Chapter 4 Qs

Question 1

Q4.1 Treatment of neuropathic pain

Answer 1

TCA amitriptyline

(topic lodocain patch 5% is used in post herpetic neuralgia)

Question 3

Q4.6 Treatment of neuropathic pain which may cause neutropenia

Answer 3

Carbamazepine, alternative to gabapentin for treating neuropathic pain, can also cause neutropenia.

Question 4

Q.4.8 Parkinsons disease and:

• -Haloperidol*
• -Domperidone*
• -Metoclopramide*

Answer 4

Both haloperidol + metoclopramide are dopamine antagonists and can precipitate Parkinsonian symptoms, even in those who do not have Parkinson’s disease. Domperidone, another dopamine antagonist, is safe to use in Parkinson’s disease, as it doesn’t cross the BBB.