Post herpetic hyperalgesia
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: • Patients suffering from PHN. • Pain = 4 out of 10 in numeric rating scale (NRS) • Female and male patients above the age of 18 • Ability to understand/write/read german Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range
Exclusion criteria
Exclusion criteria: • Any of the following will exclude a subject from the study: • Zoster affecting trigeminal-, opticus region • Any somatic pain which is stronger than the neuropathic pain • Severe progressive disease • Acute cardiac decompensation • Known cardiac valve dysfunction • Known pulmonary hypertension • Cardiac conduction disturbance • Active herpetic lesion • Analgesic or antitussive opioid therapy • Bronchial asthmal • Known chronic obstructive pulmonary disease (COPD) >GOLD II • Severe psychiatric condition • Abuse of alcoholic beverages, drug abuse • Negative neuropathic symptoms • Pregnancy or breast feeding • Participation in a clinical trial in the 2 weeks preceding the study • Allergy against any medication used in the study protocol
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Secondary Objective: Secondary outcome parameters as area of secondary hyperalgesia assessed by pinprick, area of dynamic allodynia, numeric rating scale (NRS), mechanical pain threshold, heat pain perception threshold (HPPT), heat pain tolerance threshold (HPTT) at baseline and +140min., coolness, warmth, and laser doppler perfusion imaging (LDPI, PeriScan PIM II System, Perimed, Stockholm, Sweden) will be analyzed analogously.;Primary end point(s): Our primary outcome parameter being S/R function, we will analyze the within-subject difference at baseline -20min versus 140min (80min after the end of remifentanil).;Main Objective: The aim is to study the hypothesis, that PHZ hyperalgesia is reversed by intravenous remifentanil at a plasma target concentration of 18ng/ml for 60 minutes. | — |
Countries
Austria