Treatment
Drugs: 2
- Anti-depressants.
- Tricyclics: eg. Amytryptilene, Nortryptilene should have a maximum
daily dose of 25 mg as larger doses cause side effects but
don't increase painkilling benefits.
- SSRIs: eg. Fluoxetine to work efficiently needs a daily dose between
40 mg and 60 mg.
- Pregabalin: based on Gabapentin, and still at an experimental stage.
In US, after 8 weeks on 450 mg, 50% reported less pain,
less fatigue, improved sleep and few side effects.
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