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Old 11-18-2016, 03:31 PM
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Littlepaw Littlepaw is offline
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Littlepaw Littlepaw is offline
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Join Date: Nov 2014
Posts: 1,537
8 yr Member
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Hi Sophie,

Some people respond well to a class of drugs called TCAs, the old tricyclic antidepressants, which are used in low doses for nerve pain. I took nortriptyline 20mg just at bed (two 10 mg capsules as the 30s made me dizzy) and found it to be helpful. It gave me less drowsy feeling during the day than gabapentin and had the added bonus of providing a small noticeable boost in my mood, which gabapentin had dampened. Amitriptyline is also used but tends to have more side effects so I never tried that one. Gabapentin and nortriptyline can be given together and were shown in a study to work better in combination for nerve pain than either drug alone.

http://www.medpagetoday.com/neurolog...nagement/16202

Does anything help as far as footwear? Be sure you have as little heel rise as possible, a wide toe box and arch support or metatarsal support. I have found with my foot issues that shoes really can have significant impact on my comfort level. It took forever to find the pairs that work for me but the search was worth it.

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