2012, Number 2
<< Back Next >>
Rev Endocrinol Nutr 2012; 20 (2)
Treatment of neuropathic pain with gabapentin combined with vitamins B1 and B12. A prospective observational study
Sánchez CV, González HC, Aguilar GA, Torres GRA
Language: Spanish
References: 19
Page: 67-73
PDF size: 388.16 Kb.
ABSTRACT
Objective: To document the efficacy and safety of the combination gabapentin plus vitamins B
1 and B
12.
Method: A prospective, observational, longitudinal, multicenter study, in patients with neuropathic pain treated with gabapentin plus vitamins B
1 and B
12 for a month. Efficacy, quality of life, and safety were evaluated. Statistical analysis consisted in descriptive and inferential statistics.
Results: There were 1,757 patients in the study. Neurological and gastrointestinal were the most common adverse reactions. Only 8 patients had 23 serious adverse events. Combination showed efficacy to reduce the intensity of pain and improved quality of life.
Conclusions: This study showed that combination of gabapentin plus vitamins B
1 and B
12 reduce neuropathic pain and improve the quality of life with an excellent safety profile.
REFERENCES
Rodríguez BJL, García VJL, Giral BC et al. Farmacovigilancia I. El inicio. Rev Med IMSS 2004; 42: 327-329.
World Health Organization. The importance of pharmacovigilance safety monitoring of medicinal products. United Kingdom: WHO; 2002.
World Health Organization. Centre for International Drug Monitoring. Available in: http://www.who-umc.org. The Uppsala Monitoring Centre [Access: May, 2011].
Edwards IR, Aronson JK. Adverse drug reactions: definitions, diagnosis, and management. Lancet 2000; 356: 1255-1259.
Ich Harmonised Tripartite Guideline. Pharmacovigilance planning. E2E. Current step 4 version dated 18 November 2004. Available in: http://www.ich.org/fileadmin/Public_Web_Site/ICH_Products/Guidelines/Efficacy/E2E/Step4/E2E_Guideline.pdf
Alesso L. Fundamentos de la farmacovigilancia. En: Herrera CR, ed. Farmacovigilancia: Hacia una mayor seguridad en el uso de medicamentos. Córdoba, Argentina: Sociedad Argentina de Farmacovigilancia; 2007: 17-48.
Jovin Z, Cvijanoviæ M, Ilin M et al. Assessment of neuropathic pain and clinical evaluation of patients with suspected neuropathic pain. Curr Top Neurol Psychiatr Relat Discip 2010; 18: 30-37.
Guevara-López U, Covarrubias-Gómez A, Hernández-Jiménez S et al. Tendencias de diagnóstico y tratamiento del dolor neuropático en México. Rev Mex Anest 2006; 29: 9-14.
Backonja M, Beydoun A, Edwards KR et al. Gabapentin for the symptomatic treatment of painful neuropathy in patients with diabetes mellitus: A randomized controlled study. JAMA 1998: 280: 1831-1836.
Hemstreet B, Lapointe M. Evidence for the use of gabapentin in the treatment of diabetic peripheral neuropathy. Clin Ther 2001; 23: 520-531.
Eckert M, Schejbal P. Therapy of neuropathies with a vitamin B combination. Symptomatic treatment of painful diseases of the peripheral nervous system with a combination preparation of thiamine, pyridoxine and cyanocobalamin. Fortschr Med 1992; 110: 544-548.
Takeeshige C, AndoY, Ando M. Effects of vitamin B12 and aldosterone on the conduction of sensory and motor nerve impulse. Vitamins (JPN) 1971; 44: 272-82.
Berstein AL. Vitamin A6 in clinical neurology. Ann NY Acad Sci 1990; 585: 250-260.
Brennan MJW, Cantrill RC, Warner JJ et al. Amino acid transmitter transport in nerve endings from normal and vitamin B12 deficient fruit bats. Brain Res 1980; 200: 213-215.
Plaitakis A, Nicklas WJ, Berl S. Thiamine deficiency: Selective impairment of the cerebellar serotonergic system. Neurology 1978; 28: 691-698.
Medina-Santillán R, Morales-Franco G, Espinoza-Raya J et al. Treatment of diabetic pain with gabapentin alone or combined with B complex: Preliminary results. Proc West Pharmacol Soc 2004; 47: 109-112.
Galer BS, Jensen MP. Development and preliminary validation of a pain measure specific to neuropathic pain: The Neuropathic Pain Scale. Neurology 1997; 48: 332-338.
Alonso J, Prieto L, Antó JM. The Spanish version of the SF-36 health survey (the SF-36 health questionnaire): an instrument for measuring clinical results. Med Clin (Barc) 1995; 104: 771-776.
Norma Oficial Mexicana-220-SSA-2004. Instalación y operación de la farmacovigilancia. Diario Oficial de la Federación. 15 de noviembre del 2004.