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For this persistent pain, it may be reasonable to add amitriptyline, another tricyclic antidepressant, or duloxetine (class IV, grade of recommendation C, for all these drugs).66 Given the high prevalence of depression in this patient group, these drugs may be useful as an adjuvant therapy.67 Treatment duration A considerable proportion of patients present complete remission, usually early

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Always consult with a qualified healthcare provider regarding any medical concerns