Q: I developed peripheral neuropathy two years ago.  I suffered until a neurologist prescribed Lyrica twice a day.  Although it has helped my symptoms, I have gained 25 pounds in the past six months.  The increase in appetite is very difficult to control.  I even wake up at night with hunger pains.

Is there anything to counteract this so I can lose the excess weight?  Previously, I was in good health and walked briskly 2 miles daily. The neuropathy prevents that now.

A: Some people are susceptible to significant weight gain while taking pregabalin (Lyrica).  You might ask your doctor if there are other options for your nerve pain.  Benfotiamine (a B vitamin derivative) might offer a different approach (PLOS One, Feb 19, 2015).

• article by Joe and Teresa Graedon
• copyright The Seattle Times