How JustAnswer Works:
  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site. Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.
Ask Dr. Das, MD Your Own Question
Dr. Das, MD
Dr. Das, MD, Doctor
Category: Medical
Satisfied Customers: 2342
Experience:  MBBS, MD, with wide experience in all aspects of medical treatment, including cancer therapy.
Type Your Medical Question Here...
Dr. Das, MD is online now

Have been suffering from CIDP for 3 years now. Taking

Customer Question

Have been suffering from CIDP for 3 years now. Taking 150mgs of Azathioprine in the morning and 900 mgs of Gabapentin in the evenings. The pain is however geting much worse. Sleep is also difficult. What else can I do?
Submitted: 3 years ago.
Category: Medical
Expert:  Dr. Das, MD replied 3 years ago.
I am very sorry to hear of your problem - CIDP is a very painful condition and very difficult to treat.
Azathioprine is an immunosuppresant and will suppress whatever autoiimmune condition is causing the inflammation and the pain. Since it is not working well, you can consider Intravenous Immune Globulins (IVIG) - these are protective immunoglobins obtained from healthy volunteers and can be readily given through an arm vein.
You can even consider plasmapheresis - a procedure in which the blood is exchanged after removing the antibodies and complements which cause the inflammation. It is quite effective .
Since Gabapentine is not being very effective, you can ask your doctor to see if tegretol will - It acts on teh nerves similar to gabapentine but may be more effective i some people.
Antidepressants like Amitriptylline and Pregabalin has also helped in some people.
Treatment for CIDP needs to be individualized - while some may respond to one drug, others may not and a trial and error of the various drugs available will help.
Expert:  Dr. Das, MD replied 3 years ago.
Hello Ralph,
I notice that you have not seen my answer as yet. Would you like more help?