Seeking Alternatives for SW376-500 Medication: A Patient's Inquiry - Pharmacology

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Medication Inquiry


Hello: My mother has been receiving her medication from the Rehabilitation Department at the Shushi New Hospital.
Recently, during a follow-up appointment, the doctor informed us that due to the hospital's name change to National Taiwan University Hospital Hsinchu Branch, there have been changes in the medication supply.
My mother suffers from neuropathic pain as a result of nerve damage, and the medication she was regularly taking, SW376-500, has been discontinued (according to the packaging, it is used for nerve repair and neuritis).
She has switched to the out-of-pocket medication SWAN-B12, but its efficacy is not very good.
May I ask if your hospital has SW376-500 available? Thank you for your response.

Miss Luo, 30~39 year old female. Ask Date: 2011/08/23

Dr. Chen Yuemei reply Pharmacology


Hello, regarding the medication SW376-500 that your mother is taking, I inquired at National Taiwan University Hospital Hsinchu Branch about the name of the drug.
Could you provide more information, such as the complete name of the medication or a description of its appearance? This will help me assist you in finding the medication your mother is taking.
Wishing you good health.

Reply Date: 2011/08/23

More Info


Dear Patient,
Thank you for reaching out regarding your mother's medication concerns. It sounds like she has been dealing with significant issues related to peripheral neuropathy, which can be quite challenging. The medication SW376-500, as you mentioned, was previously prescribed for nerve repair and neuropathic pain, and it is unfortunate that it is no longer available due to the pharmacy's changes.

First, let’s discuss the alternatives to SW376-500. While I cannot provide specific information on the availability of SW376-500 at our facility, I can suggest some common alternatives that may be beneficial for managing peripheral neuropathy and associated symptoms.
1. Vitamin B12 (Methylcobalamin): This is often used for nerve health and regeneration. It seems you mentioned that your mother has been switched to SWAN-b12, which is a form of Vitamin B12. If this formulation is not providing the desired effect, it might be worth discussing with her physician about trying a different formulation or dosage.

2. Alpha-Lipoic Acid: This antioxidant has been studied for its potential benefits in diabetic neuropathy and may help alleviate symptoms of nerve pain.

3. Gabapentin or Pregabalin: These medications are commonly prescribed for neuropathic pain. They work by modulating the way nerves send messages to the brain, which can help reduce pain sensations.

4. Duloxetine (Cymbalta): This is an antidepressant that is also approved for the treatment of neuropathic pain. It can help improve mood and reduce pain simultaneously.

5. Topical Treatments: Capsaicin cream or lidocaine patches may provide localized relief for nerve pain without systemic side effects.

6. Physical Therapy: Engaging in physical therapy can help improve mobility and reduce discomfort associated with neuropathy. A physical therapist can provide exercises tailored to her condition.

7. Lifestyle Modifications: Encouraging a balanced diet rich in antioxidants, regular exercise, and good sleep hygiene can also support nerve health.

Regarding the availability of SW376-500, I recommend contacting the pharmacy directly or consulting with your mother's healthcare provider. They may have insights into whether the medication will be available again or if there are other pharmacies that carry it. Additionally, they can provide guidance on transitioning to alternative medications that may be more readily available.

It is crucial to have an open dialogue with her healthcare team about the effectiveness of any new medications and to report any side effects or concerns promptly. This way, they can make necessary adjustments to her treatment plan.

In conclusion, while the discontinuation of SW376-500 is unfortunate, there are several alternatives that may help manage her symptoms effectively. Please ensure that any new medication or supplement is discussed with her healthcare provider to ensure safety and efficacy.

Wishing your mother the best in her recovery and management of her symptoms. If you have further questions or need assistance, feel free to reach out.

Best regards.

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