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Neuropatía secundaria a medicamentos - Treatment

Tratamiento:

El tratamiento se basa en los síntomas y su gravedad. El medicamento que causa la neuropatía puede suspenderse, reducirse la dosis o cambiarse por otro medicamento (nunca cambie ningún medicamento sin hablar primero con el médico).

Los siguientes medicamentos se pueden usar para controlar el dolor:

  • Analgésicos de venta libre que pueden aliviar el dolor leve (neuralgia).
  • La fenitoína, la carbamazepina, la gabapentina, la pregabalina, la duloxetina y los antidepresivos tricíclicos como la nortriptilina pueden reducir los dolores punzantes que algunas personas experimentan.
  • Los analgésicos opiáceos, como la morfina o el fentanilo, pueden ser necesarios para controlar el dolor muy fuerte.

Siempre que sea posible, evite o reduzca el uso de medicamentos para disminuir el riesgo de efectos secundarios.

Si usted presenta pérdida de la sensibilidad, tal vez necesite tomar medidas de seguridad para evitar una lesión.

Pronóstico:

Muchas personas pueden retornar parcial o totalmente a su actividad normal. El trastorno generalmente no causa complicaciones potencialmente mortales, pero puede ser molesto o incapacitante.

Posibles complicaciones:

  • Incapacidad para desempeñarse en el trabajo o en el hogar debido a la pérdida permanente de la sensibilidad.
  • Dolor con hormigueo en un área de lesión del nervio.
  • Pérdida permanente de la sensibilidad (o raras veces, del movimiento) en un área.

Cuándo contactar a un profesional médico:

Consulte con el médico si experimenta una pérdida de la sensibilidad o del movimiento en cualquier área del cuerpo mientras está tomando algún medicamento.

  • Reviewed last on: 2/5/2011
  • David C. Dugdale, III, MD, Professor of Medicine, Division of General Medicine, Department of Medicine, University of Washington School of Medicine. Also reviewed by Joseph V. Campellone, MD, Division of Neurology, Cooper University Hospital, Camden, NJ. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

Referencias

Weimer LH, Sachdev N. Update on medication-induced peripheral neuropathy. Curr Neurol Neurosci Rep. 2009;9(1):69-75.

Harati Y, Bosch EP. Disorders of peripheral nerves. In: Bradley WG, Daroff RB, Fenichel GM, Jankovic J, eds. Neurology in Clinical Practice. 5th ed. Philadelphia, Pa: Butterworth-Heinemann Elsevier; 2008:chap 80.

Shy M. Peripheral neuropathies. In: Goldman L, Ausiello D, eds. Cecil Medicine. 23rd ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap 446.

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