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Old 06-17-2009, 10:06 AM #1
daniella daniella is offline
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Default Supp for swelling,circulation,etc?

Is there a supplement that helps with circulation,swelling, and cramping? I often get frozen foot from lack of circulation or at time swells. This makes me feel very tight too. So was wondering if there was any supplements to aid. I am thinking that the omegas and magnesium but was wondering any others. Thanks
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Old 06-17-2009, 10:30 AM #2
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Quote:
Originally Posted by daniella View Post
Is there a supplement that helps with circulation,swelling, and cramping? I often get frozen foot from lack of circulation or at time swells. This makes me feel very tight too. So was wondering if there was any supplements to aid. I am thinking that the omegas and magnesium but was wondering any others. Thanks
Maybe B6? B6 deficiency can cause edema.

http://www.google.com/search?sourcei...255&q=b6+edema
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Old 06-17-2009, 10:49 AM #3
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Lightbulb

Magnesium does help with circulation. And it does suppress the pain receptors NMDA ones.

But you know I've posted twice about studies using calcium channel blockers (RX) to minimize RSD.
Quote:
Clin Neurol Neurosurg. 1997 Feb;99(1):26-30.Click here to read Links
Complex regional pain syndrome (reflex sympathetic dystrophy and causalgia): management with the calcium channel blocker nifedipine and/or the alpha-sympathetic blocker phenoxybenzamine in 59 patients.
Muizelaar JP, Kleyer M, Hertogs IA, DeLange DC.

Department of Neurosurgery, University of California, Davis, Sacramento 95817, USA.

Complex Regional Pain Syndrome (CRPS) is the new name for entities formerly known mostly as Reflex Sympathetic Dystrophy and Causalgia. Treatment of CRPS with either the calcium channel blocker nifedipine or the alpha-sympathetic blocker phenoxybenzamine was assessed in 59 patients, 12 with early stages of CRPS, 47 with chronic stage CRPS. In the early stage CRPS patients, 3 of 5 were cured with nifedipine and 8 of 9 (2 of whom had earlier received nifedipine) with phenoxybenzamine, for a cure rate of 92% (11 out of 12). In the chronic stage CRPS patients, 10 of 30 were cured with nifedipine; phenoxybenzamine cured 7 of 17 patients when administered as a first choice and another 2 of 7 patients who received nifedipine earlier, for a total late stage success rate of 40% (19 out of 47). The most common side effects necessitating discontinuing the drug were headaches for nifedipine and orthostatic dizziness, nausea and diarrhoea for phenoxybenzamine. All male patients on phenoxybenzamine experienced impotence, but this did not lead to discontinuing this agent and immediately disappeared after stopping the drug. These results once again stress the importance of early recognition of CRPS, and treatment with either of these drugs could be considered as a first choice for early CRPS, especially because in this series this treatment was not combined with physical therapy making it very cost-effective. In the chronic stage of CRPS, treatment with these drugs was much less successful (40%), even though it was always combined with physical therapy, but it can still be considered, either as a first choice or when other types of treatment have failed.

PMID: 9107464 [PubMed - indexed for MEDLINE]
from http://www.ncbi.nlm.nih.gov/pubmed/9...ubmed_RVDocSum

Nifedipine is Procardia and on RX.

If you had diffuse swelling/edema everywhere, I'd agree with a supplement, other than magnesium or B6 like Cara suggests. But in RSD the effects are local, and an RX drug may be best.
I had good results with P5P form of B6 for carpal tunnel.
Edema also occurs if you are low in thiamine. So trying 300mg of thiamine might help, but I don't think in your case it will.

Other options are local compounded transdermal gels with clonidine, or ketorlac etc in them to reduce the swelling. Some doctors add ketamine to the mix. You would apply this type of
combination of drugs right to the area affected.
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Old 06-17-2009, 02:08 PM #4
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Thanks. Yes I just picked up my rx gel called diclofenac sodium gel and other meds just trying to find a combo approach I guess. I will look up the b6,calcium blocker,and thiamine. I don't mind trying supplements just as long as it does not cause problems. Thank you
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Old 07-05-2009, 12:09 AM #5
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my gosh mrs D forgive me if im wrong, but isnt swelling of the legs, constipation and other symptoms -actual side effects of calcium channel blockers to begin with. i asked my doctor to put me on them cuz i had tension headaches, and they also help with anxiety disorders/bipolar 2 so i figured she would but she said that they have all these side effects so they weren't realistic .
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Old 07-05-2009, 07:11 AM #6
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Not all calcium channel blockers cause the same problems to the same degree. Some people don't get any edema from them.
Verapamil causes the most constipation of those in that family.
Besides, the treatment for RSD is not forever, as I understand it.

RSD is so terrible I think you'd do just about anything legitimate to reverse it.

I took Procardia for a while and also Cardizem, no edema.(for blood pressure)
But Norvasc was terrible in that regard for me.

People react differently to vasodilation. RSD is a locally vasoconstrictive condition, and vasodilators may help it.

The edema, Bruegger, you are having, combining Neurontin with verapamil, may be much more noticeable because of the Neurontin.
Neurontin causes swelling in many patients.
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Last edited by mrsD; 07-05-2009 at 07:30 AM.
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Old 07-05-2009, 07:28 AM #7
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Hi Daniella and All!

In the past, I have had great luck with Vitamin B-6, in the form of pyridoxal 5 phosphate or P-5-P. At the same time, too much B-6 intake has reportedly/allegedly caused peripheral neuropathy for some people. If you try this option, do not overdo your daily total intake of B-6.

Many people take B-6 intake too far, thinking if a little is good, more is better. This can be detrimental to one's health.

I am tempted to suggest dosages to you; however, I am not a physician, nor otherwise licensed/qualified by law to suggest dosages to you. Please consult a physician, pharmacist or other qualifed/licensed professional to be safe.

When taking advice on the uses of, and the dosages of, supplements/vitamins, I'd strongly encourage everyone to consider obtaining this advice from a few excellent/trustworthy sources. I have used vitamins/supplements extensively for over 25 years and have found no one source of information is always the most up-to-date and accurate.

One of the ways to decrease edema, in some cases, is to be sure one has a good balance of protein:carbohydrate intake. Lack of protein, or too many carbs can cause water retention, according to some thories/experiences.

Diclofenac Sodium Gel gets many mixed reviews, like most other options! I'll be interested to see what your experience is with this! Many people, not all, find this formulation to be irritating to their skin. I have spoken at length with a few compounding pharmacists on this topical formulation; their general consensus is the "vehicle" in this formulation tends to be relatively "caustic" to the skin and does not adequately deliver the medication into the area one is hoping to treat.
(Compounding pharmacists tend to use more advanced "vehicle" formulations, ensuring better delivery of the topical medication... or so they claim. This has been my own experience when comparing the efficacy of the diclofenac sodium gel and other compounded formulations. I won't get further into this topic just now. Feel free to conatct me re: my experiences with this.)

Give the diclofenac sodium a good trial to see if it is helpful to you!
(We all have our own individual reactions.)

I hope you find the diclofenac sodium topical helpful!
I also hope other safe measures are helpful to you!
Always stay as "safe" as possible in looking for helpful approaches.
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Old 07-05-2009, 09:32 AM #8
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Thanks. I have no idea anymore. I was doing better and then now have been in a horrid flare up. I have heard too much carbs causes edema but not lack of protein that is interesting. I actually feel dehydrated as I have been having some stomach issues. Not sure if it is from my meds or what. Thanks about the gel advice as well.
Bruegger I hope you are feeling better as well.
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Old 07-05-2009, 11:30 AM #9
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Heart Please take really good care!

Hi Daniella,

I am sorry you are in such a flare up!

I'd wanted to mention the fact that I had found the "dosing cards" (or "dosing sheets") enclosed with the topical diclofenac very helpful in not using too much! Many people love these dosing cards as they help so very much with determining just how much gel to us and how often...as well helping with which sites on the body to apply the gel!

Too much and you may suffer more systemic side-effects... too little and you may not get the optimal response for you.

With GI issues, as you know, you don't want to absorb too much diclofenac from the gel. NSAIDs tend to have an affinity for the GI tract cells and often find their way there, no matter the route of administration. The idea with this type of a topical, is to more absorb locally and to not absorb so much systemically.

Please be careful, Daniella, as you sound very tired and I am concerned about just how depleted you may be at this time. You feel you may be dehydrated? I hope you will be able to tolerate getting yourself more hydrated? If not, I hope you will seek medical attention?

Take really good care!


P.S. Daniella, you may already know all about all I have written above. Please don't be offended. I also try to write so readers, in general, will know what we are discussing, as they may not have ever used a topical medication or seen a "dosing card/sheet," etc.
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Old 07-05-2009, 11:39 AM #10
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No offense at all. I appreciate it. I have no tried that med yet as I have been increasing my other meds with my pain doc and I don't like to start new at the same time so I am taking my old as needed meds. I am not sure what is going on with my stomach. I usually am constipated but lately again I am having days of diareah but not usually like this. I am drinking so much though. More worries and problems but I have been checked from head to toe. I appreciate all your help. If I can assist you I am here too. Thanks again
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