Interactive diabetes case 19: Pain and dysesthesias of the lower extremities in a 29-year-old patient with type 1 diabetes (distal sensory neuropathy) – A5

ANSWER — 

Incorrect.

Duloxetine is an effective treatment for neuropathic pain and is also an effective antidepressant. It has a relatively rapid onset of action. Side effects include nausea, sleepiness, dizziness, constipation, dry mouth, increased sweating, decreased appetite, and fatigue. The side-effect profile is less favorable than that of nortriptyline in this young woman with depression.

Return to the beginning to try again. (See "Interactive diabetes case 19: Pain and dysesthesias of the lower extremities in a 29-year-old patient with type 1 diabetes (distal sensory neuropathy)".)