Table S1.
Type of pain | First-line therapy | Second-line therapy |
---|---|---|
Diabetic neuropathy | Gabapentin, pregabalin, tricyclic antidepressants (amitriptyline, imipramine, desipramine) [A] | Opioids (oxycodone, tramadol) [A] |
Postherpetic neuralgia | Gabapentin, pregabalin, nortriptyline, amitriptyline, topical capsaicin, topical lidocaine [A] | Tramadol, oxycodone [A] |
Fibromyalgia | Amitriptyline, pregabalin [A] | Duloxetine [B] |
Trigeminal neuralgia | Carbamazepine [A] | Baclofen, lamotrigine, gamma-knife surgery [B] |
Low-back pain | NSAIDs (ibuprofen, diclofenac) [A], opioids (tramadol, codeine) [B] | Strong opioids (morphine, fentanyl) [A], antidepressants (amitriptyline, nortriptyline) [A], anticonvulsants (gabapentin, pregabalin) [C] |
Neck pain | Physiotherapy, exercise, acetaminophen, NSAIDs [A] | Opioids, anticonvulsants, antidepressants, muscle relaxants, acupuncture, single-point injections [B, C] |
Migraine headache | Sumatriptan, zolmitriptan [A], NSAIDs (ibuprofen) [A], antiemetics (prochlorperazine, chlorpromazine) [A] | Ergotamine, dihydroergotamine [B], opioids (morphine, tramadol) [B] |
Tension-type or cluster headache | Acetaminophen, NSAIDs (ibuprofen, ketoprofen, diclofenac, naproxen) [A] | Acetaminophen–caffeine [A], NSAID–caffeine combination [A], relaxation and acupuncture [C] |
Arthritic pain | Acetaminophen [A], NSAIDs [A], weak opioids (tramadol, codeine) [A] | Strong opioids (morphine, oxycodone) [B], antidepressants (amitriptyline, nortriptyline) [C] |
Cancer pain | Weak opioids (codeine, tramadol) with/without NSAIDs [A] | Strong opioids (morphine, oxycodone, fentanyl) [A] |
Note: Recommendations were graded by an expert panel based on available evidence. Grade A: based on evidence Level 1. Grade B: based on evidence Level 2 or extrapolated from Level 1. Grade C: based on evidence Level 3 or extrapolated from Level 1 and 2.
Abbreviation: NSAIDs, nonsteroidal anti-inflammatory drugs.