- Contributors
- Preface
- Abbreviations
- Chapter 1 Theories, history, and current taxonomy
- Chapter 2 Pathophysiology of neuropathic pain
- Chapter 3 Epidemiology
- Chapter 4 Clinical assessment and diagnostic work-up
- Chapter 5 Screening tools and measurement tools for neuropathic pain
- Chapter 6 Peripheral neuropathic pain
- Chapter 7 Central neuropathic pain
- Chapter 8 Complex regional pain syndrome
- Chapter 9 Cancer neuropathic pain
- Chapter 10 Neuropathic back pain
- Chapter 11 Antidepressants and antiepileptics for neuropathic pain
- Chapter 12 Local anaesthetics and other pharmacological approaches
- Chapter 13 Ketamine and other NMDA receptor antagonists
- Chapter 14 Opioids
- Chapter 15 Intrathecal drug delivery and neurolytic blocks
- Chapter 16 Transcutaneous electrical nerve stimulation (TENS) and acupuncture
- Chapter 17 Spinal cord stimulation
- Chapter 18 Drug synergy and sequencing
- Chapter 19 Patient perspectives
- Appendix 1 Useful links
- Appendix 2 Neuropathic pain descriptor scales
- Index
(p. 137) Intrathecal drug delivery and neurolytic blocks
- Chapter:
- (p. 137) Intrathecal drug delivery and neurolytic blocks
- Author(s):
Karen H. Simpson
and Iain Jones
- DOI:
- 10.1093/med/9780199563678.003.0015
Intrathecal drug delivery (ITDD) allows drugs to be placed near to central receptors
Drug side-effects may be reduced as small doses are required compared to with systemic administration
External or internal ITDD systems are available
ITDD requires careful patient selection and preparation
Opioids, local anaesthetics, and clonidine are the most commonly used intrathecal drugs; ziconotide can be used as first line treatment...
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- Contributors
- Preface
- Abbreviations
- Chapter 1 Theories, history, and current taxonomy
- Chapter 2 Pathophysiology of neuropathic pain
- Chapter 3 Epidemiology
- Chapter 4 Clinical assessment and diagnostic work-up
- Chapter 5 Screening tools and measurement tools for neuropathic pain
- Chapter 6 Peripheral neuropathic pain
- Chapter 7 Central neuropathic pain
- Chapter 8 Complex regional pain syndrome
- Chapter 9 Cancer neuropathic pain
- Chapter 10 Neuropathic back pain
- Chapter 11 Antidepressants and antiepileptics for neuropathic pain
- Chapter 12 Local anaesthetics and other pharmacological approaches
- Chapter 13 Ketamine and other NMDA receptor antagonists
- Chapter 14 Opioids
- Chapter 15 Intrathecal drug delivery and neurolytic blocks
- Chapter 16 Transcutaneous electrical nerve stimulation (TENS) and acupuncture
- Chapter 17 Spinal cord stimulation
- Chapter 18 Drug synergy and sequencing
- Chapter 19 Patient perspectives
- Appendix 1 Useful links
- Appendix 2 Neuropathic pain descriptor scales
- Index