How do you manage a TypeII diabetic with hypertension and peripheral neuropathy, with no response2Carbamazepi? -

The Patient is a 60+ years old lady who was diagnosed to be suffering from Diabetes during a routine clinical examination at a followup session to her otherwise well controlled Hypertension gt;30years, she had been on Atenolol and Nifedipine. Currently she is on Atenolol and Nimodipine. A trial at Physiotherapy, simple analgesics excersize has not helped much. Her major complains now burn like pain in the feet with greater concentration at the heels. She is on oral hypoglycaemics plus diet modification her blood sugar levels are good bet 4-7mMol/L

For diabetic neuropathy as described, there are 2 main drugs: Neurontin and Lyrica. Lyrica is a newer drug related to neurontin, but with fewer side effects. I m not sure how they work. Another option is Cymbalta. It is an antidepressant that also happens to help with pain, including diabetic neuropathy.

i agree with J! the meds that they are coming out with now are amazing! but most importantly if the current medication are working, you need to go back to your doctor and tell them!