The Pennine Acute Hospitals
NHS Trust Formulary
 
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6 Endocrine system
06-01-05 Treatment of diabetic nephropathy and neuropathy

Amitriptyline
First Choice
Tablets
Oral solution

unlicensedunlicensed

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Duloxetine Cymbalta®
First Choice
Capsules


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

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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.

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Nortriptyline
Formulary
Tablets

unlicensedunlicensed

note Useful if the patient gains benefit from amitriptyline but experiences side/adverse effects

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Capsaicin
Formulary
Cream 0.075&

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