Diabetic neuropathy: treatment

Evidence-based neurology checklist on diabetic neuropathy: treatment: Level B evidence Tricyclics Serotonin and norepinephrine reuptake inhibitors (SNRIs) Gabapentinoids Sodium channel blockers Level C evidence Insufficient evidence Contraindicated drugs Non-drug treatments Investigational…

Level B evidence

  • Tricyclics
  • Serotonin and norepinephrine reuptake inhibitors (SNRIs)
  • Gabapentinoids
  • Sodium channel blockers

Level C evidence

Insufficient evidence

Contraindicated drugs

Non-drug treatments

Investigational treatments

General recommendations

References

  1. Price R, Smith D, Franklin G, et al. Oral and topical treatment of painful diabetic polyneuropathy: practice guideline update summary: report of the AAN Guideline Subcommittee. Neurology 2022; 98:31-43. 
  2. Bril V. Treatments of diabetic neuropathy. J Peripher Nerv Syst 2012; 17(Suppl):22-27.
  3. Xu L, Sun Z, Casserly E, Nasr C, Cheng J, Xu J. Advances in interventional therapies for painful diabetic neuropathy: a systematic review. Anesth Analg 2022; 134:1215-1228.
  4. D'Souza RS, Langford B, Dombovy-Johnson M, Abd-Elsayed A. Neuromodulation interventions for the treatment of painful diabetic neuropathy: a systematic review. Curr Pain Headache Rep 2022; 26:365-377.
  5. Reynolds EL, Russman D, Baskozos G, Eid S, Feldman EL, Bennett DLH, Callaghan BC. Physical activity decreases the likelihood of peripheral neuropathy in persons with diabetes. JNNP 2026; 97:464-468.
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