Question

A 50-year-old diabetic patient complains of a burning sensation in both feet, worse at night. Examination reveals reduced pinprick sensation in a 'stocking' distribution. Which class of medication is first-line for neuropathic pain in diabetic neuropathy according to NICE?

Accepted Answer

SNRIs (e.g., duloxetine)

Answer

Opioids (e.g., morphine)

Answer

NSAIDs (e.g., ibuprofen)

Answer

Tricyclic antidepressants (e.g., amitriptyline)

Answer

Gabapentin or pregabalin

Practice question

A 50-year-old diabetic patient complains of a burning sensation in both feet, worse at night. Examination reveals reduced pinprick sensation in a 'stocking' distribution. Which class of medication is first-line for neuropathic pain in diabetic neuropathy according to NICE?