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Neuropathic pain in adults: pharmacological management in non-specialist settings
National Institute for Health and Care Excellence
Key principles of care
When agreeing a treatment plan with the person, take into account their concerns and expectations, and discuss:
the severity of the pain, and its impact on lifestyle, daily activities (including sleep disturbance) and participation
* the underlying cause of the pain and whether this condition has deteriorated
why a particular pharmacological treatment is being offered
the benefits and possible adverse effects of pharmacological treatments, taking into account any physical or psychological problems, and concurrent medications
the importance of dosage titration and the titration process, providing the person with individualised information and advice
coping strategies for pain and for possible adverse effects of treatment
non-pharmacological treatments, for example, physical and psychological therapies (which may be offered through a rehabilitation service) and surgery (which may be offered through specialist services)
for more information about involving people in decisions and supporting adherence, see Medicines adherence (NICE clinical guideline 76)
Management of asthma in adults over 65 years of age
Development group: Gruffydd-Jones, McArthur, Murphy, Russell & Wise.
This management algorithm was developed by a multidisciplinary expert panel: Gruffydd-Jones K et al with the support of a grant from Teva UK Limited.