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Tricyclics and opioids effective for the treatment of postherpetic neuralgia
PRACTICE RECOMMENDATIONS

Both tricyclic antidepressants (TCAs) and opioids are more effective than placebo for the treatment of postherpetic neuralgia.

Although there was a trend toward greater pain relief with opioids, their use was associated with a higher dropout rate. Since response to one medicine did not reliably predict response to the other, either may be tried for the treatment of postherpetic neuralgia.

 
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Practice Recommendations from Key Studies

Raja SN, Haythornthwaite JA, Pappagallo M, et al. Opioids versus antidepressants in postherpetic neuralgia: a randomized, placebo-controlled trial. Neurology 2002; 59:1015–1021.

Chester H. Fox, MD
Department of Family Medicine, State University of New York at Buffalo.

cfox@buffalo.edu.

Issue
The Journal of Family Practice - 52(7)
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512-525
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Practice Recommendations from Key Studies

Raja SN, Haythornthwaite JA, Pappagallo M, et al. Opioids versus antidepressants in postherpetic neuralgia: a randomized, placebo-controlled trial. Neurology 2002; 59:1015–1021.

Chester H. Fox, MD
Department of Family Medicine, State University of New York at Buffalo.

cfox@buffalo.edu.

Author and Disclosure Information

Practice Recommendations from Key Studies

Raja SN, Haythornthwaite JA, Pappagallo M, et al. Opioids versus antidepressants in postherpetic neuralgia: a randomized, placebo-controlled trial. Neurology 2002; 59:1015–1021.

Chester H. Fox, MD
Department of Family Medicine, State University of New York at Buffalo.

cfox@buffalo.edu.

Article PDF
Article PDF
PRACTICE RECOMMENDATIONS

Both tricyclic antidepressants (TCAs) and opioids are more effective than placebo for the treatment of postherpetic neuralgia.

Although there was a trend toward greater pain relief with opioids, their use was associated with a higher dropout rate. Since response to one medicine did not reliably predict response to the other, either may be tried for the treatment of postherpetic neuralgia.

 
PRACTICE RECOMMENDATIONS

Both tricyclic antidepressants (TCAs) and opioids are more effective than placebo for the treatment of postherpetic neuralgia.

Although there was a trend toward greater pain relief with opioids, their use was associated with a higher dropout rate. Since response to one medicine did not reliably predict response to the other, either may be tried for the treatment of postherpetic neuralgia.

 
Issue
The Journal of Family Practice - 52(7)
Issue
The Journal of Family Practice - 52(7)
Page Number
512-525
Page Number
512-525
Publications
Publications
Topics
Article Type
Display Headline
Tricyclics and opioids effective for the treatment of postherpetic neuralgia
Display Headline
Tricyclics and opioids effective for the treatment of postherpetic neuralgia
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