Monday, August 29, 2005

Peripheral Neuropathy Dana Farber Therapies

Here is the Dana Farber list of possible pn therapies. Note the message at
the beginning!


DFCI NEUROPATHY REGIMEN


This is the DFCI Neuropathy regimen, posted with permission. Show this list
to your doctor, and work out your neuropathy treatment with him/her. Do not
treat yourself from this list without your doctor's help!

Neuropathy Treatments


Vitamins - Always take with food


MULTI-B COMPLEX VITAMIN
with B1, B6, B12 (at least 400mcg), folic acid and other


FOLIC ACID 1 to 2 mg
Folate


B6 VITAMINS
50mg in AM, 100mg in PM


MAGNESIUM
250MG twice a day -- may cause diarrhea in large doses


POTASSIUM
2 teaspoons Apple Cider Vinegar
Bananas, Oranges


VITAMIN E
400 IU daily


Amino Acids -- can be obtained at Health Food Stores . Take with food.


L- CARNITINE
500mg twice a day with food.
Can take up to 2000mg a day. Acetyl-Carnitine is best if available.


ALPHA-LIPOIC ACID
400mg to 600mg a day with food


L-GLUTAMINE
Start with 10gms a day for 1 week, then 1 gram 3 times a day with food.
Dissolve in 8oz. Liquid.


Medications - Prescription needed


NEURONTIN (gabapentin)
Start with 100mg three times a day. Gradually work up to 600mg three times
a day. Can dose as high as 2700mg total dose with Physician permission.
Neurontin comes in 100mg and 300mg pills.


ELAVIL (Amitriptyline)
25-50mg at bedtime.


ZOLOFT(Sertraline)
50-100mg at bedtime.


LIDODERM PATCH 5%
1 ½ patches to each area of pain. Remove after 12 hours each day.
Miscellaneous
TONIC WATER (Quinine or Seltzer water)
Drink one glass in evening and any other time cramping occurs.


CAPSAICIN CREAM (Zostrix)
Over-the-counter in pharmacy. Apply to fingers or toes and feet once a day.

COCOA BUTTER (rich in Vitamin E and other emollients)
Apply to affected area twice a day with gentle massage.


Steroid Symptoms

SEROQUEL
25mg at bedtime.


RITALIN
5 to 10mg twice a day.


ATIVAN
.5 - 1mg before bedtime and every 4 hours if needed for anxiety.

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