Pain

Question 1

What type of pain is transmitted by c fibres? And alpha-delta fibres?

Answer 1

c fibres = slow, dull, diffuse pain
alpha delta fibres = sharp, fast, localised pain

Question 2

Describe the analgesia ladder.

Answer 2

non-opioid medication -> paracetamol + NSAIDs
weak opioids -> codeine + tramadol
strong opioids -> morphine + fentanyl + oxycodone + buprenorphine

Question 3

What medications can be prescribed off licence for pain?

Answer 3

antidepressants such as amitriptyline + anticonvulsants such as gabapentin

Question 4

What is the name of the medication used to reverse the effects of opioids in life threatening over doses?

Answer 4

naloxone

Question 5

What medications should not be used for chronic pain (pain that lasts >3 months)?

Answer 5

NSAIDs, paracetamol, opiates, anti-epileptics

Question 6

What are the first line treatments for neuropathic pain?

Answer 6

amitriptyline
duloxetine
anticonvulsants
gabapentin