A 63-year-old woman with long-standing type 2 diabetes has painful distal symmetric neuropathy affecting sleep. Which first-line pharmacological optio...

Question

A 63-year-old woman with long-standing type 2 diabetes has painful distal symmetric neuropathy affecting sleep. Which first-line pharmacological option is recommended?

Accepted Answer

Amitriptyline or duloxetine

Answer

Ibuprofen regularly

Answer

Gabapentin is contraindicated

Answer

Topical capsaicin only

Answer

Tramadol first-line

ukmla MCQ (SBA): Painful diabetic neuropathy

A 63-year-old woman with long-standing type 2 diabetes has painful distal symmetric neuropathy affecting sleep. Which first-line pharmacological option is recommended?