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analgesic adjuvant
Indications:
1) multiple types of pain syndromes
a) corticosteroids
- dexamethasone
- prednisone
b) tricyclic antidepressants
- amitriptyline, imipramine, doxepin, clomipramine desipramine, nortriptyline
c) SSRI
- fluoxetine
- paroxetine
d) alpha-2 adrenergic agonists
- clonidine
- tizanidine
2) neuropathic pain
a) anticonvulsants
- gabapentin
- carbamazepine
- phenytoin
- valproic acid
- clonazepam
- lamotrigine
- topirimate
- oxcarbazepine
b) NMDA receptor antagonists
- ketamine
- dextromethorphan
c) oral local anesthetics
- mexiletine
- tocainide
d) other
- baclofen
- calcitonin
3) complex regional pain syndrome
a) calcitonin
b) clonidine
c) prazosin
4) somatic-type pain
a) topical agents (capsaisin)
b) local anesthetics, lidocaine
5) bone pain (from cancer)
a) bisphosphonate (pamidronate)
b) calcitonin
c) radiopharmaceuticals
General
pharmacology
References
Pain Management, The American Medical Association, Overview
of Physiology, Assessment & Treatment, 2003