Quote:
Originally Posted by Littlepaw
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.
Drug Combo Brings Better Pain Relief | Medpage Today
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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Little paw
In addition to the gabapentin, I am also taking 25 mg of nortriptyline at bedtime. In terms of footwear, I have switched to zero drop/wide toe box Altras and I also have custom orthotics which I can't tolerate at the moment because of the burning and sensitivity in my feet.
Littlepaw, I am so fearful that this burning will never stop and I have only been dealing with this since mid September. THis has effected every aspect of my life and I am holding on really tightly right now! thank you for taking the time to reply to my posts.