Pain medicine

Identifying predictors of neuropathic pain medication prescribing, adherence, and discontinuation: a systematic review and meta-analysis

Br J AnaesthPublished Systematic review and meta-analysis

Authors' conclusion

Adherence can be improved by using dose titration and medicine reminders.

Study context

Population
Adults with neuropathic pain69 studies
Outcome
Predictors of pain medication prescribing, adherence, and discontinuation

Pooled result

As reported in the abstract

  • Predictors of being prescribed recommended neuropathic pain medications: mental health disorder, DM, White race
  • Predictors of better adherence: serotonin-norepinephrine reuptake inhibitors vs gabapentinoids or tricyclic antidepressants, dose titration, medicine reminder
  • Predictors of higher likelihood of discontinuation: tricyclic antidepressants vs other antidepressants, combination of neuropathic pain medications vs monopharmacotherapy
  • 53 studies on prescribing, 14 on adherence, 27 on discontinuation (non-mutually exclusive)

Original publication

Identifying predictors of neuropathic pain medication prescribing, adherence, and discontinuation: a systematic review and meta-analysis. Br J Anaesth. Published 27 November 2025. doi:10.1016/j.bja.2025.10.047

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