Hi all, I thought I would update things again as there has been more change. After starting on high dose B12 and finding almost instant relief, I am sorry to report that the night time burning has returned. I am very disappointed as I thought I had found a real remedy for this condition. So I am back to square one and am not sure what I should do now. The consultant who diagnosed me said the I should take Nebivolol and Duloxetine. To get stared on the Duloxetine I would have to taper off of Paroxetine. I cut my dose in half for 2 weeks and the reduced to a quarter dose for a further 1 week. By this time I was feeling quite awful, strange electric shock like feelings in head, my vision was blurred and I had terrible palpitations. I gave up the idea of cutting down and had to revert to my usual full dose of 20mg. So the way things stand, I will not be able to start on Duloxetine at this time. As for the Nebivolol well I just don't know what to do about that. Any suggestions would be welcome. Thanks Dee
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