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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