Duciltia

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Franklin

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Type 2
Following visit to see the DN she tested my blood flow in my legs which came up as need a referral which she could not do, so an appointment was madd to see the GP. he felt my foot pulse and said the aching in my legs is due to neuropathic pain and prescribe the above medication. I mention on this site early about take a inhibitor drug looking at the guidance notes with this new medication it states do not take if taking inhibitor drug. Has anyone had this drug and also been on inhibitor medication. I. am trying to reduce my medication having this new pill is a real cause of concern it is also used for me til health problems which I do not have or had. What drugs are used for leg neuropathic pain.
 
Hi @Franklin , thank you for sharing your story. I hope someone is able to come back with some useful information for you soon. It might also be a good idea to get a second opinion from someone clinically trained, such as your pharmacist.
 
I wonder if @MikeyBikey might have some input. I believe the prompt diagnosis and treatment of Peripheral Arterial Disease (PAD) which is likely the cause of neuropathy is something that he is quite passionate about. I think rather than just treating the pain, it might be wise to have a referral to a specialist to assess the situation. @Eddy Edson is also well informed on this subject.

Are you able to walk? I believe that whatever you can do to stimulate the blood flow to your feet will be important, so even sitting exercises, if you can't walk.
Hopefully someone will correct me if I am wrong about any of that, but I know that Eddie is a big fan of walking.
 
Is the pain constant or is it something you get eg just when you walk for a bit, then goes away when you stop?
 
To be honest I would go and see a different GP and get another opinion. I'm not doubting your original GP's diagnosis but, if they suspect any degree of neuropathy or PAD, they should be referring you to a specialist vascular team, not just bunging you on medication and hoping for the best.

My mum has PAD and the vascular team look after her really well but it's an ongoing battle to keep her legs infection and ulcer free. You need to be under the watchful umbrella of these teams so they can quickly spot any issues.
 
rebrascora said:
I wonder if @MikeyBikey might have some input. I believe the prompt diagnosis and treatment of Peripheral Arterial Disease (PAD) which is likely the cause of neuropathy is something that he is quite passionate about. I think rather than just treating the pain, it might be wise to have a referral to a specialist to assess the situation. @Eddy Edson is also well informed on this subject.

Are you able to walk? I believe that whatever you can do to stimulate the blood flow to your feet will be important, so even sitting exercises, if you can't walk.
Hopefully someone will correct me if I am wrong about any of that, but I know that Eddie is a big fan of walking.
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Hi Thanks for your help, I am able to walk which I do every day around 7k or more as part of my own fitness. I have slowed down a lot over recent weeks/months and the leg pain aches are slowly increasing.
 
Eddy Edson said:
Is the pain constant or is it something you get eg just when you walk for a bit, then goes away when you stop?
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Hi Eddy Edson, the pain comes and goes, legs ach when walking and after sitting down for a few minutes.
 
Deb_l said:
To be honest I would go and see a different GP and get another opinion. I'm not doubting your original GP's diagnosis but, if they suspect any degree of neuropathy or PAD, they should be referring you to a specialist vascular team, not just bunging you on medication and hoping for the best.

My mum has PAD and the vascular team look after her really well but it's an ongoing battle to keep her legs infection and ulcer free. You need to be under the watchful umbrella of these teams so they can quickly spot any issues.
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Hi Deb_1: After the DN tested my leg s blood flow she said they are int the region of having to be referred to the hospital but only a doctor could do that. Thats when things seem to go wrong the doctor just said you have a good pulse and prescribed duloxetine (Duciltia) which are used for mental health issues which I do not have and should not be used if taking inhibitor which I am.
 
The big problem I have had is I had four DN in a 18 months all have a different views and each time I had a review they have increased insulin and now started me on an inHibitor. Trying to see a DN takes weeks for an appointment and asking for another opinion from a doctor would most likely have me removed from the surgery list. and that surgery is the only one around my location which would mean I would not have a local GP. In general I feel unwell lack of energy and light headed and I am left to deal with my diabetes. I am not taking the duloxetine or the inhibitor now as both made me feel so ill. How could I get to see a DN at a hospital ???
 
Franklin said:
In general I feel unwell lack of energy and light headed and I am left to deal with my diabetes.
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I don’t want to be rude but, that is how diabetes work. You learn to manage it yourself and change the doses yourself, you don’t make an appointment every time a dose needs changing. Have you looked at the online courses or read the recommended books?
 
Lucyr said:
I don’t want to be rude but, that is how diabetes work. You learn to manage it yourself and change the doses yourself, you don’t make an appointment every time a dose needs changing. Have you looked at the online courses or read the recommended books?
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i am aware of that fact, however I started the enquiry by asking about other drugs which I am not sure I should have been prescribed and was asking if others have used them. My last message was a general fact on how I feel let down. Perhaps you have had great support for your diabetes.
 
Franklin said:
Perhaps you have had great support for your diabetes.
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:rofl: :rofl::rofl: Im nearly 16 years in and haven’t even got a diagnosis of which type I have yet. I manage it myself, without the input of doctors/nurses other than 10-15 minutes once or twice a year.
 
Lucyr said:
:rofl: :rofl::rofl: Im nearly 16 years in and haven’t even got a diagnosis of which type I have yet. I manage it myself, without the input of doctors/nurses other than 10-15 minutes once or twice a year.
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So you have know idea about insulin and inhibitors and there effects. Sorry but I do not feel you can make comments or advise.
 
Franklin said:
i am aware of that fact, however I started the enquiry by asking about other drugs which I am not sure I should have been prescribed and was asking if others have used them. My last message was a general fact on how I feel let down. Perhaps you have had great support for your diabetes.
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Which combination of medication are you concerned about, Duloxetine is commonly prescribed for diabetic neuropathy.
 
Franklin said:
So you have know idea about insulin and inhibitors and there effects. Sorry but I do not feel you can make comments or advise.
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I’ve taken insulin for 15 years… it would help if you actually said which inhibitor drug you take. Many drugs inhibit many different things.
 
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