Dolor Neuropatico Cronico

Question 1

QUESTION ONE
A 34-year-old woman with fibromyalgia, generalized anxiety disorder,
and depression is currently taking several psychotropic medications,
including alprazolam, duloxetine, hydrocodone/acetaminophen,
and
pregabalin. She continues to have residual pain, anxiety, and mood
symptoms. Her clinician is considering simplifying her medication
regimen and plans to discontinue the medication with the least evidence
of efficacy for her disorders. Which of the following should
be discontinued?

A. Alprazolam

B. Duloxetine

C. Hydrocodone/acetaminophen

D. Pregabalin

Answer 1

A – Incorrect. Alprazolam is an effective treatment for generalized anxiety
disorder.

B – Incorrect. Duloxetine is an effective treatment for both depression
and for fibromyalgia.

C – Correct. Hydrocodone/acetaminophen does not have evidence of
efficacy for the treatment of fibromyalgia, nor is it an appropriate
treatment for her other illnesses.

D – Incorrect. Pregabalin is an effective treatment for fibromyalgia and
also has evidence of efficacy in anxiety.