title: [Treatment of neuropathic pain in HIV-infected patients].
abstract: 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.
authors.affiliation: Servicio de Medicina Interna, Hospital Clínico San Carlos, Madrid, España.
authors.forename: Raquel
authors.initials: R
authors.lastname: Lana
authors.forename: Ana Isabel
authors.initials: AI
authors.lastname: Lérida
authors.forename: Juan Luis
authors.initials: JL
authors.lastname: Mendoza
mesh_terms: D000465:Algorithms; D015658:HIV Infections / Q000150:complications*; D006801:Humans; D009422:Nervous System Diseases / Q000209:etiology*; D010146:Pain / Q000209:etiology*; D059408:Pain Management