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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Is The Best Medicine For Anxiety And Depression?

Hi I have been diagnosed with peripheral pparasthesia in both my feet. My Dr cannot find a reason for this as there are apparently lots of causes...mainly diabetes...but I m not diabetic. What is the best p medication for this problem....I m on Cymbalta for depression/anxiety but am reading this is also a helpful for paraesthesia. I was on Lyrica (for a different problem) but h this did not help my feet either.....What would you suggest and have you ever heard of a natural cream called Emuaid that is purported to cure paraesthesia symptoms...Thanks Janet
posted on Sat, 12 Sep 2015
Twitter Sat, 26 Sep 2015 Answered on
Twitter Mon, 28 Sep 2015 Last reviewed on
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Psychiatrist, Child,  's  Response
parasthesias CAN BE DUE TO SEVERAL CAUSES OTHER THAN DIABETES-PERIPHERAL NEUROPATHY DUE TO THIAMINE DEFICIENCY, VITAMIN B12 AND FOLATE DEFICIENCY, CALCIUM DEFICIENCY,HYPOTHYROIDISM, AND SO ON. SOMETIMES IT CAN EVEN BE DUE TO CONNECTIVE TISSUE DISORDERS LIKE SLE, PSS.
KINDLY GET NCV(NERVE CONDUCTION VELOCITY) STUDIES DONE TO PINPOINT THE DIAGNOSIS. GET A COMPLETE BLOOD COUNT(CBC) DONE ALONG WITH PERIPHERAL BLOOD SMEAR. ALSO T3, T4, TSH WILL BE WORTHWHILE.

IF NCV IS WITHIN NORMAL AND THE OTHER TESTS DO NOT SHOW ANY ABNORMALITY, WE CAN LOOK FOR PSYCHOGENIC CAUSES LIKE UNDERLYING DEPRESSION OR STRESS. U MAY EVEN BE HAVING SOMATOFORM DISORDER IN WHICH UNEXPLAINED PHYSICAL SYMPTOMS OCCUR WITHOUT ANY UNDERLYING ORGANIC BASIS/ CAUSE. IN THAT CASE U CAN TRY TAB AMITRYPTYLINE 10 MG SLOWLY INC TO 25 MG AT NIGHT.

DR SMRITHI
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What Is The Best Medicine For Anxiety And Depression?

parasthesias CAN BE DUE TO SEVERAL CAUSES OTHER THAN DIABETES-PERIPHERAL NEUROPATHY DUE TO THIAMINE DEFICIENCY, VITAMIN B12 AND FOLATE DEFICIENCY, CALCIUM DEFICIENCY,HYPOTHYROIDISM, AND SO ON. SOMETIMES IT CAN EVEN BE DUE TO CONNECTIVE TISSUE DISORDERS LIKE SLE, PSS. KINDLY GET NCV(NERVE CONDUCTION VELOCITY) STUDIES DONE TO PINPOINT THE DIAGNOSIS. GET A COMPLETE BLOOD COUNT(CBC) DONE ALONG WITH PERIPHERAL BLOOD SMEAR. ALSO T3, T4, TSH WILL BE WORTHWHILE. IF NCV IS WITHIN NORMAL AND THE OTHER TESTS DO NOT SHOW ANY ABNORMALITY, WE CAN LOOK FOR PSYCHOGENIC CAUSES LIKE UNDERLYING DEPRESSION OR STRESS. U MAY EVEN BE HAVING SOMATOFORM DISORDER IN WHICH UNEXPLAINED PHYSICAL SYMPTOMS OCCUR WITHOUT ANY UNDERLYING ORGANIC BASIS/ CAUSE. IN THAT CASE U CAN TRY TAB AMITRYPTYLINE 10 MG SLOWLY INC TO 25 MG AT NIGHT. DR SMRITHI