Treatment of neuropathic pain
Mianserin
Old medicine used in depression, sleep disorders and sometimes in chronic pain You will find all the information on the latter by this link
Mirtazapine
Indications Mirtazapine is indicated in adults for the treatment of major depressive episodes. Mirtazapine is a centrally acting presynaptic α2 antagonist that increases central noradrenergic and serotonergic neurotransmission Dosage Adults: The effective daily dose is
Treatment of pudendal neuralgia
Like all entrapment syndromes, pudendal neuralgia can benefit from drug and non-drug treatments, infiltration therapy, and surgical treatment. If this fails, chronic pain management will be required. Medical treatment Like any compressive neuropathy, at the
Lamotrigine ABONNE
Indications : Epilepsy: Adults and adolescents aged 13 and over: – Treatment in monotherapy or in combination of partial and generalized epilepsies, including tonic-clonic seizures. – Seizures associated with Lennox-Gastaut syndrome. Lamictal is administered in
TENS and phantom limb pain
After amputation two types of pain called “phantom limb pain” are possible: Stump pain which is scarring neuropathy. Central phantom limb pain that is related to the amputation and a painful afterimage of the limb
Amitriptyline ABONNE
Indications : – Major depressive episodes. – Peripheral neuropathic pain in adults. – Nocturnal enuresis in children in cases where any organic pathology has been excluded. Dosage in neuropathic pain: Treatment should start at low
Clomipramine ABONNE
Indications : – Major depressive episodes. – Peripheral neuropathic pain in adults. – Obsessive-compulsive disorders. Dosage in neuropathic pain: Treatment should start at low doses: 10 mg to 25 mg per day for 3 weeks.
Carbamazepine ABONNE
Indications : Epilepsies : – Adult and child: As monotherapy or in combination with another antiepileptic treatment: – Treatment of partial epilepsies, with or without secondary generalization. – Treatment of generalized epilepsies: tonic-clonic seizures. Psychiatry:
Clonazepam ABONNE
Indicaciones : Tablet (adult and child) and oral solution (child): Treatment of epilepsy, either as temporary monotherapy or in combination with another antiepileptic treatment: Treatment of generalized epilepsies: Clonic, tonic, tonic-clonic, absence, myoclonic, atonic, infantile
Gabapentin ABONNE
Indications : Epilepsy: Gabapentin is indicated in combination in the treatment of partial epilepsies with or without secondary generalization in adults and children from 6 years of age. Gabapentin is indicated as monotherapy in the
Milnacipran ABONNE
Indications : Treatment of major depressive disorders. This medicine does not have marketing authorization (MA) for the treatment of neuropathic pain. It is rarely used in this indication but in the case of antidepressant treatment
Oxcarbazepine ABONNE
Indications : Treatment of partial epileptic seizures with or without secondary generalization. As monotherapy or in combination with another antiepileptic treatment in adults and children from 6 years of age. Oxcarbazepine (Trileptal) does not have
Pregabalin ABONNE
Indications : Neuropathic pain: Lyrica is indicated for the treatment of peripheral and central neuropathic pain in adults. Epilepsy: Lyrica is indicated in adults in combination for the treatment of partial-onset epileptic seizures with or
Venlafaxine ABONNE
Indications : – Treatment of major depressive episodes. – Prevention of recurrence of major depressive episodes. – Treatment of generalized anxiety disorder. – Treatment of social anxiety disorder (social phobia). – Treatment of panic disorder,
TENS and postherpetic pain. Examples
In post zoster intercostal pain it is preferable to use the two channels of the device with 4 electrodes. The 4 electrodes are placed from the emergence of the affected nerve root towards the distality
Levocarnil (levocarnitina)
Levocarnitine and its derivatives play a major role in the energy functioning of cells. Indications and dosage 2 to 3 vials per day. Has an interest in: Hypercatabolism situation Fibromyalgia (will decrease pain level in
Botulinum toxin type A
Action mechanism : Botulinum neurotoxins are made up of proteins of 1300 amino acids, (produced by the bacterium, Clostridium botulinum). These are zinc endopeptidases, ie enzymes capable of cutting proteins. The proteins are VAMP/synaptobrevin, SNAP25
Transcutaneous electrical nerve stimulation (TENS)
Principle of operation of transcutaneous electrical nerve stimulation (TENS). Transcutaneous electrical neurostimulation is a drug-free analgesic technique that uses the properties of an electric current transmitted through electrodes placed on the skin. Its operation is
Spinal cord neurostimulation.
Spinal cord neurostimulation Introduction : Spinal cord neurostimulators are implantable medical devices designed to deliver current to the posterior cords of the spinal cord. They are indicated in the treatment of chronic pain not relieved by