Treatment of painful DSDP
| SSRI, selective serotonin reuptake inhibitor. | ||
| A. For localised pain (for example, dorsum of foot) | Capsaicin cream (0.075%) applied four times/day (maximum 6–8 weeks) | |
| Dose (mg/day) | ||
| B. For generalised distal pain | Gabapentin | 600–3600 |
| Carbamazepine | 100–800 | |
| Amitriptyline | 10–150 | |
| Nortriptyline | 10–150 | |
| Imipramine | 10–150 | |
| Desipramine | 10–150 | |
| C. For those whose pain is resistant to the above drugs consider: | ||
| Mexiletene | ||
| SSRI (citalopram or paroxetine) | ||
| Other anticonvulsants (lamotrigine, topiramate) | ||
| Opioids: tramadol, pethidine/morphine | ||
| Spinal cord stimulator | ||
| D. Alternative | Opsite dressing (applied to painful areas) | |
| Acupuncture | ||
| Pain psychologist/counsellor | ||