Pharmacological Alternatives
First-line options include: paracetamol (limited efficacy for chronic pain), NSAIDs (short courses only), SNRIs (duloxetine, venlafaxine), gabapentinoids (neuropathic pain), and topical agents (capsaicin, lidocaine).
With the ongoing global opioid crisis, primary care practitioners need effective non-opioid strategies for chronic pain. This article covers pharmacological alternatives, physical therapy, and psychological approaches.
By Dr. Thandi Mbeki 6 min read 1 CPD
First-line options include: paracetamol (limited efficacy for chronic pain), NSAIDs (short courses only), SNRIs (duloxetine, venlafaxine), gabapentinoids (neuropathic pain), and topical agents (capsaicin, lidocaine).