Antidepressants for pain indication - dm+d

Codelist metadata

Coding system
Dictionary of Medicines and Devices
Coding system release
2024 2.1.0
Organisation
OpenSAFELY
Codelist ID
opensafely/antidepressants-for-pain-indication-dmd
Version ID
1e769556
Download CSV with mapped VMPs* Download CSV original

Versions

  1. 1e769556 Pubished
    Created: 19 Feb 2024 at 10:17

About

Description

This codelist will be used to identify prescribing of antidepressants with an indication for pain to people waiting on procedure waiting lists.

Methodology

Converted from pseudo-BNF system codelist

Search Terms

Amitriptyline

Duloxetine

Inclusion criteria

Antidepressant agents that are most likely to have been prescribed for pain. According to NICE guidelines amitriptyline and duloxetine are the antidepressant agents that are recommended.

Exclusion criteria

Combination products with antipsychotics (amitriptyline/perphenazine)

Duloxetine 20 and 40mg capsules which are indicated for stress incontinence.

Borderline cases

Liquid formulation duloxetine included even though within Chapter 07: Obstetrics, Gynaecology and Urinary-Tract Disorders as only liquid formulation available. Very limited prescribing.

Topical amitriptyline/ketamine, excluded not prescribed at all in last 5 years in Primary care (OpenPrescribing). NICE/BNF recommendations are for oral preparations.

Nortriptyline not included, as not recommended by NICE for the management of neuropathic pain.

References

Signed off by

  • Vicky Speed, (Feb. 19, 2024)
  • Andrea Schaffer, (Feb. 19, 2024)

Codelists are developed by a broad community of users for individual study purposes, which may or may not meet the needs of other studies. They should not be thought of as universal definitions of a particular condition.

We don't offer any guarantees about what they do or don't identify. Users should carefully check that any codelist meets their needs, and seek clinical input where appropriate.

* dm+d codelists can be downloaded with codes mapped to changed VMPs included - this is the default for an OpenSAFELY project. See the documentation on keeping codelists up to date for more details.

* Note that this is the full list of explicitly included dm+d codes for this codelist. An OpenSAFELY project will by default also include previous or subsequent codes for any included VMPs that may have changed code. See the documentation on keeping codelists up to date for more details.