Table 1.
Initiation of therapy | Therapy | Dose, mg | Therapeutic effect |
---|---|---|---|
2010 | Pregabalin Amitriptyline | 150-0-300 0-0-75 |
NRS 5/10 |
April 2014 (first presentation) |
Pregabalin Amitriptyline Duloxetine | 300-0-300 0-0-75 30-0-0 |
Discontinued by patient due to intolerance |
May 2014 | Pregabalin Amitriptyline Tapentadol | 300-0-300 0-0-75 50-0-50, increased from the third day on 100-0-100 |
NRS 5/10 Initiation of therapy due to severe pain |
July 2014 | Pregabalin Amitriptyline Tapentadol |
150-0-150 0-0-75 150-0-150 |
Dose increase due to persistent pain |
September 2014 (begin capsaicin 8%) | Capsaicin 8% Pregabalin Amitriptyline Tapentadol | 1 patch; 30 min 150-0-150 0-0-50 150-0-150 |
NRS 3–4/10 Hyperesthesia ↓ Allodynia ↓↓↓ |
Since August 2015 | Capsaicin 8% Pregabalin Amitriptyline Tapentadol |
1-2 patches; 30 min; every third month, 18 treatments in total 150-0-150 0-0-50 150-0-150 |