Neuropathic Pain Flashcards
1
Q
Define this pain
A
Pain that arises following damage or disruption of nervous system
2
Q
Does it respond well or poorly to standard analgesia?
A
Poorly
3
Q
What examples of neuropathic pain are there?
A
Diabetic neuropathy
Post herpatic neuralgia
Trigeminal neuralgia
Prolapsed intervertebral disc
4
Q
What is first line treatment for neuropathic pain?
A
Amitriptyline
Duloxetine
Gabapentin
Pregabalin
5
Q
If standard treatment has failed, what opioid is the most appropriate to try?
A
Tramadol - rescue therapy for acute exacerbation
6
Q
What can be useful in resistant cases?
A
Pain management clinics
7
Q
What is first line for trigeminal neuralgia?
A
Carbamazepine