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Best treatments for diabetic neuropathies

6 products may treat diabetic neuropathies, spanning FDA drug classes such as antiarrhythmic, serotonin reuptake inhibitor, serotonin and norepinephrine reuptake inhibitor. The current highest-rated option is mexiletine hydrochloride. Ranked below by our independent recall-safety rating (rated where FDA data exists) — not medical advice; always consult a professional.

Quick answer: Of the 6 drugs we list for diabetic neuropathies, 4 are available as lower-cost generics, spanning classes such as antiarrhythmic, serotonin reuptake inhibitor, serotonin and norepinephrine reuptake inhibitor. 2 of 6 carry a safety score, from 66 to 70 out of 100. They’re ranked by each drug’s FDA recall-safety record — not clinical effectiveness for diabetic neuropathies — so confirm the right choice with your prescriber.

Rated against independent regulatory sources·Last updated October 10, 2026·How we rate

Top-rated picks for diabetic neuropathies: 1. Mexiletine Hydrochloride · 2. Citalopram Hydrobromide · 3. Cymbalta

Top-rated treatments for diabetic neuropathies, ranked by pharmaranks score
#DrugRatingPharmacy pays
170/100$8View →
266/100—View →
3Not yet rated$3View →
4Not yet rated$3View →
5Not yet rated$0View →
6Not yet rated—View →

Full ranking · 6 treatments

MACLEODS PHARMS LTD logo

mexiletine hydrochloride

PrescriptionFDA-sourced

70/100

Mexiletine Hydrochloride is an antiarrhythmic used to treat Diabetic Neuropathies, Ventricular Fibrillation, Ventricular Premature Complexes.

(37 data points)
antiarrhythmicdiabetic neuropathiesventricular fibrillation

Pharmacy pays

From ~$7.23/30· 3 forms Save up to 63% in class
View details →

citalopram hydrobromide

Boxed warning

PrescriptionFDA-sourced

66/100

Citalopram Hydrobromide is a serotonin reuptake inhibitor used to treat Alcoholism, Dementia, Depressive Disorder, Diabetic Neuropathies.

(62 data points)
serotonin reuptake inhibitoralcoholismdementia
Available online
View details →

cymbalta

PrescriptionFDA-sourced

New

Cymbalta (Duloxetine Hydrochloride) is a serotonin and norepinephrine reuptake inhibitor used to treat Anxiety Disorders, Major Depressive Disorder, Diabetic Neuropathies, Musculoskeletal Pain.

serotonin and norepinephrine reuptake inhibitoranxiety disordersmajor depressive disorder

Pharmacy pays

From ~$2.86/30· 4 forms
View details →

drizalma sprinkle

Boxed warning

PrescriptionFDA-sourced

New

Drizalma Sprinkle (Duloxetine Hydrochloride) is a serotonin and norepinephrine reuptake inhibitor used to treat Anxiety Disorders, Major Depressive Disorder, Diabetic Neuropathies, Musculoskeletal Pain.

serotonin and norepinephrine reuptake inhibitoranxiety disordersmajor depressive disorder

Pharmacy pays

From ~$2.86/30· 4 forms
View details →

qutenza

PrescriptionFDA-sourced

New

Qutenza (Capsaicin) is a medication used to treat Diabetic Neuropathies, Herpes Zoster, Neuralgia.

diabetic neuropathiesherpes zosterneuralgia

Pharmacy pays

From ~$0.07· 4 forms
View details →
SMITH AND NEPHEW logo

regranex

PrescriptionFDA-sourced

New

Regranex (Becaplermin) is a medication used to treat Diabetic Neuropathies.

diabetic neuropathies

Price varies

View details →

Frequently asked

What treats diabetic neuropathies?
Our catalog lists 6 products that may treat diabetic neuropathies, based on NIH RxClass (MED-RT “may treat”) drug-classification data — not the verbatim FDA label. They're rated where FDA recall-safety data exists; the current top-rated option is mexiletine hydrochloride.
What is the best-rated treatment for diabetic neuropathies?
By our independent recall-safety rating — not an efficacy measure — mexiletine hydrochloride ranks highest among the products we list for diabetic neuropathies. Always consult a professional.
How are these treatments ranked?
By our independent score, currently based on FDA regulatory recall-safety data (the methodology blends additional sources as they come online). See the How we rate page.
What types of drugs treat diabetic neuropathies?
Treatments for diabetic neuropathies span FDA drug classes including antiarrhythmic, serotonin reuptake inhibitor, serotonin and norepinephrine reuptake inhibitor. Compare every option side by side, ranked by independent rating, above.

Treatment associations are derived from NIH RxClass (MED-RT “may treat”) drug-classification data — not the verbatim FDA label. This is general reference, not medical advice — always consult a licensed professional.

Where this ranking comes from

Our score is computed from public FDA data — not from opinion, sponsorship or user votes. How we rate.