The Pennine Acute Hospitals
NHS Trust Formulary
 
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4 Central nervous system
04-07-03 Neuropathic pain

Gabapentin
First Choice
Capsules
Oral solution
Link  MHRA Safety Update: Risk of severe respiratory depression
 

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Amitriptyline
First Choice
Tablets
Oral solution

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Pregabalin
Formulary
Capsules

note A trial of pregabalin may be considered in patients who cannot tolerate gabapentin, or who have not responded fully despite an adequate trial.

Green 1 View adult BNF  View SPC online  View childrens BNF
Duloxetine Cymbalta®
Formulary
Capsules

noteDuloxetine may be considered as an option where other treatments have failed, or for a clear diagnosis of diabetic neuropathy.

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Imipramine
Formulary
Tablets
Oral solution

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Ketamine oral solution
Restricted

Specialist initiation by pain team or palliative care only
unlicensed Unlicensed


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