Health Condition 1: F40-F48- Anxiety, dissociative, stress-related, somatoform and other nonpsychotic mental disorders
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: All patients with a normal brain imaging, complaining of spontaneous onset symptoms affecting one side of the body including head and both limbs. Complaints could include increased sensory symptoms, described as tingling (or pins and needles), pricking, tightening or burning. This may also be described as paresthesia or dysesthesia. There should be no evidence of suicidal ideation Patient should have the ability to complete questionnaires, trial assessments, and provide written informed consent.
Exclusion criteria
Exclusion criteria: 1) Bilateral sensory symptoms 2) Concomitant focal neurological symptoms and signs such as diplopia, dysarthria, dysphagia, focal weakness or ataxia. 3) Abnormal MRI brain 4) Patients with past history of complex regional pain syndrome (CRPS), chronic pain syndrome 5)Pregnant, breastfeeding, or planning to become pregnant; 6)Current use of, or allergy or contraindications to, a tricyclic antidepressant 7) Current use of monoamine oxidase (MAO) inhibitors 8) On allergy medications (diphenhydramine, loratadine, fexofenadine, chlorpheniramine or cetirizine); cimetidine 9)Patients who have or have ever had glaucoma 10) History of seizures or seizure disorder 11) Cardiac diseases- arrhythmias, QTc (corrected QT) prolongation, recent myocardial infarction, or heart failure
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. VAS scale for scoring pain 2. Migraine disability assessment 3. Depression and anxiety assessment Timepoint: Baseline, on first contact with investigator After 4 weeks | — |
Secondary
| Measure | Time frame |
|---|---|
| 1) To test the effectiveness of Amitriptyline 10mg (tricyclic antidepressant) and Escitalopram 10mg (selective serotonin reuptake inhibitor) on the relief of hemi sensory pain syndrome. 2) To find out adverse effects of Amitriptyline and Escitalopram. Timepoint: After 4 weeks At any point, in case of adverse effect | — |
Countries
India
Contacts
Institute of Neurosciences, Medanta-The Medicity, Gurugram