Therapeutic benefit of palmitoylethanolamide in the management of neuropathic pain

Background: Neuropathic pain is defined by International Association for the Study of Pain (IASP) as “Pain caused by a lesion or disease of the somatosensory nervous system”. Elderly patients generally have high incidence of chronic neuropathic pain. The safe and effective treatment for chronic pain...

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Main Authors: I. D. Chaurasia, Kunal Vinayak, Shashikant Tiwari, Prateek Malpani, Sheikh Behram, Mahim Koshariya
Format: Article
Language:English
Published: London Academic Publishing 2018-12-01
Series:Romanian Neurosurgery
Subjects:
Online Access:https://www.journals.lapub.co.uk/index.php/roneurosurgery/article/view/1143
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author I. D. Chaurasia
Kunal Vinayak
Shashikant Tiwari
Prateek Malpani
Sheikh Behram
Mahim Koshariya
author_facet I. D. Chaurasia
Kunal Vinayak
Shashikant Tiwari
Prateek Malpani
Sheikh Behram
Mahim Koshariya
author_sort I. D. Chaurasia
collection DOAJ
description Background: Neuropathic pain is defined by International Association for the Study of Pain (IASP) as “Pain caused by a lesion or disease of the somatosensory nervous system”. Elderly patients generally have high incidence of chronic neuropathic pain. The safe and effective treatment for chronic pain is a large public health concern. Palmitoylethanolamide (PEA) is an endogenously produced amide cannabimimetic compound with tissue protection and anti-inflammatory activity. Objectives: The aim & objective of this study is to evaluate the effectiveness and safety of Palmitoylethanolamide (PEA) in patients suffering from Neuropathic/Chronic Pain. Study Designed: Prospective Study. Materials and Methods: The Study was conducted in the Neurosurgery unit of Surgery Department in Gandhi Medical College & Associated Hamidia Hospital, Bhopal. A total no. of 150 patients aged 20-78 years were included in the study and divided into two groups, group I (Study group) and the group II (Control group) PEA was given to group I to evaluate the effect of PEA in neuropathic pain. Result: We studied 150 patients with PEA for 60 days in a dose of 354 mg orally three times (TDS) a day for first 10 days and then two times (BID) a day for 50 days. It is available in India by the name of Palmiges. PEA was associated with greater pain reduction in the study group compared to the placebo controlled group. The primary outcome measured was the mean pain reduction evaluated by VAS scale. Conclusion: PEA seems to be useful in the treatment of neuropathic / chronic pain and it is well tolerated in patients in study group. Palmiges PEA reduces the inflammation in neuropathic pain, which results in lowering/reduction of neuropathic pain. Controlled trials are further needed to prove efficacy and reliability and also to find out the adverse reaction associated with the drug.
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spelling doaj.art-eecb97e4be5f4fa9b04d9a6d8b99ace62022-12-21T20:55:28ZengLondon Academic PublishingRomanian Neurosurgery1220-88412344-49592018-12-01324Therapeutic benefit of palmitoylethanolamide in the management of neuropathic painI. D. ChaurasiaKunal VinayakShashikant TiwariPrateek MalpaniSheikh BehramMahim KoshariyaBackground: Neuropathic pain is defined by International Association for the Study of Pain (IASP) as “Pain caused by a lesion or disease of the somatosensory nervous system”. Elderly patients generally have high incidence of chronic neuropathic pain. The safe and effective treatment for chronic pain is a large public health concern. Palmitoylethanolamide (PEA) is an endogenously produced amide cannabimimetic compound with tissue protection and anti-inflammatory activity. Objectives: The aim & objective of this study is to evaluate the effectiveness and safety of Palmitoylethanolamide (PEA) in patients suffering from Neuropathic/Chronic Pain. Study Designed: Prospective Study. Materials and Methods: The Study was conducted in the Neurosurgery unit of Surgery Department in Gandhi Medical College & Associated Hamidia Hospital, Bhopal. A total no. of 150 patients aged 20-78 years were included in the study and divided into two groups, group I (Study group) and the group II (Control group) PEA was given to group I to evaluate the effect of PEA in neuropathic pain. Result: We studied 150 patients with PEA for 60 days in a dose of 354 mg orally three times (TDS) a day for first 10 days and then two times (BID) a day for 50 days. It is available in India by the name of Palmiges. PEA was associated with greater pain reduction in the study group compared to the placebo controlled group. The primary outcome measured was the mean pain reduction evaluated by VAS scale. Conclusion: PEA seems to be useful in the treatment of neuropathic / chronic pain and it is well tolerated in patients in study group. Palmiges PEA reduces the inflammation in neuropathic pain, which results in lowering/reduction of neuropathic pain. Controlled trials are further needed to prove efficacy and reliability and also to find out the adverse reaction associated with the drug.https://www.journals.lapub.co.uk/index.php/roneurosurgery/article/view/1143PEAPalmitoylethanolamideNeuropathic PainAnalgesicsVAS (Visual Analogue Score)
spellingShingle I. D. Chaurasia
Kunal Vinayak
Shashikant Tiwari
Prateek Malpani
Sheikh Behram
Mahim Koshariya
Therapeutic benefit of palmitoylethanolamide in the management of neuropathic pain
Romanian Neurosurgery
PEA
Palmitoylethanolamide
Neuropathic Pain
Analgesics
VAS (Visual Analogue Score)
title Therapeutic benefit of palmitoylethanolamide in the management of neuropathic pain
title_full Therapeutic benefit of palmitoylethanolamide in the management of neuropathic pain
title_fullStr Therapeutic benefit of palmitoylethanolamide in the management of neuropathic pain
title_full_unstemmed Therapeutic benefit of palmitoylethanolamide in the management of neuropathic pain
title_short Therapeutic benefit of palmitoylethanolamide in the management of neuropathic pain
title_sort therapeutic benefit of palmitoylethanolamide in the management of neuropathic pain
topic PEA
Palmitoylethanolamide
Neuropathic Pain
Analgesics
VAS (Visual Analogue Score)
url https://www.journals.lapub.co.uk/index.php/roneurosurgery/article/view/1143
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