What causes intense foot pain despite taking Lyrica?
Patient: I am a 64 year old African American female. I have Type II diabetes, AIC 5.4. Why do I have so much pain and neuropathy in my feet. I take 450 mg. of Lyrica each day, which helps minimal. What s your advice? I thought that your answers were free. Sorry, I don t have the money to pay for your answers. Really? Doctor: Avoidance of neurotoxins (alcohol) and smoking, supplementation with vitamins for possible deficiencies (B12, folate), and symptomatic treatment are the mainstays of therapy of diabetic neuropathy. Chronic, painful diabetic neuropathy is difficult to treat but may respond to Lyrica ( gabapentin).If there is no response, it is reasonable to switch tp other agents like duloxetine approved by the U.S. Food and Drug Administration (FDA) for pain associated with diabetic neuropathy. However remain assured the pain of acute diabetic neuropathy may resolve over time.Regards Dr. T.K. Biswas M.D.Mumbai