Review Article

Therapeutic Potential of Polyphenols in the Management of Diabetic Neuropathy

Table 1

Common and serious adverse effects of currently available drugs that are used in the treatment of diabetic neuropathy.

DrugCommon adverse effectsSerious adverse effectsReferences

AmitriptylineNausea, insomnia, headache, blurred vision, dizziness, sedation, dry mouth, orthostatic hypotension, urinary retentionHyponatraemia, serotonin syndrome, suicidal thoughts, hepatotoxicity, seizures, cardiac arrhythmias, interstitial lung disease[1214]
GabapentinDry mouth, peripheral oedema, somnolence, gait disturbance, weight gain, headache, dizzinessSuicidal thoughts and behavior, Stevens–Johnson syndrome, seizures, hepatitis, withdrawal reactions, confusion[15]
TramadolNausea, headache, dizziness, sweating, constipation, somnolenceHallucinations, seizures, opioid abuse/misuse, serotonin syndrome[16]
DuloxetineDizziness, nausea, headache, dry mouth, diarrhoea, somnolence, sweating, insomnia, constipation, tremorHepatic failure, serotonin syndrome, hypertensive crisis, urinary retention, interstitial lung disease, hyponatraemia, Stevens–Johnson syndrome, seizures[1719]
VenlafaxineNausea, headache, insomnia, vomiting, diarrhoea, sweating, dry mouth, anorexia, somnolence[20]
PregabalinDry mouth, dizziness, somnolence, weight gain, weakness, headache, peripheral oedemaSeizures, angioedema, hepatotoxicity, rhabdomyolysis, Stevens–Johnson syndrome, suicidal thoughts, cardiac arrhythmia, pulmonary oedema, thrombocytopenia[21, 22]
Tapentadol extended release (ER)Nausea, headache, somnolence, dizziness, sweating, constipationSame as tramadol and angioedema[2326]