Pregabalin and gabapentin may reduce pain associated with diabetic neuropathy. Benefits of paroxetine prescription for diabetic neuropathy or chronic tension headache are uncertain. Other rare complications of acute hepatitis include pancreatitis, aplastic anemia, peripheral neuropathy, and myocarditis. Medications can help reduce the pain involved in proximal diabetic neuropathy. Nerve involvement may cause sensory changes with numbness, pain, burning, and weakness (peripheral neuropathy). These include reversible cerebellar ataxia, dementia, peripheral neuropathy, psychosis and coma. The main risk factor for diabetic neuropathy is hyperglycemia. Citalopram has been found to reduce the symptoms of diabetic neuropathy. It is also used in the treatment of fibromyalgia, neuropathy, chronic pain and osteoarthritis. Sural nerve damage is usually part of a more generalised peripheral neuropathy. Benfotiamine has been studied in laboratory models of diabetic retinopathy, neuropathy, and nephropathy. The mechanisms of diabetic neuropathy are poorly understood. Electrodiagnostic medicine studies will show multifocal sensory motor axonal neuropathy. Its symptoms are also similar to progressive inflammatory neuropathy. There is tentative evidence that it may be useful for painful diabetic neuropathy.