Practice Point

Nature Clinical Practice Neurology (2006) 2, 186-187
doi:10.1038/ncpneuro0149  
Received 4 December 2005 | Accepted 31 January 2006

How strong is the evidence for the efficacies of different drug treatments for neuropathic pain?

Eija Kalso

Correspondence Pain Clinic Department of Anaesthesia and Intensive Care Medicine, Helsinki University Central Hospital, PO Box 140, 00029 HUS, Finland

Email
 eija.kalso@helsinki.fi

This article has no abstract so we have provided the first paragraph of the full text.

Antidepressants, antiepileptics and opioids have been shown to be effective in treating neuropathic pain. The mechanisms of action relevant to pain relief include balanced inhibition of both 5-HT and norepinephrine reuptake and blocking of sodium-ion channels. Other mechanisms also contribute, such as inhibition of excitatory neurotransmitter systems (via glutamate receptors and N-methyl-D-aspartate receptors) or activation of the inhibitory transmitter systems (via opioids or glycine).

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