Hi all,


I have for a long time just put up with the burning pain from PN. The worst is the bottoms of my feet....they scream at me. I have tried neurontin, lyrica, cymbalta, and lamictal. None have been effective and I'm having a hard time coping with the pain anymore.

About 15 years ago I had a sural nerve biopsy. I suffered from disabling phantom pain for months afterward. The doctor gave me some sort of prescription cream to ease the pain. It didn't resolve it, but I remember it did take the edge off some.

Sadly, I have no idea of the name. I was hoping someone here might know what this is and whether it could be effective for short term pain relief...even if just enough to get to sleep at night.

Thanks,
Anita

There is Zonalon cream (doxepin)

Also various compounded transdermal things with
gabapentin
amitriptyline
ketamine
etc.

various recipes.

do any of these work?

When I complained to my neurologist, he prescribed a cream which has to be compounded by a lab. I don't know what the actual name is, but on the tube it says, "keto/gaba/amit/lido 5/2/2 15%. All I know is the stuff works. Whenever I do too much walking, or even standing for long periods, I too have that burning, or the feeling of being spanked with a board too. Using this cream does relieve the pain. Applied an hour before going to bed, and there is no pain by bedtime. I do, however, sometimes have pain when waking. Putting me feet on the floor, there is a soreness that shows up that feels like overworked muscles. It goes away after a few minutes of walking around. Course, I have two layers of Dr. Scholls padding in my slippers. Can't walk in just normal cushioning.
Hope you find something that works for you. Good luck.

There are many recipes out there ..

yours: "keto/gaba/amit/lido 5/2/2 15%.

Ketoprofen (or ketorolac) 5%, gabapentin 2%, amitriptyline 2% and lidocaine 15%

Ketoprofen is the most lipophilic of the NSAIDs so is used often in pain creams/gels because it crosses the skin barrier well.

Also used are ketamine and clonidine, and dicofenac. It depends on the doctor and his opinions.

And Lidoderm cream...didn't help me, but it might help some people.

Good luck. I hope you figure out was it was.

Thanks MrsD.

Have you tried the Zonalon cream or any of the other compounds? Any comments as to effectiveness?

Anita,

I use "Topricin" for short term pain relief. I add a few drops of pure peppermint oil to the lotion which also helps with the burning. My pharmacist recommended this product. I found the best price at vitacost.com. There are two types, regular and foot therapy cream, which is more expensive. I've tried both, and found that the regular works even better than the foot therapy cream. They both have just about the same ingredients. I get better results with the regular. I posted the ingredients below. I hope this will help you.

TOPRICIN®'s INGREDIENTS
Topricin®'s patented combination of natural medicines is formulated to provide an array of benefits. Each ingredient passes through rigorous quality control procedure to ensure strength and purity. These superior ingredients effect their action while concurrently conditioning and moisturizing your skin.

Topricin® does not contain petroleum, mineral oil, lanolin, menthol, capsaicin, fragrances, or irritating chemicals. The cream is odorless, non-greasy, and will not stain your clothing. Topricin®'s hypoallergenic base is formulated for maximum absorption of its eleven medicines.

Arnica Montana - For injuries and bruising to the muscles and joints. Arnica is considered especially useful for arthritis, joint injuries, and bruising (6X)

Rhus Tox - For sprains, arthritic pain, and backaches (6X)

Ruta Graveolens - For relief from injuries to the bone or bone covering; often used to relieve trauma to the knee, shin, elbow and cheekbone (6X)

Lachesis Muta - For relief from sciatica, arthritis, lower back pain and carpal tunnel (8X)

Belladonna - Relief of pain, spasm & inflammation to muscle tissue (6X)

Echinacea - Anti-inflammatory and anti-bacterial (6X)

Crotalus - For improving localized circulation, and considered effective for bruises and contusions, and for accelerating repair to damaged nerves, joints, and muscles (8X)

Aesculus - For chronic pain, especially in the legs & varicose veins. (6X)

Heloderma - For relief from burning sensation in the hands or feet. (8X)

Naja - Relieves inflammation and pain in nerve tissue in the treatment of Carpal Tunnel and neuropathy (8X)

Graphites - For relieving symptoms of skin conditions (6X)

Thanks Rosie.

I will be checking this out.

I have found creams only help areas with no fat and thin skin etc - and is pretty useless on places with thicker skins. I am not sure that any cream would help the bottom of the feet as the skin is so thick

It was ages ago I used to use feldene gel on my knuckles and fingers - it helped for those areas, but not for anywhere else.

hope you find something to help

raglet