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Medicines management: As a generalist, can I prescribe for painful peripheral neuropathy?

As a generalist, can I prescribe for painful peripheral neuropathy?

Question: As a generalist, can I prescribe for painful peripheral neuropathy?

Peripheral neuropathy is a term for a group of conditions in which the peripheral nervous system is damaged, affecting the sensory, motor and autonomic nerves. It is relatively common, affecting around one in 50 patients in the UK, a number that can rise to one in ten as people age. Painful peripheral neuropathy is notoriously difficult to treat, so correct diagnosis is vital, as are National Institute for Health and Care Excellence and local guidelines.

Treatment varies depending on symptoms and cause. For example, diabetes is a common cause, so better control of blood sugars, smoking cessation and reduced alcohol intake can help reduce symptoms and pain.

Following diagnosis with electro-neurophysiology nerve function tests and conventional analgesic treatment, other therapies might need consideration.

Practitioners should assess the severity of the pain, and its effect

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