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NBME 20 Answers

nbme20/Block 4/Question#11

A 37-year-old man who is HIV positive comes to the ...

Nortriptyline

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submitted by strugglebus(63),

Hydrocodone/Methadone can lead to dependence--you avoid in long term use. NSAIDs you also avoid due to partial ineffectiveness in neuropathic pain as well as ulcer risk. TCA's are known to treat neuropathic pain very well (i.e. diabetes, ART therapy)