Document Detail


Lamotrigine reduces painful diabetic neuropathy: a randomized, controlled study.
MedLine Citation:
PMID:  11502921     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To study the efficacy of lamotrigine in relieving the pain associated with diabetic neuropathy. METHODS: The authors randomly assigned 59 patients to receive either lamotrigine (titrated from 25 to 400 mg/day) or placebo over a 6-week period. Primary outcome measure was self-recording of pain intensity twice daily with a 0 to 10 numerical pain scale (NPS). Secondary efficacy measures included daily consumption of rescue analgesics, the McGill Pain Questionnaire (MPQ), the Beck Depression Inventory (BDI), the Pain Disability Index (PDI), and global assessment of efficacy and tolerability. RESULTS: Twenty-four of 29 patients (83%) receiving lamotrigine and 22 of 30 (73%) patients receiving placebo completed the study. Daily NPS in the lamotrigine-treated group was reduced from 6.4 +/- 0.1 to 4.2 +/- 0.1 and in the control group from 6.5 +/- 0.1 to 5.3 +/- 0.1 (p < 0.001 for lamotrigine doses of 200, 300, and 400 mg). The results of the MPQ, PDI, and BDI remained unchanged in both groups. The global assessment of efficacy favored lamotrigine treatment over placebo, and the adverse events profile was similar in both groups. CONCLUSIONS: Lamotrigine is effective and safe in relieving the pain associated with diabetic neuropathy.
Authors:
E Eisenberg; Y Lurie; C Braker; D Daoud; A Ishay
Publication Detail:
Type:  Clinical Trial; Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Neurology     Volume:  57     ISSN:  0028-3878     ISO Abbreviation:  Neurology     Publication Date:  2001 Aug 
Date Detail:
Created Date:  2001-08-14     Completed Date:  2002-01-03     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0401060     Medline TA:  Neurology     Country:  United States    
Other Details:
Languages:  eng     Pagination:  505-9     Citation Subset:  AIM; IM    
Affiliation:
Pain Relief Unit, Rambam Medical Center, The Technion-Israel Institute of Technology, Haifa, Israel. L_eisenberg@rambam.health.gov.il
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MeSH Terms
Descriptor/Qualifier:
Diabetic Neuropathies / drug therapy*
Female
Humans
Male
Middle Aged
Pain Measurement
Triazines / adverse effects,  therapeutic use*
Chemical
Reg. No./Substance:
0/Triazines; 84057-84-1/lamotrigine

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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