A Treatment Guideline for Neuropathic Pain
Journal of Korean Society of Spine Surgery
;
: 246-253, 2011.
Artigo
em Inglês
| WPRIM
| ID: wpr-191361
ABSTRACT
STUDY DESIGN:
A review of literature including definition, diagnosis and treatment of neuropathic pain.OBJECTIVES:
To review and discuss the treatment guideline for neuropathic pain. SUMMARY OF LITERATURE REVIEW Neuropathic pains are characterized by partial or complete somatosensory change caused by various disorders affecting central and peripheral nervous system, and are especially problematic because of their severity, chronicity and resistance to simple analgesics. MATERIALS ANDMETHODS:
Review of literature.RESULTS:
Tricyclic antidepressants and the anticonvulsants gabapentin and pregablin were recommended as first-line treatments for neuropathic pain. Opioid analgesics and tramadol were recommended as second-line treatments that can be considered for first-line use in selected clinical circumstances. Other medications such as dual reuptake inhibitors of both serotonin and norepinephrine would be used in severe cases. More invasive interventions (e.g., spinal cord stimulation) may sometimes be helpful.CONCLUSIONS:
Treatment must be individualized for each patient and aggressive, combinatory pharmacotherapy and multidisciplinary approach are recommended for the treatment of neuropathic pain.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Medula Espinal
/
Tramadol
/
Serotonina
/
Norepinefrina
/
Sistema Nervoso Periférico
/
Ácidos Cicloexanocarboxílicos
/
Ácido gama-Aminobutírico
/
Aminas
/
Analgésicos Opioides
/
Anticonvulsivantes
Tipo de estudo:
Guia de Prática Clínica
Limite:
Humanos
Idioma:
Inglês
Revista:
Journal of Korean Society of Spine Surgery
Ano de publicação:
2011
Tipo de documento:
Artigo
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