Ladder B Treatment Information

Step 1: Naproxen 500mg twice daily (with food)

Step 2: Add Co-codamol 30/500 2 tablets four times daily.

Step 3: Stop Co-codamol 30/500 and add Tramadol 100mg four times daily.

Step 4: Add Gabapentin 300mg Day 1 once daily, Day 2 twice daily, Day 3 three times daily.

 

The instructions for your medications are as follows: 

De-escalation from Step 1

De-escalation from Step 2

De-escalation from Step 3

De-escalation from Step 4