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Palmitoylethanolamide (Normast) combined with pregabalin in neuropathic pain
English articles
Treatment
Palmitoylethanolamide (Normast) combined with pregabalin in neuropathic pain
| Palmitoylethanolamide (Normast) combined with pregabalin in neuropathic pain |
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Palmitoylethanolamin (Normast®) is a endogenous lipid with analgesic and anti-inflammatory properties. In a study were 30 patients were entered, suffering from diabetic neuropathic pain and post-herpetic pain, palmitoylethanolamide was combined with pregabalin in the treatment of neuropathic pain.
The dose of palmitoylethanolamide was twice 600 mg; pregabalin was slowly titrated in a bid dose regime, starting with 150 mg/day, after 10 days to 225 mg/day, after 10 days to 300 mg/day and again after 10 days up to 400 mg/dag. The therapy with pregabalin and palmitoylethanolamide significantly improved pain, functional disability and sleep in a pre versus post comparison. Important to note was: there were no tolerability issues, and the impression that tolerability of pregabalin improved by adding palmitoylethanolamide. [1] These clinical results, although from an open study, adds to the already existing data supporting efficacy and safety of palmitoylethanolamide. [2] [3] [4] [5][6][7][8] [9][10][11][12][13][14]
Referenties[1]: Deslo. P.  | Combination of pregabalin and palmitoylethanolamide (PEA) for neuropathic pain treatment. | | [2]: G. Guida, A. de Fabiani, F. Lanaia, A. Alexandre, G.M. Vassallo, L. Cantieri, M. de Martino, M. Rogai, S. Petrosino | La palmitoiletanolamida (Normast) en el dolor neuropatico cronico por lumbociatalgia de tipo compresivo: estudio clinico multicentrico. | Dolor | 2010, 25:35-42 [3]: Biasiotta A, La Cesa S, Leone C, Di Stefano G, Truini A, Cruccu G. | Efficacy of palmitoylethanolamide in patients with painful neuropathy. A clincial and neurophysiological open study. Preliminary results. | , Volume 4, Issue 1, May 2010, Page 77. | [4]: Assini A, Laricchia D, Pizzo R, Pandolfini L, Belletti M, Colucci M, Ratto S. | P1577: The carpal tunnel syndrome in diabetes: clinical and electrophysiological improvement after treatment with palmitoylethanolamide | Eur J Neurol | 2010: 17(S3):295. [5]: Bortolotti F,Russo M, Bartolucci ML, Alessandri Bonetti G, Gatto MR, Marini I. | Palmitoylethanolamide vs NSAID in the treatment of TMJD Pain | Journal of Dental Research | 2010: 89(Special Issue B) [6]: Phan NQ, Siepmann D, Gralow I, Ständer S. | Adjuvant topical therapy with a cannabinoid receptor agonist in facial postherpetic neuralgia. | J Dtsch Dermatol Ges. | 2010 Feb;8(2):88-91. Epub 2009 Sep 10. [7]: Indraccolo U, Barbieri F. | Effect of palmitoylethanolamide-polydatin combination on chronic pelvic pain associated with endometriosis: preliminary observations. | Eur J Obstet Gynecol Reprod Biol. | 2010 May;150(1):76-9. Epub 2010 Feb 21. [8]: Calabrò RS, Gervasi G, Marino S, Mondo PN, Bramanti P. | Misdiagnosed chronic pelvic pain: pudendal neuralgia responding to a novel use of palmitoylethanolamide. | Pain Med. | 2010 May;11(5):781-4. Epub 2010 Mar 22. [9]: Rasková H, Masek K, Linèt O. | Non-specific resistance induced by palmitoylethanolamide. | Toxicon. | 1972 Aug;10(5):485-90. [10]: Masek K, Perlík F, Klíma J, Kahlich R. | Prophylactic efficacy of N-2-hydroxyethyl palmitamide (impulsin) in acute respiratory tract infections. | Eur J Clin Pharmacol. | 1974 Oct 4;7(6):415-9. [11]: Kahlich R, Klíma J, Cihla F, Franková V, Masek K, Rosický M, Matousek F, Bruthans J. | Studies on prophylactic efficacy of N-2-hydroxyethyl palmitamide (Impulsin) in acute respiratory infections. Serologically controlled field trials. | J Hyg Epidemiol Microbiol Immunol. | 1979;23(1):11-24. [12]: Wiedermannová D, Wiedermann D, Lokaj J. | [Prophylactic administration of impulsin to clinically healthy children.--effect on the serum proteins and metabolic activity of granulocytes (author's transl)]. | Cas Lek Cesk. | 1978 Aug 18;117(33):1030-4. [13]: Eberlein B, Eicke C, Reinhardt HW, Ring J. | Adjuvant treatment of atopic eczema: assessment of an emollient containing N-palmitoylethanolamine (ATOPA study). | J Eur Acad Dermatol Venereol. | 2008 Jan;22(1):73-82. [14]: Pulvirenti N, Nasca MR, Micali G. | Topical adelmidrol 2% emulsion, a novel aliamide, in the treatment of mild atopic dermatitis in pediatric subjects: a pilot study. | Acta Dermatovenerol Croat. | 2007;15(2):80-3. |
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