Table 4.
Dosages and adverse events and pharmacotherapies used in the management of DSPN in clinical practice (82–86).
| Drug | Class of drug | Daily dosage range | Common side effects |
|---|---|---|---|
| Duloxetine | serotonin-norepinephrine reuptake inhibitors | 30 – 120 mg | somnolence, headache, nausea, dry mouth |
| Amitriptyline | tricyclic antidepressants | 10 – 100 mg | somnolence, dizziness, headache, dysarthria, aggression, dry mouth, nausea, constipation, weight gain, hyperhidrosis |
| Pregabalin | a2δ calcium channel ligand | 75 – 600 mg | somnolence, dizziness, headache |
| Gabapentin | a2δ calcium channel ligand | 300 – 3600 mg | somnolence, dizziness, ataxia, |
| Venlafaxine sustained release | serotonin-norepinephrine reuptake inhibitors | 75 – 225 mg | insomnia, dizziness, sedation, headache, nausea, dry mouth, constipation, hyperhidrosis |
| Tapentadol extended release | µ-opioid | 50 – 200 mg | somnolence, vertigo, headache, nausea, emesis |
| Oxycodone extended release | µ-opioid | 10 – 50 mg | somnolence, vertigo, headache, nausea, constipation |
| Tramadol extended release | µ-opioid | 50 – 200 mg | vertigo, nausea |
| Topical 8% Capsaicin patch | transient receptor potential vanilloid agonist | Plaster applied for 30 min every 60–90 days | pain and erythema in site of application |