Is there treatment for erythromelalgia?

There is no cure for erythromelalgia; therefore, treatment is focused on improving symptoms. Many patients can be successfully managed with behavioral interventions, topical medications, and aspirin. Other interventions may be beneficial when these measures are insufficient.

What medication helps erythromelalgia?

Oral therapies include aspirin, gabapentin, amitriptyline, cyproheptadine, pregabalin, diltiazem and venlafaxine. Misoprostol was found beneficial in a placebo controlled, cross-over study of 21 subjects. Systemic glucocorticoids and intravenous gamma globulin have also been reported to be helpful.

Does erythromelalgia ever go away?

Though there is no cure for erythromelalgia, the outlook can still be positive. Treatment may bring about complete relief of symptoms. Most of the time, however, EM cannot be fully treated.

Can antihistamines help erythromelalgia?

A survey of the members of The Erythromelalgia Association reported marked improvement in 40% of patients with antihistamine, but not in 60%. This includes use of desloratadine, chlorpheniramine, and diphenhydramine.

What is the best treatment for erythromelalgia?

They include:

  • Anticonvulsants, such as gabapentin or carbamazepine.
  • Antidepressants, like amitriptyline or venlafaxine.
  • Antihistamines, such as cetirizine or diphenhydramine.
  • Aspirin (for adults only).
  • Blood pressure medicines to increase or decrease blood flow.
  • Prescription painkillers.

Do steroids help erythromelalgia?

“Perhaps any erythromelalgia patient could benefit from a trial of oral or intravenous corticosteroids. However, high doses may be required for efficacy,” Dr. Pagani-Estévez said. “ Those who received at least 200 mg prednisone cumulatively tended to respond better.

Do steroids help with erythromelalgia?

What vitamins help erythromelalgia?

Some nutritional supplements may be used to treat EM symptoms. For example, magnesium is a calcium-channel blocker and vasodilator that has been helpful for many EM patients. [43] Another supplement, alpha lipoic acid, has been used for decades for nerve injuries like those present in some people with EM.

Does magnesium help with erythromelalgia?

Magnesium is one of the most important elements in the human body. A vast literature on magnesium suggests that it may be useful in a variety of vascular disorders including not only erythromelalgia, but also hypertension, migraine headaches, and Raynaud’s phenomenon.

Do beta blockers help erythromelalgia?

[40] On the other hand, beta blockers, such as propranolol (Inderal),[41] atenolol (Tenormin), and metoprolol (Lopressor), may provide relief when EM symptoms are caused by too much blood flow to the extremities.

Is exercise good for erythromelalgia?

exercise: Exercise increases blood flow and body warmth. Because this is likely to trigger a flare of EM symptoms, it may be challenging for many individuals with EM to stay active. For some, EM flares and swelling in the feet may make walking or running difficult.

What foods should be avoided with erythromelalgia?

Yes, certain foods can trigger a flare-up in some people with erythromelalgia. Alcohol as well as spicy foods, such as chili peppers and garlic, have been known trigger a flare-up of this condition.