Pain

Pain is a frequent complication of Guillain-Barré syndrome and may also occur in patients who are immobile for other reasons. It is characteristically exacerbated by movement and touch. The cause of this pain is not clear. It should initially be treated with simple analgesics such as acetaminophen (paracetamol), although this often proves ineffective. In such cases tricyclic antidepressants, anticonvulsants, or narcotic analgesics may be required. In exceptionally severe cases epidural infusion of opiates may be of use. In resistant cases it may help the patient if anesthetists with an interest in pain control are involved in the management.

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