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.

Profile picture for isamuel @isamuel

@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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Profile picture for cleveland26 @cleveland26

@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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Profile picture for jav @jav

@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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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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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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Profile picture for trishdub @trishdub

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

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@trishdub I only have burning in my arm 24-7 & was diagnosed small fiber neuropathy. Anybody experiencing the same?

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Profile picture for SusanEllen66 Susan McMichael @SusanEllen66

I’ve been taking ALA for several years. I can’t tolerate Gabapentin at all. The ALA I take is from Amazon, but it’s available everywhere.

I take 600 mg. twice a day.

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@itsmeagain
Be careful when ordering meds from Amazon . Some have been proven to be not the original med.

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Profile picture for itsmeagain @itsmeagain

@itsmeagain
Be careful when ordering meds from Amazon . Some have been proven to be not the original med.

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@itsmeagain yes. Where do you buy yours

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Profile picture for SusanEllen66 Susan McMichael @SusanEllen66

@itsmeagain yes. Where do you buy yours

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@SusanEllen66
Depending on the med usually through our pharmacy. I’m in a nursing home.
But some drugs you see on the internet require you to buy from their website because sometimes what’s on Amazon is a knockoff.
Good luck.
@itsmeagain

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Profile picture for itsmeagain @itsmeagain

@SusanEllen66
Depending on the med usually through our pharmacy. I’m in a nursing home.
But some drugs you see on the internet require you to buy from their website because sometimes what’s on Amazon is a knockoff.
Good luck.
@itsmeagain

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@itsmeagain @ Cleveland26 all Vitamins, Herbs, and anything that is not FDA regulated is a gamble.

There is nothing to back up the claims of anything, like a multivitamin, or mineral supplement, or herbal supplements. The manufacturer can put whatever in the pill or capsule and make a claim about it being a wonder pill.
Many years ago I worked for a Vitamin Supplement Manufacturer. I was in charge of buying all the ingredients, the empty capsules, glass bottles, caps, and the little pieces of “cotton”, really rayon, on the top.
I bought powdered vitamins from the least expensive supplier. I knew what was in our capsules and pills, but the customer didn’t.

Don’t fall for the, “Doctor (whoever) recommends this product and it’s helped 1000s of their patients…”
.Many times the doctor owns all or part of the company that is making the product.

You just don’t know, but if you stick to a well known brand you will probably do well.

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