Recently diagnosed w/ Small Fiber Neuropathy -- now what?

APJH · 05-26-2012, 06:32 PM

Quote:

Originally Posted by Dr. Smith

Hi APJH, Welcome.

Before trying Cymbalta, you might ask your doctor to indulge you and try:
100 mg. Stabilized R-Lipoic Acid (1/day)
500 mg. Acetyl L Carnitine (2/day, 12 hrs. apart)
100 mg. Pantothenic Acid (1/day)

You can take these with the B-12, which should be on an empty stomach.

Cymbalta may help your pain symptoms, but AFAIK, has little/no value in arresting/reversing neuropathy, and has a higher side effects profile.

Exercise is important; there's a recent thread on that (and more in the archives). I have similar mobility limitations/cane, but Tai Chi is working for me.

Doc

Thanks so much for your response. I'm going to print out the list of meds you provided and take it to my doc next week. Let's see what he says.

As for exercise, I may go back to swimming, which I used to do for years. It's the most low-impact exercise and won't exacerbate my symptoms or worsen the pain (I hope). I just need to get my heart rate up again!

Thanks and all the best to you.
APJH

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