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Dr. David
Dr. David, Board Certified MD
Category: Medical
Satisfied Customers: 48820
Experience:  Board Certified Physician
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I have type2 diabetes witch I try to keep under control, I

Customer Question

I have type2 diabetes witch I try to keep under control, I have experienced a lot of nerve pain as consequence,I have been trying to control pain for months; having tried a number of medication nothing worked. I am now on slow release patches of buprenorphine 30mg every hour, but I am still in a lot of discomfort. what else can I do?
Submitted: 2 years ago.
Category: Medical
Expert:  Dr. David replied 2 years ago.
This is Dr. David
I am sorry you are having nerve pain from your diabetes.
you should talk to your doctor about slowly increasing doses of neurontin (gabapentin) up to 1800-3000mg a day to help nerve pain. many patients and doctors don't take the time to slowly increase the dose of gabapentin up to these doses taken three times a day to get to effective levels.
also Lyrica or pregabalin can help at dose of 100mg three times a day
also Elavil or amitriptyline at night time can sometimes help
these medications can be used along with slow release patches of buprenorphine
you need to make sure your magnesium and potassium and B12 levels are normal. abnormal levels of these can cause nerve pain and nerve dysfunction
let me know if you have questions.