Neuropathic pain Flashcards
1
Q
common occurences of neuropathic pain
A
herpes zoster “shingles”
diabetes d/t increased glucose (neurotoxic)
cancer
chemo/radiation
2
Q
neuropathic meds
A
TCAs
SNRIs
antiepileptics:
carbamazepine
gabapentin
pregabalin
*MUST be used in conjunction w/pain med
3
Q
neuropathic mechanism of action for carbamazepine
gabapentin
pregabalin
A
suppress the spontaneous firing of damaged neurons
4
Q
issues w/carbamazepine
A
bone marrow suppressor (decreases RBC, WBC, platelets)
steven johnsons rash
interactions: warfarin, grapefruit juice, oral contraceptives
5
Q
issues w/gabapentin
A
few side effects, no significant interactions
sedation
fatigue
ataxia