Small Fiber Neuropathy

Posted by Marlene Eckert @me1229, Oct 31, 2019

I am currently on 1200 mg of Gabapentin twice daily. My pain is not totally controlled at this level. My pain level gets worse as the day goes on and is worse at night. I like my one glass of red wine at night. I wonder if that is an issue with my pain. I’ve tried adding Cymbalta that created severe dry mouth then stopped that and tried Lyrica and that was just as bad. Now my doctor wants to try increasing the Gabapentin to 3600 mg a day. Here is another point. Can anyone tell me about their experiences

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@minfromtexas

I had very little trouble getting off of Gabapentin, with a daily dosage of 1200 mg. I tapered off over a period of about 14 days. Yes I felt a bit off, but it was tolerable. After that process my doctor prescribed Lyrica which did help, but the side effects were awful, So, I went through the same process again. Lyrica was harder to get out of my system, but if you're motivated enough you can do it. Now, I'm back on Gabapentin with a different dosing program i.e. 400 in the morning and 800 just before bed. This new dosing has helped with sleep. Like someone else said, you really do have to be your own advocate. Best o' luck to you and everyone else.

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I understand what your saying about Gabapentin.
I take 300 mg in the morning & 300mg at dinner & 300 mg when I go to bed.
I have tried to increase the strength & I was still in the same amount of pain so that is why I am sticking to the 900mg just to take the edge off.
I am in constant pain but I would not take Lyrica bc of the terrible side effects I have heard of it.
My pain is coming from my back but afraid to have back surgery.
Best of luck to you.
Gabapentin has made me lose my memory a lot & make same dingy but I don't take opioids so there is nothing left.
Best of luck to you.
tigreyes

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Memory...yeah, mine is terrible on Gabapentin but it all comes down to benefits vs side effects. Good thing I'm no longer working!!

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I took Gabapentin for 9 years and the pain just kept getting worse. My pain doctor tried me on 5 different pain medications all of which I had a reaction to. I react differently to many medicines. They make me quit breathing. My pain doctor said he would recommend me to read up on using Medical
gummies for pain. He told me he could not prescribe it but I could go on line and get a doctor too. I had to really research it before I would try. Finally I got my FaceTime with the doctor and he sent my paper work to Mo Senior Services and it was approved. It is something that insurance won’t cover. I got my card last July. Started using it the day after. I knew I wanted to start as low as possible so cut each gummy circle in fourths, I saw some improvement within an hour but still a lot of pain changed to a half every six hours. It took all the pain away. My doctor then recommended I go to water physical therapy. I could do it in deep water with a life belt on. I have completed 5 weeks of that and enrolled in aquasize. I some times have to change my movements a little due to the bar in my back, but it has been the best thing ever. I can shop for groceries again without pain and go places with my husband. I feel like by me being willing to change my belief and make sure I take a half every 6 hours I have been set free. Fortunately recreational is now been voted in. Renewing your medical card is so much harder than getting it and everytime they deny you it is another charge. They denied me second time said picture on my license wasn’t clear enough and it is the same drivers license they accepted a year ago. I don’t get any type of high because the amount I take is small. Thankful I found a way to live life again..

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just diagnosed with small fiber neuropathy, possibly. Dr. prescribed anti-depressant. Took 1st pill and had bad pain in left side colon. Since I have colitis and tread very softly with food and drugs because of colon flare-ups and because my gastroenterologist wants to cut out part of my colon, I am afraid of this anti-depressant which has many warnings and side effects. This drug was to see if it would help with neuropathy, not depression. My first concern is do nothing to cause problems with my colon; I have enough worry trying to avoid severe colon flare-ups without taking drugs that would add to the severity of colon surgery necessity. help

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@jjarvis

just diagnosed with small fiber neuropathy, possibly. Dr. prescribed anti-depressant. Took 1st pill and had bad pain in left side colon. Since I have colitis and tread very softly with food and drugs because of colon flare-ups and because my gastroenterologist wants to cut out part of my colon, I am afraid of this anti-depressant which has many warnings and side effects. This drug was to see if it would help with neuropathy, not depression. My first concern is do nothing to cause problems with my colon; I have enough worry trying to avoid severe colon flare-ups without taking drugs that would add to the severity of colon surgery necessity. help

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Welcome @jjarvis, Sorry to hear the treatment didn't help with the pain and came with it's own side effects. I only have the numbness with my neuropathy so there aren't any drugs that help with numbness. You bring up a great point and one that I would definitely discuss with your doctor about the side effects causing colon flare-ups. There are a couple of other discussions you may want to view to learn what others have shared.
--- What helps the symptoms of Small Fiber Neuropathy?: https://connect.mayoclinic.org/discussion/tingling-from-small-fiber-neurapathy/
--- Small Fiber Neuropathy: What helps?: https://connect.mayoclinic.org/discussion/small-fiber-neuropathy/.

You also might find the information on the Foundation for Peripheral Neuropathy website helpful - https://www.foundationforpn.org/living-well/.

Have you discussed the colon pain caused by the drug with your doctor? Do you mind sharing what drug your treatment was?

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Have any of you tried, "Nerve Control 911?" Contains all vegetable ingredients, such as marshmallow root, passion flower powder, prickly pear powder, etc. "nerve calming formula" I take one every nite at about 4 a.m., and it helps me sleep 3 - 4 hours. I also take Tylenol, Gabapentin (300 mg total). They all seem to help me get back to sleep, but I haven't found anything that'll put me out all night.
Barb

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Remember there are other families of seizure drugs that work on neuropathy pain. Tegretol (carbamazepine) is working well for me.

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@bkfoster1

Have any of you tried, "Nerve Control 911?" Contains all vegetable ingredients, such as marshmallow root, passion flower powder, prickly pear powder, etc. "nerve calming formula" I take one every nite at about 4 a.m., and it helps me sleep 3 - 4 hours. I also take Tylenol, Gabapentin (300 mg total). They all seem to help me get back to sleep, but I haven't found anything that'll put me out all night.
Barb

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@bkfoster1, I haven't tried it but just the name "911" just seems like another advertising gimmick to attract more people in pain. There are two discussions where members have shared their thoughts or experiences with Nerve Control 911:
--- Has anyone ever tried Nerve Control 911: https://connect.mayoclinic.org/discussion/has-anyone-ever-tried-nerve-control-911/
--- Possible scam: https://connect.mayoclinic.org/discussion/possible-scam/

If you are still looking for something that might help with your neuropathy symptoms, you might want to see what has been shared by the Foundation for Peripheral Neuropathy:
--- Complementary Therapies: https://www.foundationforpn.org/living-well/complementary-therapies/
--- Complementary and alternative therapies: https://www.foundationforpn.org/wp-content/uploads/2020/08/Complementary-and-Alternative-Treatments-Revised-2020-final.-1.pdf

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I tried gabapentin and it didn’t work for me and made me feel awful. I have side effects to most meds. I also have fibromyalgia pain. I am now on Baclofen (twice a day am and pm) which is a muscle/nerve relaxer. I have no side effects from this drug and it really helps me. I also use Susan’s CBD Super Salve (in a push up stick form) on my feet, legs, arms, shoulders and back for pain relief. I also use elastic bands for exercising and some light weights at home, plus a treadmill which I can only do a bit at a time but I keep trying. I also see an Osteopath who has helped me very much. He can also write prescriptions and recommended the Baclofen. Hope this can help!!

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@budjo611

I’ve tried them all. Lyrica, gabapentin 3600 mg a day. Cymbalta combined with both. Gabapentin and Lyrica together. Nothing, I mean NOTHING works well. I was diagnosed with SFN 3 years ago. It’s obvious, at least in my case, nothing works well.
Sorry to be so negative, but it seems the medical field is oblivious to methods of treatment. There are clinical trials ongoing, and I’m volunteering my body to one. But it doesn’t start till January. Best I can say is don’t give up. You’re not alone. It’s not in your mind. It’s all too real, and it’s truly life altering!!!!!
Hope is the only thing that keeps me going..
HANG ON TO HOPE!!!!!
BOTH HANDS!!!!!

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nothing has helped my SFN pain either. trileptal helps w burning in finger tips, but notwhere else. The pain is relentless and affecting my heart rate, it is low. A dr told me to find cause of SFN to stop it. I dont know the cause , suspected by dr i have a virus. I never test positive for covid active infection, only test positive on blood tested antibodies. I dont know what the virus is that is causing SFN. I dont have diabetes, never alcohol drinker. Getting tingling in my face

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