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  All too often, if there is a genetic predisposition, prescribing opiates for appropriate reasons can lead to addiction. Drug tolerance develops quickly. There are alternatives and solutions that Dr. Gracer describes.          

The American Academy of Neurology has issued new guidelines for effective treatment of painful diabetic neuropathy. It involves the use of multiple drugs that include anti-seizure medications, antidepressants, and narcotics. While it is sometimes necessary to use this toxic polypharmaceutical approach, there are newer highly effective, safe, and affordable options...