About: Tolerability of the capsaicin 8% patch following pretreatment with lidocaine or tramadol in patients with peripheral neuropathic pain: A multicentre, randomized, assessor-blinded study     Goto   Sponge   NotDistinct   Permalink

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  • BackgroundApplication of the capsaicin 8% patch is associated with treatment-related discomfort. Consequently, pretreatment for 60min with anaesthetic cream is recommended; however, this may be uncomfortable and time consuming. MethodsWe conducted a multicentre, randomized (1:1), assessor-blinded study in patients with peripheral neuropathic pain to assess tolerability of the capsaicin patch following topical lidocaine (4%) or oral tramadol (50mg) pretreatment. The primary endpoint was the proportion of patients tolerating capsaicin patch application (ability to receive 90% of a 60-min application). Numeric Pain Rating Scale (NPRS) scores were assessed before, during and after treatment. ResultsOverall, 122 patients were included (61 per arm). The capsaicin patch was tolerated by 121 patients. Tolerability of the capsaicin patch was similar following pretreatment with lidocaine and tramadol. Following patch application, pain levels increased up to 55min (change from baseline of 1.3 for lidocaine and 1.4 for tramadol). After patch removal, tramadol-treated patients experienced greater pain relief up to the end of day 1; in the evening, mean changes in NPRS scores from baseline were 0 for lidocaine and -1 for tramadol. Proportions of patients reporting increases of 2 NPRS points or >33% from baseline at one or more time point(s) on the day of treatment were similar between arms. Adverse event incidence was comparable between arms. ConclusionsCapsaicin 8% patch tolerability was similar in the two arms, with comparable results for most secondary endpoints. Tramadol given 30min before patch application should be considered as an alternative pretreatment option in patients receiving capsaicin patch treatment.
  • BackgroundApplication of the capsaicin 8% patch is associated with treatment-related discomfort. Consequently, pretreatment for 60min with anaesthetic cream is recommended; however, this may be uncomfortable and time consuming. MethodsWe conducted a multicentre, randomized (1:1), assessor-blinded study in patients with peripheral neuropathic pain to assess tolerability of the capsaicin patch following topical lidocaine (4%) or oral tramadol (50mg) pretreatment. The primary endpoint was the proportion of patients tolerating capsaicin patch application (ability to receive 90% of a 60-min application). Numeric Pain Rating Scale (NPRS) scores were assessed before, during and after treatment. ResultsOverall, 122 patients were included (61 per arm). The capsaicin patch was tolerated by 121 patients. Tolerability of the capsaicin patch was similar following pretreatment with lidocaine and tramadol. Following patch application, pain levels increased up to 55min (change from baseline of 1.3 for lidocaine and 1.4 for tramadol). After patch removal, tramadol-treated patients experienced greater pain relief up to the end of day 1; in the evening, mean changes in NPRS scores from baseline were 0 for lidocaine and -1 for tramadol. Proportions of patients reporting increases of 2 NPRS points or >33% from baseline at one or more time point(s) on the day of treatment were similar between arms. Adverse event incidence was comparable between arms. ConclusionsCapsaicin 8% patch tolerability was similar in the two arms, with comparable results for most secondary endpoints. Tramadol given 30min before patch application should be considered as an alternative pretreatment option in patients receiving capsaicin patch treatment. (en)
Title
  • Tolerability of the capsaicin 8% patch following pretreatment with lidocaine or tramadol in patients with peripheral neuropathic pain: A multicentre, randomized, assessor-blinded study
  • Tolerability of the capsaicin 8% patch following pretreatment with lidocaine or tramadol in patients with peripheral neuropathic pain: A multicentre, randomized, assessor-blinded study (en)
skos:prefLabel
  • Tolerability of the capsaicin 8% patch following pretreatment with lidocaine or tramadol in patients with peripheral neuropathic pain: A multicentre, randomized, assessor-blinded study
  • Tolerability of the capsaicin 8% patch following pretreatment with lidocaine or tramadol in patients with peripheral neuropathic pain: A multicentre, randomized, assessor-blinded study (en)
skos:notation
  • RIV/00216208:11110/14:10286825!RIV15-MSM-11110___
http://linked.open...avai/riv/aktivita
http://linked.open...avai/riv/aktivity
  • N
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  • 9
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http://linked.open...iv/duvernostUdaju
http://linked.open...titaPredkladatele
http://linked.open...dnocenehoVysledku
  • 50684
http://linked.open...ai/riv/idVysledku
  • RIV/00216208:11110/14:10286825
http://linked.open...riv/jazykVysledku
http://linked.open.../riv/klicovaSlova
  • mechanisms; management; ngx-4010; topical capsaicin; pharmacological-treatment; postherpetic neuralgia (en)
http://linked.open.../riv/klicoveSlovo
http://linked.open...odStatuVydavatele
  • GB - Spojené království Velké Británie a Severního Irska
http://linked.open...ontrolniKodProRIV
  • [D6C8AB51F6FB]
http://linked.open...i/riv/nazevZdroje
  • European Journal of Pain
http://linked.open...in/vavai/riv/obor
http://linked.open...ichTvurcuVysledku
http://linked.open...cetTvurcuVysledku
http://linked.open...UplatneniVysledku
http://linked.open...v/svazekPeriodika
  • 18
http://linked.open...iv/tvurceVysledku
  • Fricová, Jitka
  • Ernault, E.
  • Hoye, K.
  • Jensen, T. S.
  • Marques, S.
  • Siciliano, T.
  • Vanelderen, P.
http://linked.open...ain/vavai/riv/wos
  • 000341979800005
issn
  • 1090-3801
number of pages
http://bibframe.org/vocab/doi
  • 10.1002/j.1532-2149.2014.00479.x
http://localhost/t...ganizacniJednotka
  • 11110
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