Table 4: examples of advantages and inconveniences that may influence the choice of molecules most often used in painful neuropathy

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