Pain (neuropathic)
- Treat cause + function, not pain score alone
- First-line: gabapentinoid or SNRI
- gabapentin/pregabalin; duloxetine
- TCA effective if antimuscarinic risk acceptable
- Topical therapy for focal neuropathic pain
- Opioids generally later-line/rescue
- Reassess benefit vs sedation/weight/falls
Use at a glance
- Treat cause + function, not pain score alone
Escalation / refractory disease
- First-line: gabapentinoid or SNRI
- gabapentin/pregabalin; duloxetine
- Opioids generally later-line/rescue
Treatment options
- Topical therapy for focal neuropathic pain
Monitoring / follow-up
- TCA effective if antimuscarinic risk acceptable
- Reassess benefit vs sedation/weight/falls
Self-check
- What should be treated in Pain (neuropathic)?
cause + function, not pain score alone.
- What is first-line treatment for Pain (neuropathic)?
gabapentinoid or SNRI.
Drugs used for this (8)
All clinical uses · Open the interactive console ↗
