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)

Register to view this page

Log in or register now for FREE in order to:

  • benefit from unlimited access to all pages, including:
    • 180+ guideline summaries
    • 1000+ evidence-based articles
  • review and leave comments on all articles and summaries
  • automatically track your reading and learning via your CPD tracker
  • on-demand webinars presented by leading clinical experts

Registration only takes 2 minutes and it will give you FREE access to all content across:



Log in

Need help? Email us