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Peripheral neuropathy

Introduction

Research

The Peripheral Neuropathy Research Registry (PNRR) is a prospective cohort of peripheral neuropathy (PN) patients focused on idiopathic axonal peripheral neuropathy. 1)

Peripheral Neuropathy and Nerve Compression Syndromes in Burns. 2)

B vitamins and chemotherapy-induced peripheral neuropathy. 3)

Evidence of infectious cause

Management

A Practical Approach to Diagnosis and Symptom Management. 4)

Caution

“Levofloxacin interacts with a number of other drugs, as well as a number of herbal and natural supplements. Such interactions increase the risk of cardiotoxicity and arrhythmias, anticoagulation, the formation of non-absorbable complexes, as well as increasing the risk of toxicity.[7]

Levofloxacin is associated with a number of serious and life-threatening adverse reactions as well as spontaneous tendon ruptures and irreversible peripheral neuropathy.

Such reactions may manifest long after therapy had been completed and in severe cases may result in life-long disabilities. Hepatoxicity has also been reported with the use of levofloxacin.” Wikipedia

Patient reports

The peripheral neuropathy that hospitalized me back in 2008 has been waxing and waning since I started the MP and is slooooooowwwwwwllly getting better. I still have a ways to go but I have also come a long way. Yomi 2012

Itching much better, but having a lot pf peripheral neuropathy in feet and hands, especially at night, when hands go numb and feet burn and prickle. Most annoying. Not sure if this is IP Kas 2013

extended report

sarc01 19 Feb 2008 The neuro involvement of my disease includes severe neuropathy of both legs starting at the knees and getting progressively worse on down through the toes. This pain is the reason I take the hydrocodone… most of the time all of my daily dose at once to fall asleep. If I accidentally fall asleep with my feet under the covers, I'll wake up about 45 minutes later with both feet on fire (burning sensations… both feet turn beet red) and won't sleep much for the rest of the night. This neuropathy involved all limbs, lower abdomen and even face for about 10 months in 1997… but, it gradually regressed and localized around the shins and feet… and has been there ever since. I mention this because last nights hand experience reminded me of when I had the neuropathy really bad in my hands.

26 Feb 2008 Unusual symptoms: periodic increases in neuropathy pain in the evenings, seem to line up with second day after taking in Mino… hard to truely associate as herx because nerve pain is always worst in the evening and calm when waking up as long as I don't fall asleep with the covers over my legs (then its huge pain). General feeling of well being is just better.  Disease related symptoms: SOB (on exertion), skin nodules on shins (resolving), calves (resolving), thighs, hams, glutes, lower abdomen and arms (cutaneous and subcutaneous), neuropathy, fatigue, insomnia.

5 March 2008  Unusual symptoms: heightened neuropathy for three days straight (Thur-Sat) and swelling in feet, toes and ankles… seemed to get better on Sunday and continues to be moderate since Monday when I increased the Mino dose to 50mg.  Feeling an increase in SOB and some wheezing.  Disease related symptoms: SOB (on exertion), skin nodules on shins (resolving), calves (resolving), thighs, hams, glutes, lower abdomen and arms (cutaneous and subcutaneous), neuropathy, fatigue, insomnia.

18 March Unusual symptoms: continued heightened neuropathy and swelling in feet, toes and ankles… I'm more convinced this is herx because I haven't felt this much pain with it since we went to Disneyworld several years ago and walked around for about 8 hours two days in a row, plus in the heat, and in the sun

3 April 2008 Feet neuropathy is about an 8 on the off day and the night before I take the minocycline.  I get the most sleep during the day after I take the mino, benicar and hydrocodone all at once… about 12 hours straight of solid sleep (yay).

26 April 2008 Another interesting symptom is that my leg neuropathy has been its most intense and constant as I can remember… I'd rate it a 9.

6 May 2008 some improvement in neuropathy and swelling in feet, toes and ankles. Night time circulation issues. The benicar really hasn't done much to alleviate the neuropathy symptoms (even when I accidentally took like 4 benicar 40s at once)… so, I've just been dealing with it… it is something I've had to work through for years and years anyway.

11 May 2008 New and unique cold/flu style symptoms over the past 3 days that has exasperated the neuropathy and swelling in feet, toes and ankles. Malaise, blocking sinus congestion, dry cough, and sore throat. Seems this could be a different flavor of herx, but my wife also has the same symptoms, so I think we have picked up another bug… it is also causing the neuropathy in my hands (which, in the past, has been relatively minimal) to become irritating.

January 2009 Neuropathy (shins, feet, toes, hands) - 7

March 2009 Neuropathy (shins, feet, toes, hands) - 6

February 2010 Neuropathy (shins, feet, toes, hands) - 6 rating stays down to 6 but “My peripheral nerve symptoms are still severe enough to keep me disabled and my battle with neuralgia induced insomnia continues”

September 2010

Unfortunately patient reported need to discontinue MP and resume steroids because breathing difficulty prevented sleep

Patient interviews

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<div class=“patientinterviews”> <div class=“patientinterviewboxr”> <div class=“patientinterviewimage”></html><html></div> <div class=“patientinterviewtext”> <div class=“patientinterviewname”></html>P. Bear R.N.<html></div></html>

chronic borreliosis (“Lyme”), multiple chemical sensitivities, chronic spinal inflammationThe complex biological response of vascular tissues to harmful stimuli such as pathogens or damaged cells. It is a protective attempt by the organism to remove the injurious stimuli as well as initiate the healing process for the tissue., peripheral neuropathy

Read the interview

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Interviews of patients with other diseases are also available.

Notes and comments

look in https://www.marshallprotocol.com/search.php?s=1&q=Peripheral+neuropathy&forum_id=35

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GETCONTENT

Olmesartan medoxomil ameliorates sciatic nerve regeneration in diabetic rats. Nakamura H, Domon Y, Inoue T, Arakawa N, Yokoyama T.

Biological Research Laboratories II, R&D Division Daiichi-Sankyo Co. Ltd., Tokyo, Japan. nakamura.hiroaki.xn@daiichisankyo.co.jp

To evaluate the effect of angiotensin II type1 receptor blocker on nerve regeneration delay in diabetic rats, nerve regeneration was monitored by a pinch test on the crushed sciatic nerves of streptozotocin-induced diabetic rats. Nerve regeneration was significantly delayed in diabetic rats and was partly ameliorated by treatment with olmesartan medoxomil (3 mg/kg/day, orally). In the ipsilateral dorsal root ganglia, the mRNA level of insulin-like growth factor-1 and ciliary neurotrophic factor (CNTF) was downregulated, whereas the mRNA level of neurotrophin-3 and CNTF receptor was upregulated. Olmesartan medoxomil significantly enhanced the CNTF expression. These results showed that angiotensin II type1 receptor blocker treatment is effective on nerve regeneration delay in diabetic animals and may provide an effective therapy for clinical diabetic neuropathy.

PMID: 19786922 [PubMed - in process]

References

1)
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2)
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3)
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4)
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