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Alpha lipoic Acid for symptomatic peripheral neuropathy in patients with diabetes: a meta-analysis of randomized controlled trials.
MedLine Citation:
PMID:  22331979     Owner:  NLM     Status:  PubMed-not-MEDLINE    
Abstract/OtherAbstract:
Objective. We performed a systematic review of the literature to evaluate the effects of alpha lipoic acid for symptomatic peripheral neuropathy in patients with diabetes mellitus. Research design and methods. The databases MEDLINE and EMBASE were searched using the key words "lipoic acid", "thioctic acid", "diabet∗", and the MeSH-terms "thioctic acid" and "diabetes mellitus". Randomised controlled trials using the TSS score as the outcome measure were selected and assessed for their methodological quality. Study selection and quality assessment were performed independently by three observers. Results. Overall, the pooled standardized mean difference estimated from all trials revealed a reduction in TSS scores of -2.26 (CI: -3.12 to -1.41; P = 0.00001) in favour of alpha lipoic acid administration. Subgroup analyses of oral administration (-1.78 CI: -2.45 to -1.10; P = 0.00001) and intravenous administration (-2.81 CI: -4.16 to -1.46; P = 0.0001) confirmed the robustness of the overall result. Conclusions. When given intravenously at a dosage of 600 mg/day over a period of 3 weeks, alpha lipoic acid leads to a significant and clinically relevant reduction in neuropathic pain (grade of recommendation A). It is unclear if the significant improvements seen after 3-5 weeks of oral administration at a dosage of >600 mg/day are clinically relevant.
Authors:
Gerritje S Mijnhout; Boudewijn J Kollen; Alaa Alkhalaf; Nanno Kleefstra; Henk J G Bilo
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Publication Detail:
Type:  Journal Article     Date:  2012-01-26
Journal Detail:
Title:  International journal of endocrinology     Volume:  2012     ISSN:  1687-8345     ISO Abbreviation:  Int J Endocrinol     Publication Date:  2012  
Date Detail:
Created Date:  2012-02-14     Completed Date:  2012-08-23     Revised Date:  2013-02-27    
Medline Journal Info:
Nlm Unique ID:  101516376     Medline TA:  Int J Endocrinol     Country:  Egypt    
Other Details:
Languages:  eng     Pagination:  456279     Citation Subset:  -    
Affiliation:
Department of Internal Medicine, Isala Clinics, P.O. Box 10400, 8000 GK Zwolle, The Netherlands.
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