34) Numerous options are available for purely symptomatic treatment of DPNP (see Figure 5).
The setting of DPNP is one in which the concept of multimodal analgesia, or rational polypharmacy, frequently arises.
Sindrup et al (5) concluded in a 2005 review that antidepressants relieve DPNP according to this hierarchy:
In 2 double-blind studies, (1, 2) nondepressed patients with DPNP received duloxetine, 60 mg once daily; duloxetine, 60 mg bid; or placebo for 12 weeks.
Within the national context, the DPNP case is more specifically framed by territorialisation and racialisation, two large-scale social processes that shape resource struggles in the Thai uplands.
Just east of the Silalaeng valley, inside DPNP, lies a 1,600-hectare community forest that was first established in 1975.
Many physicians might not know that those drugs are totally ineffective for DPNP.
Of 55,686 DPNP patients, 53% were getting only a short-acting opioid and 40% an NSAID.
9) Some treatment modalities capitalize on this putative mechanism to treat DPNP.
To preliminarily assess the presence of DPNP, simply asking a patient, "Do your feet burn, hurt, or tingle?
Vessey, PhD, RNC, DPNP
, is Professor at the Johns Hopkins University School of Nursing in Baltimore, MD, and an Editorial Board member for Pediatric Nursing.
Vessey, PhD, RN, DPNP
, is Professor at the Johns Hopkins University School of Nursing in Baltimore, MD.