ClassMedicationDosageCost of generic (brand)*NNTAdverse effects
AnticonvulsantsGabapentin (Neurontin)1,800 to 3,600 mg per day$93 to $186 ($365 to $729)2.8–5.3Somnolence, dizziness, edema, dry mouth
Pregabalin (Lyrica)150 to 600 mg per dayNA ($95 to $190)4.9
OpioidsControlled-release oxycodone (Oxycontin)VariableNA ($209, 15-mg 12-hour tablets)2.7Constipation, nausea, vomiting, sedation, dizziness, dependence
Long-acting morphineVariable$64 ($84), 15-mg 12-hour tablets2.7
Tramadol (Ultram)100 to 400 mg per day$34 ($140), 100 mg per day4.8Dependence
Topical agentsCapsaicin 0.075% cream (Zostrix)Applied three or four times per dayNA ($19 to $25, 2 oz)3.3Burning skin
Lidocaine 5% patch (Lidoderm)Maximum three patches per dayNA ($217, 30 patches)2.0Mild skin reaction
Tricyclic antidepressantsAmitriptylineUp to 150 mg per day$17 (NA)2.6Sedation, dry mouth, blurred vision, constipation, urinary retention
Desipramine (Norpramin)Up to 150 mg per day$140 ($180)
Nortriptyline (Pamelor)Up to 150 mg per day$19 ($1,082)