neuropathy The Nerve Damage of Diabetes: NIDDK)
NINDS Diabetic Neuropathy Information Page: NINDS (Excerpt)
The goal of treatment for diabetic neuropathy is to
relieve discomfort and prevent further tissue damage. The first step is to
bring blood sugar levels under control by diet and medication. Another
important part of treatment involves taking special care of the feet.
Analgesics, low doses of antidepressants, and some anticonvulsant
medications may be prescribed for relief of pain, burning, or tingling.
Some patients may find that walking regularly, taking warm baths, or using
elastic stockings may help relieve leg pain.
(Source: excerpt from NINDS Diabetic Neuropathy Information Page: NINDS)
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