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Use of topical phenytoin and loperamide for the treatment of neuropathic pain

Impact of 20% phenytoin and 5% loperamide cream on neuropathic pain: a prospective double-blind randomized controlled study

Status
Recruiting
Phases
Phase 2
Study type
Interventional
Source
ISRCTN
Registry ID
ISRCTN18843536
Enrollment
50
Registered
2024-03-12
Start date
2024-03-13
Completion date
Unknown
Last updated
2026-04-27

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Treatment of post-herpetic neuralgia Infections and Infestations

Interventions

The study design is interventional, employing a double-blind randomized controlled design. Patients will receive either a test cream or a placebo, randomized in the hospital's apothecary, and various

Sponsors

University Clinical Centre Maribor
Lead Sponsor

Eligibility

Sex/Gender
All
Age
18 Years to 110 Years

Inclusion criteria

Inclusion criteria: Current key inclusion criteria: 1. Patients with post-herpetic neuralgia experiencing peripheral neuropathic pain and currently under treatment at the Pain Management Clinic of the Department of Anesthesiology, Intensive Therapy, and Pain Management at the University Medical Centre Maribor 2. Adults identified with neuropathic pain using the DN-4 questionnaire, scoring at least 4 points out of 10 Previous key inclusion criteria: 1. Patients experiencing peripheral neuropathic pain and currently under treatment at the Pain Management Clinic of the Department of Anesthesiology, Intensive Therapy, and Pain Management at the University Medical Centre Maribor 2. Adults identified with neuropathic pain using the DN-4 questionnaire, scoring at least 4 points out of 10

Exclusion criteria

Exclusion criteria: 1. Allergy to phenytoin or loperamide 2. Presence of central neuropathy (multiple sclerosis, spinal cord injury, neuropathy following a stroke) 3. Pregnancy or the possibility of pregnancy 4. Treatment of neuropathic pain with any topical preparation in the last 30 days

Design outcomes

Primary

MeasureTime frame
Pain measured using a Numeric Rating Scale (NRS) at baseline before the first application of the cream, 45 min after the first application of the cream, 48h after the first application and 14 days after the first application

Secondary

MeasureTime frame
Current key secondary outcomes as of 14/04/2026: 1. Health-Related Quality of Life measured using the EQ5D questionnaire total score at baseline and 14 days after treatment 2. Neuropathic Pain measured using the Neuropathic Pain Symptom Inventory (NPSI) questionnaire at baseline and 14 days after treatment 3. Placebo Effect measured using the Numeric Rating Scale (NRS) at baseline, 45 minutes after the first application, 48 hours after the first application, and 14 days after the first application 4. Pain Intensity and Treatment Response in Patients with Post-Herpetic Neuralgia measured using the Numeric Rating Scale (NRS) for pain, EQ5D questionnaire total score, Neuropathic Pain Symptom Inventory (NPSI), and Categorized pain relief scale at baseline, 45 minutes after the first application, 48 hours after the first application, 14 days after the first application, and daily measurements 5. Average Pain Level measured using the Numeric Rating Scale (NRS) daily 6. Average Pain Relief measured using the Categorized pain relief scale daily Previous key secondary outcomes: 1. Health-Related Quality of Life measured using the EQ5D questionnaire total score at baseline, 14 days after treatment 2. Neuropathic Pain measured using the Neuropathic Pain Symptom Inventory (NPSI) questionnaire at baseline, 14 days after treatment 3. Placebo Effect measured using the Numeric Rating Scale (NRS) at baseline, 45 minutes after the first application, 48 hours after the first application, 14 days after the first application 4. Subgroup Analysis (for patients with post-herpetic neuralgia) measured using the Numeric Rating Scale (NRS) for pain, EQ5D questionnaire total score for health-related quality of life, Neuropathic Pain Symptom Inventory (NPSI), Categorized pain relief scale at baseline, 45 minutes after the first application, 48 hours after the first application, 14 days after the first application, Daily measurements 5. Average Pain Level measured using the Numeric Rating

Countries

Slovenia

Contacts

Public ContactMatija;Matija Primec;Primec

;

matija.primec@gmail.com;javnosti@ukc-mb.si+38640987009;+38640987009

Outcome results

None listed

Source: ISRCTN (via WHO ICTRP) · Data processed: May 1, 2026