Clonidine for management of chronic pain: A brief review of the current evidences

Clonidine, an alpha-2 adrenergic receptor agonist, has well-established role in acute perioperative pain management. However, recently it has found increasing use in chronic pain conditions as well. In this review, we systematically searched and analyzed the clinical studies from "PubMed,"...

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Main Authors: Anil Kumar, Souvik Maitra, Puneet Khanna, Dalim Kumar Baidya
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2014-01-01
Series:Saudi Journal of Anaesthesia
Subjects:
Online Access:http://www.saudija.org/article.asp?issn=1658-354X;year=2014;volume=8;issue=1;spage=92;epage=96;aulast=Kumar
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author Anil Kumar
Souvik Maitra
Puneet Khanna
Dalim Kumar Baidya
author_facet Anil Kumar
Souvik Maitra
Puneet Khanna
Dalim Kumar Baidya
author_sort Anil Kumar
collection DOAJ
description Clonidine, an alpha-2 adrenergic receptor agonist, has well-established role in acute perioperative pain management. However, recently it has found increasing use in chronic pain conditions as well. In this review, we systematically searched and analyzed the clinical studies from "PubMed," "PubMed central" and "Scopus" database for use of clonidine in the chronic pain. Quantitative meta-analysis was not possible as clonidine has been used in various patient populations through different routes. However, qualitative analysis of nearly thirty clinical studies provides some evidence that clonidine administered through epidural, intrathecal and local/topical route may be effective in chronic pain conditions where neuropathy is a predominant component. It may also be effective where opioids are of limited use due to inadequate pain relief or adverse effects.
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spelling doaj.art-c465f49699b54582a2466c5d38ad5f792022-12-21T18:37:07ZengWolters Kluwer Medknow PublicationsSaudi Journal of Anaesthesia1658-354X2014-01-0181929610.4103/1658-354X.125955Clonidine for management of chronic pain: A brief review of the current evidencesAnil KumarSouvik MaitraPuneet KhannaDalim Kumar BaidyaClonidine, an alpha-2 adrenergic receptor agonist, has well-established role in acute perioperative pain management. However, recently it has found increasing use in chronic pain conditions as well. In this review, we systematically searched and analyzed the clinical studies from "PubMed," "PubMed central" and "Scopus" database for use of clonidine in the chronic pain. Quantitative meta-analysis was not possible as clonidine has been used in various patient populations through different routes. However, qualitative analysis of nearly thirty clinical studies provides some evidence that clonidine administered through epidural, intrathecal and local/topical route may be effective in chronic pain conditions where neuropathy is a predominant component. It may also be effective where opioids are of limited use due to inadequate pain relief or adverse effects.http://www.saudija.org/article.asp?issn=1658-354X;year=2014;volume=8;issue=1;spage=92;epage=96;aulast=KumarChronic painclonidineneuropathy
spellingShingle Anil Kumar
Souvik Maitra
Puneet Khanna
Dalim Kumar Baidya
Clonidine for management of chronic pain: A brief review of the current evidences
Saudi Journal of Anaesthesia
Chronic pain
clonidine
neuropathy
title Clonidine for management of chronic pain: A brief review of the current evidences
title_full Clonidine for management of chronic pain: A brief review of the current evidences
title_fullStr Clonidine for management of chronic pain: A brief review of the current evidences
title_full_unstemmed Clonidine for management of chronic pain: A brief review of the current evidences
title_short Clonidine for management of chronic pain: A brief review of the current evidences
title_sort clonidine for management of chronic pain a brief review of the current evidences
topic Chronic pain
clonidine
neuropathy
url http://www.saudija.org/article.asp?issn=1658-354X;year=2014;volume=8;issue=1;spage=92;epage=96;aulast=Kumar
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AT puneetkhanna clonidineformanagementofchronicpainabriefreviewofthecurrentevidences
AT dalimkumarbaidya clonidineformanagementofchronicpainabriefreviewofthecurrentevidences