PLEASE NOTE : This is a development system.
For Surrey PAD, please go to https://surreyccg.res-systems.net/PAD.
	For Surrey PAD, please go to https://surreyccg.res-systems.net/PAD.
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PAD Profile : Duloxetine - Pain (Neuropathic) Important
Keywords : 
                        neuropathic pain, diabetic neuropathy, postherpetic neuralgia, PHN
                    Brand Names Include : 
                        Cymbalta
                    Important Information : 
                        Licensed only for diabetic peripheral neuropathic pain but also recommended as per NICE CG173 (off- label indication) as a treatment option in neuropathic pain.
                    Traffic Light Status
Status 1 of 1.
Guidelines
No guidelines returned.
Other Drugs
- Amitriptyline hydrochloride
 - Gabapentin
 - Pregabalin
 - Nortriptyline
 - Imipramine hydrochloride
 - Dosulepin hydrochloride
 - Tramadol hydrochloride
 - Capsaicin
 
Other Indications
Additional Documents
Type
                            Document
                            Review Date
                        Committee Recommendations
Date
                            Committee Name
                            Narrative
                        07 October 2020
                                Surrey & North West Sussex Area Prescribing Committee (formerly Prescribing Clinical Network)
                                Duloxetine 60mg once daily or amitriptyline are recommended as treatment options at step 1 of the local neuropathic pain guidelines..
Duloxetine is licensed only for diabetic peripheral neuropathic pain but is also recommended by NICE as a treatment option in neuropathic pain.
See guidelines below.
03 May 2017
                                Surrey & North West Sussex Area Prescribing Committee (formerly Prescribing Clinical Network)
                                GENERIC Duloxetine has been considered by the PCN and has been assigned a GREEN traffic light status
NOTE - the branded product, Cymbalta, was considered BLACK at the PCN in May 2017.
                            Associated BNF Codes
04. Central Nervous System
                            04.07.03. Neuropathic pain