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Continue to work
through neuropathic flow
chart whilst waiting
Add
General Principles
Regular clinical review
Stop antidepressant
Start antiepileptic
Gabapentin
(increase dose to a point where patient gains good clinical
effect 8 week trial period)
Suboptimal response or ineffective
For patients with
localised neuropathic
pain who cannot tolerate
oral treatments consider:
Capsaicin cream
(Axsain)
rd
th
Yes
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