QuestionSBA
QuestionChoice
This is only recommended for a short course in patients awaiting referral after initial treatment has failed and is therefore not the most appropriate medication to commence.
10035519
c
Tramadol
QuestionChoice
Fluoxetine is not recommended for the treatment of neuropathic pain in the UK.
10035518
b
Fluoxetine
QuestionChoice
NICE guidance states that more than one neuropathic pain drug should not be prescribed at the same.
10035521
e
Duloxetine and Amitriptyline
QuestionChoice
NICE guidance states that more than one neuropathic pain drug should not be prescribed at the same time.
10035520
d
Duloxetine and Pregabalin
QuestionChoice
NICE guidance recommends a choice of amitriptyline, duloxetine, gabapentin or pregabalin alone for patients with painful diabetic neuropathy. This is therefore the only appropriate answer.
10035517
a
Duloxetine
Concept
Chapter
2693
6135
Diabetic neuropathy
Topic
337
Endocrinology
19507
Duloxetine is an effective treatment option for managing painful diabetic neuropathy in patients with type 2 diabetes mellitus.
A 78-year-old male with a history of uncontrolled type 2 diabetes mellitus has burning pain and tingling in his right foot, which has worsened over the last 6 months. On examination, he has objective loss of pinprick sensation and light touch in the L5 dermatome of the right foot. The patient would like to be prescribed a medication which can help with the pain.

Given the likely diagnosis, which medication would be most appropriate to commence?
a