mcrh.org
*Home>>>Neuropathy

Diabetic neuropathy?


role of ssri in diabetic neuropathy

Treatment of early manifestations of sensorimotor polyneuropathy involves improving glycemic control. Tight control of blood glucose can reverse the changes of diabetic neuropathy. Despite advances in the understanding of the metabolic causes of neuropathy, treatments aimed at interrupting these pathological processes have been limited by side effects and lack of efficacy. . The drugs- imipramine, amitriptyline, desipramine and nortriptyline- are effective at decreasing painful symptoms but suffer from multiple side effects that are dosage dependent. One notable side effect is cardiac toxicity, which can lead to fatal arrhythmias.

SSRIs (Selective serotonin reuptake inhibitors) include fluoxetine, paroxetine, sertraline and citalopram. They are less effective in relieving pain, but are better tolerated. Side effects are rarely serious, and do not cause any permanent disabilities. They cause sedation and weight gain, which can worsen a diabetis's glycemic control.

"The SSNRI Duloxetine (Cymbalta) is approved for Diabetic neuropathy."

By targeting both Serotonin and Norepinephrine. It targets the painful symptomes of diabetic neuropathy, and also treats depression if it exists.
Carbamazepine (Tegretol庐) is effective but not necessarily safe for diabetic neuropathy. Its first metabolite, oxcarbazepine, is both safe and effective in other neuropathic disorders, but has not been studied in diabetic neuropathy.

The only med that I have heard that is effective for diabetic neuropathy is Cymbalta, which is actually acts on serotonin and norepinephrine receptors. In fact, I believe it has been labeled for this use. Probably at the 90 mg dose.

Try this:

http://www.blackwell-synergy.com/doi/pdf...

SSRI means 'selective serotonin reuptake inhibitors' and is a class of medications used for treating diabetic neuropathy. Diabetic neuropathy means the damage to the nerves that can happen with diabetes. Here is a link about that:

http://familydoctor.org/050.xml

Please see Google search for more details on Diabetic neuropathy and Selective serotonin reuptake inhibitors (SSRI) drug. Consult a Diabetologist.

are u asking if SSRI can be beneficial for patients with diabetic neuropathy, or SSRI increasing diabetic neuropathy? ask again....u might generate more answers

Paxil (paroxetine hydrochloride) is an SSRI that is also used to treat diabetic neuropathy, usually 40mg/daily. It's action is to inhibit serotonin reuptake, hence the classification SSRI (selective serotonin reuptake inhibitors). In the central nervous system, serotonin acts as a neurotransmitter. Neurotransmitters transmit nerve impulses (messages) in a sort of relay system to the brain where they are interpreted as pain (as in the case of neuropathies). To make it simple, if serotonin is controlled, less pain is felt.

SSRIs or Selective Serotonin Reuptake Inhibitors are a group of drugs mainly used in treating depression, but recent trials have indicated that they may be useful in treating diabetic neuropathy as well, due to their action on GABA receptors.
Now... there are different drugs in this group -- the most widely known being fluoxetine or prozac, which appears effective only in diabetic neuropathy with co-existing depression.
Paroxetine and fluvoxamine appear to have some efficacy in diabetic neuropathy. SSRIs were the 1st to be FDA approved in the treatment of diabetic neuropathy.
In general, however, they are less efficacious than tricyclic antidepressants. The mainstay of treatment, however, remains at controlling the diabetes itself and of course, as the old adage goes -- PREVENTION is better than cure.
K... now may I have my 10 points? :-)

Try lipoic acid 300-600 mg a day. Doctors are using it in Europe and getting good results. Give it a couple of months to kick in.
If your feet are really uncomfortable, get some magnet insoles.
Good luck!

use Ganoderma the natural herb and Magno the natural health drink and live healthy life.

I would go with natural therapy. Below is a link to a supplement called pycnogenol. Check it out... it's very promising. Also, you might want to read the rest as an ounce of prevention is worth a pound of cure...

For type I and type II diabetics (and those who are overweight and could potentially become diabetic). Copy and bookmark the webpages I鈥榲e listed below鈥?they are invaluable for those with diabetes and/or weight problems...

I've found a wonderful book that will help you control your diabetes and minimize or even eliminate the complications. Some folks who became diabetic due to poor diet and obesity are effectively cured by following the advice in this book. I'm a type II (inherited), but it helps all types, especially those who became diabetic due to poor eating habits. It's by an author who has really done his homework, Patrick Quillin, Phd. It's called, "The Diabetes Improvement Program". I have tried his suggestions and found them to be very helpful. I have no complications whatsoever and my blood sugar levels are quite stable. Yes, I still have to take Metformin (Glucophage) daily, but it's the minimum dosage (500mg) and I only have to take it twice a day. I have been off Metformin for as much as a week, but this was with vigorous exercise. Many, what I call, non-hereditary type IIs (those that don't have a close relative who had it) have gotten off medication completely, just with diet, exercise, and supplements. So, in some instances, it most certainly can be 'effectively' cured. Read more about it here:
http://www.diabetesimprovement.com/

The book explains what's going on in our system and what to do about it. It's really easy and inexpensive. It's basically diet, supplements, and exercise. For example, did you know that cinnamon helps blood sugar absorption? It also controls cholesterol and triglycerides. This is according to the USDA:
http://www.ars.usda.gov/is/np/fnrb/fnrb0...

For men: Are you suffering from erectile dysfunction? I was. Yes, WAS. Now that everything's under control, I'm able to have nearly normal sex again. I've also put together a little webpage highlighting some of the things I've learned here:
http://www.geocities.com/seabulls69/Type...

Remarkable supplement improves circulation and can help prevent neuropathy and macular degeneration:
http://www.quantumhealth.com/news/pycnog...

Great calorie enlightenment:
http://www.bodybuilding.com/fun/changing...

Lots of information on diabetes:
http://www.endocrineweb.com/index.html

Type 1 diabetes info:
http://www.sciencenews.org/pages/sn_arc9...
http://articles.animalconcerns.org/ar-vo...
http://www.nealhendrickson.com/mcdougall...

Recommended reading for anyone trying to control weight, especially diabetics:
http://rheumatic.org/insulin.htm

Some psychology behind overeating:
http://www.geocities.com/seabulls69/weig...

Insulin and the brain:
http://www.boston.com/yourlife/health/di...

Why the British are healthier than Americans:
http://www.geocities.com/seabulls69/UKvs...

Some great health sites with all kinds of general health information:
http://www.chetday.com
http://www.drmcdougall.com
http://phifoundation.org

No one mentioned Neurotin, Gabapendin that blocks pain impulses.

you need to be on paxil it helps so much better then anything out there
and you only need 40mg.
better then takeing a higher mg of something that really wont work.
i'm a RN and know this stuff.

my mother unfortunatly has neuropathy-she takes neurotin for the tremendous pain she is in.There is no cure for neuropathy and some people have it worse than others.Both my moms parents had diabetes and neuropathy but she is worse off-they all have(had)CHF,PAD.My mom is 52 years old and b/c she has had 5 heart attacks and 3 strokes her heart is working at 20% now.Doctors have said if she has a big heart attack it will take her life b/c she is so weak.Best wishes

Tags
  Norovirus Infections   Non-Small Cell Lung Cancer   Non-Prescription Drugs   Non-Hodgkin Lymphoma   Nicotine   Niacin   Neuropathy   Neuromuscular Disorders   Neurologic Diseases   Neurofibromatosis   Neuroblastoma   Nerve Diseases   Nephritis
Related information
  • I have Carpal Tunnel with Peripheral neuropathy for over a year.?

    The price of carpal tunnel surgery is very low in India as compared to USA, UK and Canada. My cousin also got her hip replacement surgery in India through the Fly2india4health Consultants .She is m...

  • Treatments for Non-Anterior ischemic optic neuropathy ?

    I think you mean non-arteritic anterior ischemic optic neuropathy. This is swelling and damage to the optic nerve due to lack of blood supply to the nerve. The lack of blood supply is due to un...

  • Papillary Thyroid Cancer can it cause neuropathy?

    actually diabetes is the disease which causes peripheral neuropathy . papillary thyroid cancer occurs in females more than males.if there are frank symptoms then the early one is a solitary mobile ...

  • Ok, serious medical question about radial neuropathy?

    So what did the MR say? What was broke in his neck? How is his triceps strength left compared to right? Can he extend his wrist on the left hand? You are asking yahoo board for advice after see...

  • Steroid neuropathy?

    I had peripheral neuropathy from a chemo drug. I don't know if they are the same, so take it for what it's worth. My feet tingled a little, and felt the way they do when they're &...

  • Can Bilateral Optic Neuropathy really not be treated & if it's in 1 eye will it eventually move to the other?

    Can't be of much help here, but try and post your question here: ...

  • I have diabetic neuropathy, my feet are numb, have pressure, and burn. any relief (besides oral meds)?

    Some people with similar kind of nerve mediated pain from post-herpetic neuralgia (chronic pain in the skin following a bout of shingles) will experience success with Capsaicin applied topically. T...

  • Does anyone have neuropathy in their arm?

    Yes, I have neuropathy in both hands/arms from nerve damage after years of carpal tunnel surgery. I'm surprised your doctor just diagnosed you with "neuropathy" (which just means yo...

  •  

    Categories--Copyright/IP Policy--Contact Webmaster