Table 4: examples of advantages and inconveniences that may influence the choice of molecules most often used in painful neuropathy |
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INN |
Trade name |
Advantages |
Inconveniences |
Gabapentin |
Neurontin* or generic |
No major drug interactions |
Side effects Titration. Cost 3 times a day formulation |
Duloxetin |
Cymbalta* |
Simple and fast titration Once daily formulation Anxiolytic and antidepressant effect |
Side effects Drugs interactions |
Pregabalin |
Lyrica* |
No major drugs interactions Anxiolytic effect |
Side effects Titration. Cost |
Amytriptiline Imipramine Clomipramine |
Laroxyl* Tofranil* Anafranil* |
Drops Cost Anxiolytic effect (clomipramine) High antidepressant effect if high dose |
Titration Anticholinergic and adrenal effects |
Oxycodone slow-release Morphine |
Oxycontin LP* |
Effect on possible inflammatory pain associated |
Side effects Addiction |
Tramadol |
|
Effect on possible inflammatory pain associated |
Side effects Addiction |
Carbamazepin |
Tegrétol* |
|
Titration: cost Enzyme inducer Side effects |
Clonazépam |
Rivotril* |
Drops Cost |
Analgesic effect not studied. Drowsiness, Memory problems Addiction, Withdrawal syndrome |
INN = International Nonproprietary Name |