LOCALIZED NEUROPATHIC PAIN: 5% LIDOCAINE MEDICATED PLASTER AS A FIRST LINE TREATMENT AND AS ADD-ON THERAPY: LITERATURE REVIEW AND PERSONAL EXPERIENCE

被引:0
作者
Casale, R. [1 ,2 ]
Polati, E. [3 ]
Schweiger, V. [3 ]
Coluzzi, F. [4 ]
Bhaskar, A. [2 ]
Mattia, C. [4 ]
机构
[1] Ist Sci Montescano IRCCS Fdn S Maugeri, Unita Diagnosi & Riabilitaz Dolore, Serv Neurofisiopatol, I-27040 Montescano, PV, Italy
[2] Montescano Pain Sch, I-27040 Montescano, Italy
[3] Osped Borgo Roma, Policlin GB Rossi, Sez Anestesiol Rianimaz & Terapia Antalg, Verona, Italy
[4] Sapienza Univ Roma, Fac Med & Farm, Sez Anestesia Rianimaz & Med Dolore, Dipartimento Biotecnol & Sci Med Chirurg, Rome, Italy
关键词
Neuralgia; Lidocaine; Chronic pain; QUALITY-OF-LIFE; POSTHERPETIC NEURALGIA; PATCH; 5-PERCENT; DOUBLE-BLIND; PHARMACOLOGICAL MANAGEMENT; TOPICAL TREATMENT; EFFICACY; PREGABALIN; SAFETY; REHABILITATION;
D O I
暂无
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Localized neuropathic pain (LNP) is a type of neuropathic pain characterized by consistent and circumscribed area(s) of maximum pain, which are associated with negative or positive sensory signs and/or spontaneous symptoms typical of neuropathic pain. This description outlines the clinical features of a group of pathologies, in which a LNP can be diagnosed and for whom topical targeted treatment with 5% Lidocaine medicated plaster can be suggested. Indeed both American as well as European guidelines already suggest 5% Lidocaine medicated plaster as a first line treatment in post herpetic neuralgia and in general in the treatment of conditions such as diabetic painful polyneuropathy and post surgical pain where a LNP can be ascertain. In a daily practice of a Pain Unit however the usual case mix encompasses also other causes of LNP, most of them with a scanty pain control in spite of a ongoing polytherapy. Aims of this paper were to focus on 5% Lidocaine medicated plaster as a first line treatment in LNP and to add new insight on its possible use as add-on therapy reporting our data on a consecutive series of 42 patients affected by LNP under unsatisfactory polytherapy in which 5% Lidocaine medicated plaster was able to achieve a satisfactory pain control.
引用
收藏
页码:177 / 195
页数:19
相关论文
共 59 条
[31]   A prospective study of neuropathic pain induced by thoracotomy: Incidence, clinical description, and diagnosis [J].
Guastella, Virginie ;
Mick, Gerard ;
Soriano, Christophe ;
Vallet, Laurent ;
Escande, Georges ;
Dubray, Claude ;
Eschalier, Alain .
PAIN, 2011, 152 (01) :74-81
[32]   Adjunctive agents in the management of chronic pain [J].
Guay, DRR .
PHARMACOTHERAPY, 2001, 21 (09) :1070-1081
[33]   Management of neuropathic pain after surgical and non-surgical trauma with lidocaine 5% patches: study of 40 consecutive cases [J].
Hans, Guy ;
Joukes, Ellen ;
Verhulst, Johanna ;
Vercauteren, Marcel .
CURRENT MEDICAL RESEARCH AND OPINION, 2009, 25 (11) :2737-2743
[34]  
Hans G, 2009, CURR MED RES OPIN, V25, P1295, DOI [10.1185/03007990902901368, 10.1185/03007990902901368 ]
[35]   The impact of neuropathic pain on health-related quality of life - Review and implications [J].
Jensen, Mark P. ;
Chodroff, Marci J. ;
Dworkin, Robert H. .
NEUROLOGY, 2007, 68 (15) :1178-1182
[36]  
Jorge Liliana L, 2010, J Pain Res, V4, P11, DOI 10.2147/JPR.S9492
[37]  
Kopsky DJ, 2014, ANALGESIC EFFECTS TO
[38]   Neuropathic Pain: Is Quantitative Sensory Testing Helpful? [J].
Krumova, Elena K. ;
Geber, Christian ;
Westermann, Andrea ;
Maier, Christoph .
CURRENT DIABETES REPORTS, 2012, 12 (04) :393-402
[39]   Lidocaine patch (5%) produces a selective, but incomplete block of Ad and C fibers [J].
Krumova, Elena K. ;
Zeller, Martina ;
Westermann, Andrea ;
Maier, Christoph .
PAIN, 2012, 153 (02) :273-280
[40]   Differential Effects of a 5% lidocaine medicated patch in peripheral nerve injury [J].
Madsen, Caspar S. ;
Johnsen, Birger ;
Fuglsang-Frederiksen, Anders ;
Jensen, Troels S. ;
Finnerup, Nanna B. .
MUSCLE & NERVE, 2013, 48 (02) :265-271