[New, relevant and practical aspects of the treatment of neuropathic pain].
In the Spanish population it is difficult to calculate the prevalence of neuropathic pain (NP) although it is estimated that it is present in 40% of the cases of chronic pain. The treatment is not easy and we must choose between the different drugs, the most appropriate taking into account the effectivity in data from clinical trials, releaf of comorbidities associated to NP and less side effects. In this way, the Finnerup NB's work establishes an algorithm of treatment of NP and it is very helpful for clinicians in order to choose the most suitable treatment. In this work, the author recommends antiepileptic drugs, like gabapentin and pregabalin as first choice treatments. Amitriptiline, a tricycle antidepressant and opioids must be used only when there is a lack of response or intolerance.
Oteo-Alvaro
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Departamento de Cirugía Ortopédica y Traumatología, Hospital Virgen de la Torre, Madrid, España. angeloteo@mi.madritel.es
Marín
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MT
D000700:Analgesics / Q000627:therapeutic use*; D000927:Anticonvulsants / Q000627:therapeutic use; D000928:Antidepressive Agents / Q000627:therapeutic use; D006801:Humans; D009437:Neuralgia / Q000188:drug therapy*
D000700:Analgesics; D000927:Anticonvulsants; D000928:Antidepressive Agents