급여불인정불인정 대상모두하나만제한선행 치료평가·계속진단·검사수치서류필수 택일
허가사항 범위 내에서 투여 시 요양급여 함을 원칙으로 하며, 당뇨병성 말초 신경병증성 통증치료제(예: Gabapentin 경구제, Pregabalin 경구제, Duloxetine 경구제 등)와 병용 투여 시 요양급여를 인정함.
*시행일: 2016.3.1.
*변경사유:당뇨병성 말초 신경병증성 통증에 통증치료제와 병용투여 시 보장성 확대차원에서 병용 약제 모두 급여인정함.
*관련근거
·Harrison's Principles of Internal Medicine, 18ed. Chapter 344 Diabetes Mellitus
·Tintinalli's Emergency Medicine: A Comprehensive Study Guide, 7ed. Chapter 42. Adults with Chronic Pain
·Morgan & Mikhail's Clinical Anesthesiology, 5ed. Chapter 47. Chronic Pain Management
·Textbook of Natural Medicine, Fourth Edition, 2013 by Churchill Livingstone, an imprint of Elsevier Inc. Chapter 161 Diabetes Mellitus
·2013 제2형 당뇨병 진료지침, 대한당뇨병학회
·NGC: Centre for Clinical Practice. London (UK): National Institute for Health and Clinical Excellence (NICE); 2010 Mar. 155 p. (Clinical guideline; no. 96).
·NGC: Handelsman Y, et al. AACE Task Force for Developing Diabetes Comprehensive Care Plan. American Association of Clinical Endocrinologists medical guidelines for clinical practice for developing a diabetes mellitus comprehensive care plan. Endocr Pract. 2011 Mar-Apr;17(Suppl 2):1-53.
·NICE clinical guideline 173: Neuropathic pain - pharmacological management The pharmacological management of neuropathic pain in adults in non-specialist settings. Issued: November 2013
·Boulton AJ, et al. Diabetic neuropathies: a statement by the American Diabetes Association. Diabetes Care. 2005 Apr;28(4):956-62.