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. 2017 Mar 29;10:709–736. doi: 10.2147/JPR.S128655

Table S1.

Treatment recommendations

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.