A 65-year-old with long-standing diabetes has numbness in feet and diminished vibration sense. Best first-line pharmacologic treatment for painful dia...

Question

A 65-year-old with long-standing diabetes has numbness in feet and diminished vibration sense. Best first-line pharmacologic treatment for painful diabetic neuropathy?

Accepted Answer

Pregabalin or duloxetine

Answer

Opioids

Answer

Gabapentin with opioids

Answer

TCAs only

Answer

Topical lidocaine alone

us-abfm MCQ (SBA): Diabetic Neuropathy Pain

A 65-year-old with long-standing diabetes has numbness in feet and diminished vibration sense. Best first-line pharmacologic treatment for painful diabetic neuropathy?