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Peripheral Neuropathy Plan
Apr 11, 2010
•
Mark Morgan
categories:
Neurology
Assessment/Plan
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: 300 mg by mouth day 1, twice daily on day 2, then three times daily with max dose 3600 mg topiramate [Topamax]: consider migraine prophylaxis dose 25 mg every night at bedtime for 1 week, then increase by 25 mg per week with max dose 200 mg carbamazepine [Tegretol]: 100 mg twice daily increase 200 mg/day divided twice daily with max dose 1200 mg pregabalin [Lyrica]: start 50 mg three times daily, increase to 300 mg/day divided 3 times daily over 7 days with max dose 300 mg - tricyclic antidepressants amitriptyline [Elavil]: start 0.1 mg/kg every night at bedtime, titrate slowly over 2-3 weeks with a max dose of 150 mg - topical medications lidocaine [Lidoderm]: 12 hours daily capsaicin [Zostrix]: may apply twice daily to three times daily"]
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