Questions and Answers
What is the first step in the management of pain?
Non-opioid analgesics such as aspirin or paracetamol
What type of pain is managed with antidepressants and anticonvulsants?
Neuropathic pain
What is the role of gabapentin and pregabalin in pain management?
They target GABA receptors
When are strong opioids with or without non-opioid typically used in pain management?
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What is the target of ketamine in pain management?
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Which of the following medications is typically used in step one of pain management?
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What type of receptors do gabapentin and pregabalin target in pain management?
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In which step of pain management are mild opioids typically used?
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Which of the following medications is used to target neuropathic pain?
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What type of pain is typically managed with antidepressants?
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Study Notes
Pain Management
- The three-step approach to pain management:
- Step one: non-opioid analgesics (aspirin, paracetamol, non-steroidal anti-inflammatory drugs (NSAIDs))
- Step two: mild opioids (codeine) with or without non-opioid
- Step three: strong opioids with or without non-opioid; useful for moderate-to-severe pain
Neuropathic Pain Management
- Pharmacological treatment options:
- Antidepressants (serotonin-related, 5-HT)
- Anticonvulsants (carbamazepine – sodium channel and GABA receptors)
- Gabapentin and pregabalin (GABA-related)
- Ketamine (NMDA receptors)
Pain Management
- The three-step approach to pain management:
- Step one: non-opioid analgesics (aspirin, paracetamol, non-steroidal anti-inflammatory drugs (NSAIDs))
- Step two: mild opioids (codeine) with or without non-opioid
- Step three: strong opioids with or without non-opioid; useful for moderate-to-severe pain
Neuropathic Pain Management
- Pharmacological treatment options:
- Antidepressants (serotonin-related, 5-HT)
- Anticonvulsants (carbamazepine – sodium channel and GABA receptors)
- Gabapentin and pregabalin (GABA-related)
- Ketamine (NMDA receptors)
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