Neuropathic Pain Flashcards

1
Q

What is Neuropathic Pain?

A
  • Pain which arises following damage or disruption of the nervous system
  • difficult to treat and responds poorly to analgesia
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2
Q

What are examples of conditions which cause neuropathic pain?

A
  • Diabetic Neuropathy
  • Post-herpetic neuralgia
  • Trigeminal Neuralgia
  • Prolapsed Intervertebral disc
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3
Q

What is the managment for Neuropathic Pain?

A
  • 1st line: Amitriptyline, Duloxetine, Gabapentin, Pregabalin
  • If first line drug treatment does not work try one of the other 3 drugs
  • If not working then drugs should be switched not added
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4
Q

What is Tramadol used for?

A
  • Rescue therapy for exacerbations of neuropathic pain
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5
Q

What is topical capsaicin used for?

A
  • Localised neuropathic pain
    -post-herpetic neuralgia
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6
Q

What is used first line in trigeminal neuralgia?

A
  • Carbamazepine
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