Quiz: Test Your Knowledge of Low Back Pain Guidance

Dr Rob Hicks


January 15, 2021

NICE advises to consider oral NSAIDs for managing low back pain, taking into account potential differences in gastrointestinal, liver and cardio-renal toxicity, and the person's risk factors, including age, and using the lowest effective dose for the shortest possible time period, and thinking about the use of gastroprotective treatment.

NICE states that paracetamol should not be offered alone for managing low back pain, whilst weak opioids, with or without paracetamol, can be considered only if an NSAID is contraindicated, not tolerated, or has been ineffective.

NICE advises not to offer selective serotonin reuptake inhibitors, serotonin–norepinephrine reuptake inhibitors, tricyclic antidepressants, gabapentinoids or antiepileptics for managing low back pain.


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