Description
The best choice in Neuropathic Pain
Gabapentin 400 mg +
Nortriptyline 10 mg.
Gabapentin
► FDA approved for postherpetic neuralgia
➤ Anticonvulsant uncertain mechanism
➤ Limited intestinal absorption & well tolerated
Nortriptyline
➤ Second generation tricyclic anti depressant
► Intolerable side effect more frequent with amitriptyline
► Improvements in insomnia, anxiety, depression
Indications
- Diabetic Neuropathic
- Drug induced neuropathy
- Post Therapeutic Neuralgia
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