[Treatment of neuropathic pain in HIV-infected patients].
Neuropathic pain of various etiologies is a frequent symptom in HIV-infected patients that is underdiagnosed and inadequately treated. It requires a multidisciplinary pain approach based on psychosocial factors, diet and exercise, etiologic treatment whenever possible, symptomatic medical treatment, and sometimes, interventional techniques. Medical treatment should be individualized and introduced gradually, with a mind to potential drug interactions. Neuropathic pain responds poorly to conventional analgesics, such as nonsteroidal antiinflammatory drugs and opiates; tricyclic antidepressants and anticonvulsants are the drugs of choice. Before establishing an analgesic treatment, possible drug interactions should be ruled out, mainly those occurring with antiretroviral agents.
Lana
Raquel
R
Servicio de Medicina Interna, Hospital Clínico San Carlos, Madrid, España.
Lérida
Ana Isabel
AI
Mendoza
Juan Luis
JL
D000465:Algorithms; D015658:HIV Infections / Q000150:complications*; D006801:Humans; D009422:Nervous System Diseases / Q000209:etiology*; D010146:Pain / Q000209:etiology*; D059408:Pain Management