The General Management and Treatment of Neuropathic Pain

Chun,  Yang-Hyun

J Korean Dent Assoc > Volume 49(6); 2011 > Article

The Journal of The Korean Dental Association 2011;49(6):327-333.
Published online June 30, 2011.

전반적인 신경병성 통증의 조절 및 치료

전양현

경희대학교 치의학전문대학원 구강내과학교실, 경희의료원 만성구강안면통증센터

The General Management and Treatment of Neuropathic Pain

Yang-Hyun Chun

Department of Oral Medicine, School of Dentistry, Kyung Hee University, Chronic Orofacial Pain Clinic, Kyung Hee Medical Center

Abstract

Clinically, treatment goal of neuropathic pain focused on not elimination of etiology but management and control of symptoms because we don't know certain about clear etiology of neuropathic pain yet. The drugs used for the management of neuropathic pain were classified as drugs with strong evidence for benefit(antidepressants, anticonvulsants, opioid analgesics etc.), modest evidence for benefit(mexiletine, carbamazepine, clonidine etc.), preliminary evidence for benefit(NSAIDs, dextromethorphan, topiramate etc.). Finally, the treatment for trigeminal neuralgia was outlined separately since this disorder responds to a different group of drugs than other neuropathic pain conditions.

Key Words: neuropathic pain;trigeminal neuralgia;antidepressants;anticonvulsants;carbamazepine;