Chronic neuropathic pain is a recognised complication in patients with Sjögren syndrome, and its management requires a tailored pharmacological approach distinct from general Sjögren syndrome care.
This protocol addresses patients with Sjögren syndrome who present with chronic neuropathic pain. The co-occurrence of neuropathic pain alongside the primary disease adds a specific therapeutic consideration, including careful attention to how selected agents may interact with existing dryness symptoms.
DOI: 10.1136/annrheumdis-2019-216114
Patients with chronic neuropathic pain may require the use of gabapentin, pregabalin or amitriptyline (paying attention to potential exacerbations of dryness symptoms).
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