[dac122]

All,

I have symptoms closer to Erythromelalgia than SFN in the sense I have tremendous redness/inflammatory response on the tops of my feet if I am not on Gabapentin. I also get aches in both of my feet, but not necessarily in the joints.

Lidoderm patches work well, and I am interesting in knowing more about Voltran Gel, but found few folks posting about it.

Any ideas if this might work in, pros, cons, etc.

[ginnie]

I have serious PN and use Voltaren. Can't say lately if it really helps or not. It did when the symptoms were mild, but not so much now that it is strong pain. It is worth a try as there are no side effects that I could detect. I wish you all the best. ginnie

[Jon_sparky]

Originally Posted by dac122

All,

I have symptoms closer to Erythromelalgia than SFN in the sense I have tremendous redness/inflammatory response on the tops of my feet if I am not on Gabapentin. I also get aches in both of my feet, but not necessarily in the joints.

Lidoderm patches work well, and I am interesting in knowing more about Voltran Gel, but found few folks posting about it.

Any ideas if this might work in, pros, cons, etc.

I have a trial tube of this stuff, but haven't had much luck with it. Isn't this a topical NSAID, wouldn't think that would help with PN pain...

[mrsD]

Many of the compounded pain creams
Used here by some posters have an NSAID
In their recipes.

The only downside to Voltaren gel is
The risk of liver damage with long term
Use or use over large areas long term.
There are studies that warn of this.

[Wide-O]

There is a componant in voltaren that is responsible for a decline in the vulture population in India - as much as 99%.

Ah, diclofenac, that's the one.

Originally Posted by wiki

Use of diclofenac in animals has been reported to have led to a sharp decline in the vulture population in the Indian Subcontinent, a 95% decline in 2003,[28] 99.9% decline as of 2008. The mechanism is, it is presumed, renal failure, a known side effect of diclofenac. Vultures eat the carcasses of livestock that have been administered veterinary diclofenac, and are poisoned by the accumulated chemical,[29] as vultures do not have a particular enzyme to break down diclofenac.

I have used it in the past (sparingly), but more for muscle pain. I can't say it had any effect on PN pain. Personally I had more luck with Biofreeze. YMMV.

[beatle]

Here is another thread (there are many) on compounding creams:

http://neurotalk.psychcentral.com/sh...ht=compounding

[ginnie]

So if your kidneys are already not quite right, should the doc. be prescribing me volteran???? am not interested in real kidney damage. ginnie

[mrsD]

In humans NSAIDs can cause liver and/or
Kidney damage.

Diclofenac as a topical agent has been
Shown to be liver toxic in some patients.
Just Google "diclofenac liver toxicity "
To find more. It was thought that topical
Use would be safer, but post marketing
Events prove otherwise.

A lot depends on the amount applied on
the body and length of time used.

Long term use should be checked medically
by doctors with liver and kidney tests.

[ginnie]

Well I was taken off all meds. like that, as I was showing some elevation in one of the kidney tests. I won't take it, as I do apply liberally I suppose. Will bring to my docs. attn. Medicine is sure a complicated thing. thanks, ginnie

[mrsD]

You can have you doctor rewrite the
Recipe next time with the NSAID
Removed.

It would be interesting to see if the
new recipe works as well, as the old one.