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Does any neurologist prescribe Alpha Lipoic Acid?

Posted by bigjohnscho @bigjohnscho, Sep 25, 2024

R-ALA features very heavily on this forum as a potential remedy for peripheral neuropathy. Does any Neurologist actually prescribe it.

Interested in more discussions like this? Go to the Neuropathy Support Group.

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trishdub | @trishdub | 1 day ago
In reply to @isamuel "@cleveland26 Would this help small fiber neuropathy? I ask my Dr. to recommend natural med but..." + (show)
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@cleveland26 Would this help small fiber neuropathy? I ask my Dr. to recommend natural med but he only wants me to take gabapentin but anything prescribed make me miserable.

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@isamuel
R-ALA has definitely decreased the burning in my feet. I take 600 mg in the morning.

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jav | @jav | 1 day ago
In reply to @cleveland26 "@SusanEllen66 Thanks for the reply. The reason I ask is your stating that you take 600..." + (show)
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@SusanEllen66 Thanks for the reply. The reason I ask is your stating that you take 600 mg of ALA twice a day.

I have read from several sources that the R form of ALA is the biologically active form. So the so-called racemic mixture of ALA which contains both the the R form as well as the S form, provides half the ALA the body can use.

As you may know, R ALA is quite a bit more expensive.

I take 600 mg of R ALA at night, which has allowed me to decrease my gabapentin daily dose from 2400 mg to 900 mg. And I am trying to decrease it further.

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@cleveland26 hello
Do you find RALA interfering with sleep at all?
I recall reading somewhere it might?
So have been taking mid day
Thanks
JAV

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cleveland26 | @cleveland26 | 20 hours ago
In reply to @jav "@cleveland26 hello Do you find RALA interfering with sleep at all? I recall reading somewhere it..." + (show)
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@cleveland26 hello
Do you find RALA interfering with sleep at all?
I recall reading somewhere it might?
So have been taking mid day
Thanks
JAV

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@jav No, R ALA has not interfered with sleep. In fact I think it helps because along with the 300mg dose of gabapentin I take about an hour before , they both keep the neuropathic tingling to a bare minimum.

I have read both that R ALA should be taken with a meal and without. The brand I take, HMS Nutrition, says on the bottle to take with a meal. I don't. I take it about 5 to 6 hours after supper.

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artemis1886 | @artemis1886 | 6 hours ago

It’s an over the counter drug. If you can’t find it ask the pharmacist or go to Amazon. Be careful I had an allergic reaction and it shut down my kidneys. I was in the hospital.

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cleveland26 | @cleveland26 | 3 hours ago
In reply to @artemis1886 "It’s an over the counter drug. If you can’t find it ask the pharmacist or go..." + (show)
Profile picture for artemis1886 @artemis1886

It’s an over the counter drug. If you can’t find it ask the pharmacist or go to Amazon. Be careful I had an allergic reaction and it shut down my kidneys. I was in the hospital.

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@artemis1886 I'm sorry to hear that! Was the allergic reaction after the first dose, or after several?
Many years ago I worked in a hospital and remember a woman in ICU who had an extreme reaction to a penicillin shot. Fortunately, she was still in the doctor's office when the reaction occurred. Her face was so discolored and swollen it appeared as second and third degree burns.

Did your kidneys fully recover?

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