Health

Ask Health Experts and Get Answers to Your Health Question ASAP

Ask an Expert,
Get an Answer ASAP!

Health

I have neuropathy. I am not a diabetic. The pain is

Customer Question
I have neuropathy. I...
I have neuropathy. I am not a diabetic. The pain is concentrated in my feet only. I am on gabapenitin but I heard that Zostrix would help with the pain. Trouble is that it burns and is worse than the pain. I can stand it but how long before the burning stops. Or do you have another suggestion.
Submitted: 9 years ago.Category: Health
Show More
Show Less
Ask Your Own Health Question
Answered in 27 minutes by:
1/1/2009
Health Professional: NeuroDoc1, Doctor replied 9 years ago
NeuroDoc1
NeuroDoc1, Doctor
Category: Health
Satisfied Customers: 211
Experience: Neurology Residency completed 2006, Board Certified Neurologist
Verified

Hello,

Zostrix contains capsaicin, which probably works by reducing a pain transmitter in the nerves called substance P. The burning you describe with the Zostrix is not unusual, and usually will improve within 1 week. This has been my experience with the medication in general, though it may take slightly longer or shorter to notice the burning decrease and for the pain improvement to "kick in".

Gabapentin is usually very effective for neuropathic (ie nerve related) pain. One common problem with gabapentin is that it is underdosed--sometimes doses of 900 to 1200 mg three times per day is needed for adequate pain relief.

With regard to the cause of your neuropathy, I assume that you have had bloodwork checked for this and that you are not diabetic. If not, I would make sure that your doctors have checked at least a vitamin B12 level, thyroid hormone, and serum protein electrophoresis (SPEP) as these are treatable causes of neuropathy. Sometimes more extensive testing can be done by Neurologists if they suspect a particular disorder such as vasculitis (inflammation around the blood vessels that supply the nerves), HIV, heavy metal levels, or genetic testing for inherited neuropathy. These are not checked for every patient, however, because in most cases they are normal and testing is not warranted unless you have other symptoms/history that suggest these may be the problem.

If gabapentin and zostrix do not control your nerve pain, other medications that can be tried include amitriptyline, duloxetine (Cymbalta), pregabalin (Lyrica), carbamazepine, and lamotrigine. Each medication has its own side effects and dosing schedule, so picking the right medication needs to be a joint effort between you and your doctor.

I hope this has helped.

NeuroDoc1
NeuroDoc1, Doctor
Category: Health
Satisfied Customers: 211
Experience: Neurology Residency completed 2006, Board Certified Neurologist
Verified
NeuroDoc1 and 87 other Health Specialists are ready to help you
Ask your own question now
Customer reply replied 9 years ago
I have paid you but I still do not know if you believe zostrix will work at all.
Health Professional: NeuroDoc1, Doctor replied 9 years ago

In my experience with severe painful neuropathy, Zostrix is helpful but does not often control the pain well enough on its own. Most of the time, I prescribe it as an adjunctive (add-on) treatment in addition to a medication such as gabapentin. For some people who find the gabapentin helps partially and do not want to take another pill, it is a good option. I would recommend sticking with the Zostrix for at least 7-10 days before judging whether it works or not.

Best wishes to you.

Ask Your Own Health Question
Ask NeuroDoc1 Your Own Question
NeuroDoc1
NeuroDoc1
NeuroDoc1, Doctor
Category: Health
Satisfied Customers: 211
211 Satisfied Customers
Experience: Neurology Residency completed 2006, Board Certified Neurologist

NeuroDoc1 is online now

A new question is answered every 9 seconds

How JustAnswer works:

  • Ask an ExpertExperts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional AnswerVia email, text message, or notification as you wait on our site. Ask follow up questions if you need to.
  • 100% Satisfaction GuaranteeRate the answer you receive.

JustAnswer in the News:

Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.

What Customers are Saying:

I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much

Corrie MollPretoria, South Africa

I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well!

ClaudiaAlbuquerque, NM

Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion.

KevinBeaverton, OR

Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
I feel better already! Thank you.

ElanorTracy, CA

Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem.

JulieLockesburg, AR

You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions.

John and StefanieTucson, AZ

I have been dealing with an extremely serious health crisis for over three years, and one your physicians asked me more questions, gave me more answers and encouragement than a dozen different doctors who have been treating me!!

Janet VPhoenix, AZ

< Previous | Next >

Meet the Experts:

Family Physician

Family Physician

Doctor (MD)

5,660 satisfied customers

Emergency Medicine and Family Practice for over 26 years

Nurse Milli, RN

Nurse Milli, RN

Nurse (RN)

4,051 satisfied customers

20 years experience in many areas of Nursing. Both Hospital and Private Practice experience.

Dr. Ketch

Dr. Ketch

Doctor

102 satisfied customers

Medical Degree, Former Assistant Professor at School of Medicine at Yale University

DrRussMD

DrRussMD

Doctor (MD)

5,095 satisfied customers

Practice Director

Dr. Arun Phophalia

Dr. Arun Phophalia

Doctor (MD)

19,749 satisfied customers

MBBS, MS (General Surgery), Fellowship in Sports Medicine

Dr. Chip

Dr. Chip

Doctor (MD)

14,036 satisfied customers

Over 20 yrs of Family Practice

Dr. Mark

Dr. Mark

Doctor (MD)

6,234 satisfied customers

U.S. Physician/Surgeon in Neurosurgery

< Previous | Next >

Related Health Questions
I accidentally took my dogs proin 50 mg. Will it hurt me,
I accidentally took my dogs proin 50 mg. Will it hurt me … read more
Vakul Aren
Vakul Aren
Consultant Physician
Post graduation (Liverpool, U.K.)
3,978 satisfied customers
I'm on 25mg atenolol daily (7 years) for anxiety. Not
Hi I'm on 25mg atenolol daily (7 years) for anxiety. Not wanting to gain weight, I've been offered amitriptyline for chronic sciatica, I've read it can lower bp and cause fainting if taken together. W… read more
Vakul Aren
Vakul Aren
Consultant Physician
Post graduation (Liverpool, U.K.)
3,978 satisfied customers
I'm 56 and had 2 stents 3 years ago. I'm sitting here on my
Hi, I'm 56 and had 2 stents 3 years ago. I'm sitting here on my phone and my bpm gets down to 56 per my fitbit. I'm obese, take synthroid, heart and kidney blood pressure meds and avorstatin. What do … read more
Doctor John MD
Doctor John MD
Urgent Care and Sports Medicine Doctor
Doctoral Degree
746 satisfied customers
Possible diagnosis and means of reducing the pain. Had the
Possible diagnosis and means of reducing the pain. … read more
Dr. Arun Phophalia
Dr. Arun Phophalia
Doctor (MD)
Post-Doctoral Degree
19,749 satisfied customers
I am bipolar and taking gabapentin 700 mg po qd for anxiety
Hi there. I am bipolar and taking gabapentin 700 mg po qd for anxiety d/o. I am finding myself having short term memory loss. Could this be r/t the gabapentin? … read more
Dr. David
Dr. David
Radiation Oncology Attending Director
Post-Doctoral Degree
13,091 satisfied customers
My daughter has been complaining of headaches, let back pain
My daughter has been complaining of headaches, let back pain and intensely itching, and other parts of her body randomly hurting, and tingles in her hand. … read more
Gaurav Gupta
Gaurav Gupta
MD, CEO
Post-Doctoral Degree
22 satisfied customers
I accidentally took an extra dose because I couldn't
I accidentally took an extra dose because I couldn't remember if I taken my pill I take 100mg of Zoloft will I be okay … read more
Doctor John MD
Doctor John MD
Urgent Care and Sports Medicine Doctor
Doctoral Degree
746 satisfied customers
This morning when i woke up,there was a big sticky spot on
This morning when i woke up,there was a big sticky spot on my body pillow,and a big wet sticky spot on my underwear,there was no puddle of urine on the mattress,just the sticky stuff,when i peed it wa… read more
Dr. Arun Phophalia
Dr. Arun Phophalia
Doctor (MD)
Post-Doctoral Degree
19,749 satisfied customers
I have severe pain in the front of my left thigh so that it
I have severe pain in the front of my left thigh so that it is hard to walk and sleep in any position other flat on my back. My Dr said it was sciatica pain. I have tried acupuncture and PT but nothin… read more
Vakul Aren
Vakul Aren
Consultant Physician
Post graduation (Liverpool, U.K.)
3,978 satisfied customers
I've been taking Gabapentin 900mg for 4 months following
I've been taking Gabapentin 900mg for 4 months following spinal stenosis. Initially it had some help but the past 5 weeks I've tried to Taper it as it was not helping. I tried tapering 600mg by reduci… read more
Vakul Aren
Vakul Aren
Consultant Physician
Post graduation (Liverpool, U.K.)
3,978 satisfied customers
How do I wean myself off of 300mg/day of Gabapentin? I am
How do I wean myself off of 300mg/day of Gabapentin? I am miserable. … read more
Vakul Aren
Vakul Aren
Consultant Physician
Post graduation (Liverpool, U.K.)
3,978 satisfied customers
I am taking gabapentin for peripheral neuropathy and
I am taking gabapentin for peripheral neuropathy and wondered if it has an effect on blood pressure. I take my BP daily, and when I started taking gabapentin, I observed my BP was lower than usual. I … read more
Dr Basu
Dr Basu
Physician
Doctoral Degree
11,307 satisfied customers
I was taking Lamotrigine because I have trigeminal
I was taking Lamotrigine because I have trigeminal neuralgia. I quit taking the medication because I was having no more pain but now I feel lightheaded. What should I do … read more
DrRussMD
DrRussMD
Doctor (MD)
5,095 satisfied customers
I am worried I have not taken 100mg of my usual dose of
I am worried I have not taken 100mg of my usual dose of 150mg of lamotrigine this morning (just half hour ago)for my epilepsy. I found it in my hand whilst having other things in my other hand. I was … read more
Nicholas Merwood
Nicholas Merwood
Masters
10 satisfied customers
I was prescribed 100mg gabapentin per night to help with
Hello! I was prescribed 100mg gabapentin per night to help with sleep, and have been taking it for about 3 weeks. I deal with a general anxiety disorder, and found that in the beginning the medicine c… read more
Vakul Aren
Vakul Aren
Consultant Physician
Post graduation (Liverpool, U.K.)
3,978 satisfied customers
I began taking gabapentin for cluster headaches about 8
I began taking gabapentin for cluster headaches about 8 weeks ago. My headaches have calmed down quite a bit. Should I ween myself from gabapentin & if so how do I do this with a capsule dose? … read more
Carole
Carole
Licensed NP, ER and Adult Health.
Master\u0027s Degree
363 satisfied customers
I am on gabapentin 300mg morning and afternoon and 400 at
I am on gabapentin 300mg morning and afternoon and 400 at night. I want to wean off it. been on it for about 1.5years. help … read more
Dr. Saha
Dr. Saha
Doctoral Degree
359 satisfied customers
Can I take cyclobenzaprin, tramadol and gabapentin together?
Can I take cyclobenzaprin, tramadol and gabapentin together? … read more
Dr. Saha
Dr. Saha
Doctoral Degree
359 satisfied customers
Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Show MoreShow Less

Ask Your Question

x