Question

A 62-year-old woman with long-standing type 2 diabetes presents with burning pain and numbness in both feet, worse at night. Monofilament testing shows reduced sensation in a stocking distribution. Which of the following is the most appropriate first-line pharmacologic treatment for her symptoms?

Accepted Answer

Gabapentin

Answer

Oxycodone

Answer

Topical capsaicin alone

Answer

High-dose ibuprofen

Answer

Amitriptyline in all patients regardless of comorbidities

Practice question

A 62-year-old woman with long-standing type 2 diabetes presents with burning pain and numbness in both feet, worse at night. Monofilament testing shows reduced sensation in a stocking distribution. Which of the following is the most appropriate first-line pharmacologic treatment for her symptoms?