Effect of pentoxifylline on diabetic distal polyneuropathy in type 2 diabetic patients: A randomized trial

Background: Diabetes is one of the most common causes of peripheral neuropathy. There are no known cures for diabetic neuropathy. Pentoxifylline could theoretically be a beneficial treatment for diabetic sensory neuropathy, but there is not enough evidence to prove its effect. The aim of this study...

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Main Authors: Frahad Hosseini, Abolfazl Mohammadbeigi, Mohammad Aghaali, Razieh Borujerdi, Mahmoud Parham
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2019-01-01
Series:Journal of Research in Medical Sciences
Subjects:
Online Access:http://www.jmsjournal.net/article.asp?issn=1735-1995;year=2019;volume=24;issue=1;spage=89;epage=89;aulast=Hosseini
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author Frahad Hosseini
Abolfazl Mohammadbeigi
Mohammad Aghaali
Razieh Borujerdi
Mahmoud Parham
author_facet Frahad Hosseini
Abolfazl Mohammadbeigi
Mohammad Aghaali
Razieh Borujerdi
Mahmoud Parham
author_sort Frahad Hosseini
collection DOAJ
description Background: Diabetes is one of the most common causes of peripheral neuropathy. There are no known cures for diabetic neuropathy. Pentoxifylline could theoretically be a beneficial treatment for diabetic sensory neuropathy, but there is not enough evidence to prove its effect. The aim of this study was to investigate the effect of pentoxifylline on distal diabetic neuropathy. Materials and Methods: In this randomized double-blinded placebo-controlled trial, 60 patients with diabetic peripheral neuropathy were randomized into two groups. The intervention group received Vitamin B1 (100 mg twice daily) and pentoxifylline (400 mg twice daily) and control group received Vitamin B1 (100 mg twice daily) and placebo (twice daily) for 2 months. Before and after the intervention, the symptoms of distal polyneuropathy were recorded by the Michigan Neuropathy Screening Instrument. ANCOVA, Paired t-test, unpaired t-test, Chi-square, and Fisher's exact test were used to compare changes in symptoms and sign of distal polyneuropathy. Results: The mean age of patients was 57.1 ± 8.02 years. There was no significant difference between the two groups in regard to the baseline variables. Blood pressure, body mass index, and blood glucose did not change significantly during the study. In the pentoxifylline group, the symptoms of peripheral neuropathy were significantly improved, in comparison with placebo group (P = 0.042). Conclusion: This study showed pentoxifylline could be effective in reducing the symptoms of distal diabetic neuropathy.
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spelling doaj.art-ef1b7b5b05f44a35af137c03864145a32022-12-22T01:31:58ZengWolters Kluwer Medknow PublicationsJournal of Research in Medical Sciences1735-19951735-71362019-01-01241898910.4103/jrms.JRMS_115_18Effect of pentoxifylline on diabetic distal polyneuropathy in type 2 diabetic patients: A randomized trialFrahad HosseiniAbolfazl MohammadbeigiMohammad AghaaliRazieh BorujerdiMahmoud ParhamBackground: Diabetes is one of the most common causes of peripheral neuropathy. There are no known cures for diabetic neuropathy. Pentoxifylline could theoretically be a beneficial treatment for diabetic sensory neuropathy, but there is not enough evidence to prove its effect. The aim of this study was to investigate the effect of pentoxifylline on distal diabetic neuropathy. Materials and Methods: In this randomized double-blinded placebo-controlled trial, 60 patients with diabetic peripheral neuropathy were randomized into two groups. The intervention group received Vitamin B1 (100 mg twice daily) and pentoxifylline (400 mg twice daily) and control group received Vitamin B1 (100 mg twice daily) and placebo (twice daily) for 2 months. Before and after the intervention, the symptoms of distal polyneuropathy were recorded by the Michigan Neuropathy Screening Instrument. ANCOVA, Paired t-test, unpaired t-test, Chi-square, and Fisher's exact test were used to compare changes in symptoms and sign of distal polyneuropathy. Results: The mean age of patients was 57.1 ± 8.02 years. There was no significant difference between the two groups in regard to the baseline variables. Blood pressure, body mass index, and blood glucose did not change significantly during the study. In the pentoxifylline group, the symptoms of peripheral neuropathy were significantly improved, in comparison with placebo group (P = 0.042). Conclusion: This study showed pentoxifylline could be effective in reducing the symptoms of distal diabetic neuropathy.http://www.jmsjournal.net/article.asp?issn=1735-1995;year=2019;volume=24;issue=1;spage=89;epage=89;aulast=Hosseinidiabetespentoxifyllineperipheral neuropathy
spellingShingle Frahad Hosseini
Abolfazl Mohammadbeigi
Mohammad Aghaali
Razieh Borujerdi
Mahmoud Parham
Effect of pentoxifylline on diabetic distal polyneuropathy in type 2 diabetic patients: A randomized trial
Journal of Research in Medical Sciences
diabetes
pentoxifylline
peripheral neuropathy
title Effect of pentoxifylline on diabetic distal polyneuropathy in type 2 diabetic patients: A randomized trial
title_full Effect of pentoxifylline on diabetic distal polyneuropathy in type 2 diabetic patients: A randomized trial
title_fullStr Effect of pentoxifylline on diabetic distal polyneuropathy in type 2 diabetic patients: A randomized trial
title_full_unstemmed Effect of pentoxifylline on diabetic distal polyneuropathy in type 2 diabetic patients: A randomized trial
title_short Effect of pentoxifylline on diabetic distal polyneuropathy in type 2 diabetic patients: A randomized trial
title_sort effect of pentoxifylline on diabetic distal polyneuropathy in type 2 diabetic patients a randomized trial
topic diabetes
pentoxifylline
peripheral neuropathy
url http://www.jmsjournal.net/article.asp?issn=1735-1995;year=2019;volume=24;issue=1;spage=89;epage=89;aulast=Hosseini
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