How do you approach pain management in patients with idiopathic polyneuropathy?  

There are a few different guidelines/recommendations depending on which professional society you search. However, I tend to adhere most closely to the table cited below, with an approach that looks something like: First line: Gabapentin 300mg TID titrating up to 1000mg TID Pregabalin 75mg BID t...

Painful neuropathy is typically most symptomatic when disrupting sleep and TCA HS promotes sleep onset while moderating dysesthesias. 

Gabapentin