Neuropathic Pain Management

Question 1

define paresthesia/dyeshesia

Answer 1

absence or impairment of sense of touch

Question 2

symptoms of diabetic painful neuropathy:

Answer 2

tingling, stabbing, numbness - usually symmetrical

Question 3

1st line treatment for diabetic painful neuropathy?

Answer 3

pregablin
gabapentin
amitriptyline
duloxetine

Question 4

2nd line treatment for diabetic painful neuropathy?

Answer 4

venlafaxine
desvenlafaxine
tramadol
tapentadol

Question 5

symptoms of post-herpetic neuropathy:

Answer 5

pain from normal stimulus, itchiness, or sharp stabbing pain

Question 6

what is first-line post-herpetic neuralgia treatment?

Answer 6

Shingrix

Question 7

what drugs can treat post-herpetic neuropathy?

Answer 7

TCAs
gabapentinoids
duloxetine
lidocaine patches

Question 8

symptoms of trigeminal neuralgia:

Answer 8

unilateral, sharp, stabbing, or electrical pain that can be triggered from brushing teeth, smiling, or chewing

Question 9

what are the 2 drugs we use to treat trigeminal neuralgia?

Answer 9

carbamazepine and oxcarbazepine

Question 10

symptoms of fibromyalgia:

Answer 10

musculoskeletal pain, fatigue, sleep disturbances, cognitive disturbances

Question 11

non-pharm treatment for fibromyalgia?

Answer 11

exercise, management of depression, anxiety, restorative sleep

Question 12

drugs to treat fibromyalgia?

Answer 12

cyclobenzaprine
gabapentinoids
SNRIs