![]() benfotiamine (a form of vitamin B1) supplements.a urinary catheter if you have problems emptying your bladderĪs peripheral neuropathy can be a very painful and troublesome problem that may only partly be relieved by standard treatments, you may be tempted to try other therapies.botulinum toxin injections for excessive sweating (hyperhidrosis).In some cases, you may need more invasive treatment, such as: the slow movement of food through your stomach ( gastroparesis). ![]() Other problems associated with peripheral neuropathy may be treatable with medicines. You may also need to wear splints to support weak ankles or use walking aids to help you get around. ![]() In addition to treating pain, you may also require treatment to help you manage other symptoms.įor example, if you have muscle weakness, you may need physiotherapy to learn exercises to improve your muscle strength. Tramadol can be useful to take at times when your pain is worse. It'll usually only be prescribed for a short time. Like all opioids, tramadol can be addictive if it's taken for a long time. Tramadol is a powerful painkiller related to morphine that can be used to treat neuropathic pain that does not respond to other treatments a GP can prescribe. If it is not available, talk to your doctor about other treatments that may help you. There are currently supply problems with capsaicin cream. Side effects of capsaicin cream can include skin irritation and a burning sensation in the treated area at the start of treatment.ĭo not use capsaicin cream on broken or inflamed skin, and always wash your hands after applying it. Rub a pea-sized amount of capsaicin cream on the painful area of skin 3 or 4 times a day. If your pain is confined to a particular area of your body, you may benefit from using capsaicin cream.Ĭapsaicin is the substance that makes chilli peppers hot and is thought to work in neuropathic pain by stopping the nerves sending pain messages to the brain. There are also some additional medicines that you can take to relieve pain in a specific area of your body or to relieve particularly severe pain for short periods. pregabalin and gabapentin – also used to treat epilepsy, headaches or anxiety.duloxetine – also used for treatment of bladder problems and depression.amitriptyline – also used for treatment of headaches and depression. ![]() The main medicines recommended for neuropathic pain include: If you're given an antidepressant, this may treat pain even if you're not depressed. This does not mean the doctor suspects you're depressed. Many of these medicines may also be used for treating other health conditions, such as depression, epilepsy, anxiety or headaches. The side effects should improve after a week or two as your body gets used to the medicine.īut if your side effects continue, tell a GP as it may be possible to change to a different medicine that suits you better.Įven if the first medicine tried does not help, others may. You also may become more sensitive to the effects of alcohol. If you get these, it may be necessary to reduce your dose.ĭo not drive or operate machinery if you experience drowsiness or blurred vision. The most common side effects are tiredness, dizziness or feeling "drunk". Higher doses may be better at managing the pain, but are also more likely to cause side effects. These should usually be started at the minimum dose, with the dose gradually increased until you notice an effect. Unlike most other types of pain, neuropathic pain does not usually get better with common painkillers, such as paracetamol and ibuprofen, and other medicines are often used. You may also require medicine to treat any nerve pain (neuropathic pain) you're experiencing.
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