Phenytoin for neuropathic pain and fibromyalgia in adults.

BACKGROUND: Antiepileptic drugs have been used in pain management since the 1960s; some have shown efficacy in treating different neuropathic pain conditions. Phenytoin is an established antiepileptic drug that has been used occasionally to treat intractable trigeminal neuralgia. OBJECTIVES: To ass...

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Auteurs principaux: Birse, F, Derry, S, Moore, R
Format: Journal article
Langue:English
Publié: 2012
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author Birse, F
Derry, S
Moore, R
author_facet Birse, F
Derry, S
Moore, R
author_sort Birse, F
collection OXFORD
description BACKGROUND: Antiepileptic drugs have been used in pain management since the 1960s; some have shown efficacy in treating different neuropathic pain conditions. Phenytoin is an established antiepileptic drug that has been used occasionally to treat intractable trigeminal neuralgia. OBJECTIVES: To assess the analgesic efficacy and adverse effects of the antiepileptic drug phenytoin in neuropathic pain and fibromyalgia. SEARCH METHODS: We searched the Cochrane Central Register of Controlled Trials (CENTRAL) (The Cochrane Library 2012, Issue 2), MEDLINE, and EMBASE to 28 February 2012, together with reference lists of retrieved papers and reviews, and ClinicalTrials.gov. SELECTION CRITERIA: We planned to include randomised, double-blind studies of eight weeks duration or longer, comparing phenytoin with placebo or another active treatment in chronic neuropathic pain or fibromyalgia. DATA COLLECTION AND ANALYSIS: Two review authors would independently extract data for efficacy and adverse events, and examine issues of study quality. MAIN RESULTS: We did not identify any studies that satisfied the inclusion criteria. AUTHORS' CONCLUSIONS: This review uncovered no evidence of sufficient quality to support the use of phenytoin in chronic neuropathic pain or fibromyalgia.
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spelling oxford-uuid:d2b3b3fe-e536-47f5-a3c5-869103feb5882022-03-27T08:05:54ZPhenytoin for neuropathic pain and fibromyalgia in adults.Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:d2b3b3fe-e536-47f5-a3c5-869103feb588EnglishSymplectic Elements at Oxford2012Birse, FDerry, SMoore, R BACKGROUND: Antiepileptic drugs have been used in pain management since the 1960s; some have shown efficacy in treating different neuropathic pain conditions. Phenytoin is an established antiepileptic drug that has been used occasionally to treat intractable trigeminal neuralgia. OBJECTIVES: To assess the analgesic efficacy and adverse effects of the antiepileptic drug phenytoin in neuropathic pain and fibromyalgia. SEARCH METHODS: We searched the Cochrane Central Register of Controlled Trials (CENTRAL) (The Cochrane Library 2012, Issue 2), MEDLINE, and EMBASE to 28 February 2012, together with reference lists of retrieved papers and reviews, and ClinicalTrials.gov. SELECTION CRITERIA: We planned to include randomised, double-blind studies of eight weeks duration or longer, comparing phenytoin with placebo or another active treatment in chronic neuropathic pain or fibromyalgia. DATA COLLECTION AND ANALYSIS: Two review authors would independently extract data for efficacy and adverse events, and examine issues of study quality. MAIN RESULTS: We did not identify any studies that satisfied the inclusion criteria. AUTHORS' CONCLUSIONS: This review uncovered no evidence of sufficient quality to support the use of phenytoin in chronic neuropathic pain or fibromyalgia.
spellingShingle Birse, F
Derry, S
Moore, R
Phenytoin for neuropathic pain and fibromyalgia in adults.
title Phenytoin for neuropathic pain and fibromyalgia in adults.
title_full Phenytoin for neuropathic pain and fibromyalgia in adults.
title_fullStr Phenytoin for neuropathic pain and fibromyalgia in adults.
title_full_unstemmed Phenytoin for neuropathic pain and fibromyalgia in adults.
title_short Phenytoin for neuropathic pain and fibromyalgia in adults.
title_sort phenytoin for neuropathic pain and fibromyalgia in adults
work_keys_str_mv AT birsef phenytoinforneuropathicpainandfibromyalgiainadults
AT derrys phenytoinforneuropathicpainandfibromyalgiainadults
AT moorer phenytoinforneuropathicpainandfibromyalgiainadults