NICE have released an update to their guideline on neuropathic pain. First line medications now include Amitriptyline, Duloxetine, Gabapentin and Pregabalin. During your training in General Practice you will see patients who experience neuropathic pain and for whom you may need to prescribe medications such as the ones above. It is worth understanding how they work, how you prescribe them, what monitoring they may require and what the typical side effects might be.
Although neuropathic pain is only one form of chronic pain it would seem to account for a significant proportion of patients presenting with chronic pain. It is important to consider how chronic pain may affect all aspects of a patient’s life and the limitations the pain may impose. Paintoolkit.org is a website which provides resources and advice which may be useful both to doctors and patients.