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afya Neuropathic pain

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20160425222430 Ben  
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Pain following damage to nervous system
difficult to treat and poorly responsive to standard analgesia

eg
diabetic neuropathy
post herpetic neuralgia
trigeminal neuralgia
prolapsed intervertebral disc

NICE Mx 2013
1st - amitryptiline, duloxetine, gabapentin, pregabalin - worth trying others if 1st not helpful
tramadol for exacerbation
topical capsaicin for localized
pain clinic if resistant

Carbamazepine for trigeminal neuralgia