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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:

  • Capsaicin
  • ArthriCare for Women Extra Moisturizine
  • ArthriCare for Women Multi-Action
  • ArthriCare for Women Silky Dry
  • ArthriCare for Women Ultra Strength
  • Capsagel
  • Capzasin-HP
  • Capzasin-P
  • Zostrix
  • Zostrix-HP
  • Antiphogistine Rub A-535 Capsaicin
  • Citalopram

Unlabeled Drugs and Medications to treat Diabetic neuropathy:

Unlabelled alternative drug treatments for Diabetic neuropathy include:

  • Amitriptyline
  • Amitid
  • Amitril
  • Apo-Amitriptyline
  • Alatrol
  • Elavil
  • Elavil Plus
  • Emitrip
  • Endep
  • Enovil
  • Etrafon-Plus
  • Etrafon
  • Etrafon-A
  • Etrafon-D
  • Etrafon-Forte
  • Levate
  • Novo-Triptyn
  • PMS-Levazine
  • SK-Amitriptyline
  • Triavil
  • Carbamazepine
  • Apo-Carbamazepine
  • Carbitrol Extended Release
  • Domcarbamazepine-CR
  • Epitol
  • Gen-Carbamazepine CR
  • Mazepine
  • Novo-Carbamaz
  • PMS Carbamazepine
  • Taro-carbamazepine CR
  • Tegretol
  • Tegretol Chewable Tablet
  • Tegretol-CR
  • Tegretol-XR
  • Clomipramine
  • Anafranil
  • Apo-Clomipramine
  • Novo-Clopamine
  • Maronil
  • Gabapentin
  • Neurontin
  • Imipramine
  • Antipress
  • Apo-Imipramine
  • Impril
  • Imprin
  • Janimine
  • Novo-Pramine
  • PMS Imipramine
  • Presamoine
  • SK-Pramine
  • Tipramine
  • Tofranil
  • Tofranil-PM
  • W.D.D
  • Paroxetine
  • Paxil
  • Paxil CD
  • Pentoxifylline
  • Pentoxil
  • Trental
  • Albert Pentoxyfylline
  • Apo-Pentoxifylline SR
  • Nu-Pentoxifylline SR
  • Rato-Pentoxifylline
  • Fixoten
  • Kentadin
  • Peridane
  • Sufisal
  • Vasofyl

Latest treatments for Diabetic neuropathy:

The following are some of the latest treatments for Diabetic neuropathy:

Hospitals & Medical Clinics: Diabetic neuropathy

Research quality ratings and patient incidents/safety measures for hospitals and medical facilities in specialties related to Diabetic neuropathy:

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Choosing the Best Treatment Hospital: More general information, not necessarily in relation to Diabetic neuropathy, on hospital and medical facility performance and surgical care quality:

Medical news summaries about treatments for Diabetic neuropathy:

The following medical news items are relevant to treatment of Diabetic neuropathy:

Discussion of treatments for Diabetic neuropathy:

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.

Gastrointestinal Problems

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.

Dizziness, Weakness

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 neuropathy. 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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