The first step in the management of neuropathy is to determine and treat the underlying cause, which can include metabolic problems, a drug/toxin effect, certain vitamin deficiencies, and direct nerve compression, as well as other causes. If no cause can be found, treatment will consist of relieving the symptoms.
Certain medication types are effective for the symptomatic treatment of nerve pain. These include some seizure medications and certain types of antidepressants. Also, some topical medications, such as lidocaine, can be helpful depending on the circumstances.
The appropriate choice of medication(s) depends on many factors, such as other medications you are taking and other pre-existing medical conditions. Therefore, specific treatment options should be discussed with your healthcare provider.