{"id":397,"date":"2011-09-30T15:18:05","date_gmt":"2011-09-30T15:18:05","guid":{"rendered":"https:\/\/blogs.bmj.com\/spcare\/?p=397"},"modified":"2012-03-12T14:15:06","modified_gmt":"2012-03-12T14:15:06","slug":"news-and-updates-from-www-palliativedrugs-com-4","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/spcare\/2011\/09\/30\/news-and-updates-from-www-palliativedrugs-com-4\/","title":{"rendered":"News and updates from www.palliativedrugs.com"},"content":{"rendered":"<p><em>Selected items from the News and Latest Additions sections of\u00a0<a href=\"http:\/\/www.palliativedrugs.com\/\">www.palliativedrugs.com<\/a>, the world\u2019s leading palliative care website.<\/em><\/p>\n<h1>Latest news<\/h1>\n<p><strong>NICE consults on changes to recommendations for neuropathic pain<\/strong><\/p>\n<p>The UK National Institute for health and Clinical Excellence (NICE) is consulting on proposed changes to some of the recommendations made in its clinical guideline on the pharmacological management of neuropathic pain in adults in non-specialist settings (CG 96; March 2010). Following consideration of new evidence, the main recommendations regarding first-line drug therapy are:<\/p>\n<p>\u2022 oral amitriptyline or gabapentin should be offered, except for those with painful diabetic neuropathy, who should be offered duloxetine (amitriptyline if this is contra-indicated)<\/p>\n<p>\u2022 consider imipramine or nortriptyline as alternatives if amitriptyline is effective but not tolerated<\/p>\n<p>\u2022 consider pregabalin if gabapentin is effective but the patient has difficulty adhering to the dosage schedule or it is not tolerated.<\/p>\n<p>Comments on the draft amended guideline must be via registered stakeholders. The consultation closes at 9am on 10th October 2011. The current clinical guideline should be used until any further announcement is made. Further details including the list of stakeholders can be found <span style=\"text-decoration: underline\"><a href=\"http:\/\/www.nice.org.uk\/guidance\/index.jsp?action=folder&amp;o=56299\">here.<\/a><\/span><\/p>\n<p><em>Prepared by Sarah Charlesworth and Andrew Wilcock.<\/em><!--TrendMD v2.4.8--><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Selected items from the News and Latest Additions sections of\u00a0www.palliativedrugs.com, the world\u2019s leading palliative care website. Latest news NICE consults on changes to recommendations for neuropathic pain The UK National Institute for health and Clinical Excellence (NICE) is consulting on proposed changes to some of the recommendations made in its clinical guideline on the pharmacological [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/blogs.bmj.com\/spcare\/2011\/09\/30\/news-and-updates-from-www-palliativedrugs-com-4\/\">Read More&#8230;<\/a><\/p>\n","protected":false},"author":157,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[2833],"tags":[],"class_list":["post-397","post","type-post","status-publish","format-standard","hentry","category-updates-from-www-palliativedrugs-com"],"_links":{"self":[{"href":"https:\/\/blogs.bmj.com\/spcare\/wp-json\/wp\/v2\/posts\/397","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/blogs.bmj.com\/spcare\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/blogs.bmj.com\/spcare\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/blogs.bmj.com\/spcare\/wp-json\/wp\/v2\/users\/157"}],"replies":[{"embeddable":true,"href":"https:\/\/blogs.bmj.com\/spcare\/wp-json\/wp\/v2\/comments?post=397"}],"version-history":[{"count":0,"href":"https:\/\/blogs.bmj.com\/spcare\/wp-json\/wp\/v2\/posts\/397\/revisions"}],"wp:attachment":[{"href":"https:\/\/blogs.bmj.com\/spcare\/wp-json\/wp\/v2\/media?parent=397"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blogs.bmj.com\/spcare\/wp-json\/wp\/v2\/categories?post=397"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blogs.bmj.com\/spcare\/wp-json\/wp\/v2\/tags?post=397"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}