A 55-year-old man with type 2 diabetes presents with painful, burning feet at night. Examination shows reduced vibration sense and normal pulses. What...

Question

A 55-year-old man with type 2 diabetes presents with painful, burning feet at night. Examination shows reduced vibration sense and normal pulses. What is the most appropriate first-line pharmacological treatment for his neuropathic pain?

Accepted Answer

Amitriptyline or Duloxetine

Answer

Paracetamol

Answer

Ibuprofen

Answer

Codeine

Answer

Topical Capsaicin as monotherapy

uk-plab-1 MCQ (SBA): Painful diabetic neuropathy

A 55-year-old man with type 2 diabetes presents with painful, burning feet at night. Examination shows reduced vibration sense and normal pulses. What is the most appropriate first-line pharmacological treatment for his neuropathic pain?