Causalgia
Conditions
Keywords
Causalgia, CRPS, complex regional pain syndrome, Dynastat, Parecoxib
Brief summary
The complex regional pain syndrom is a weighty disease that often results in a lifelong disability. Mostly this disease appears unilateral after comparatively mundane fractures or operations. In early stages CRPS shows inflammatory processes. These inflammatory components can be seen as edema and vasodilatation. These inflammatory processes lead us to the hypothesis that selective COX-2-inhibitors might help patients with CRPS.
Interventions
DRUGParecoxib
90mg Parecoxib i.v. two times a day, two days in a row
DRUGPlacebo
NaCl i.v. two times a day, two days in an row
Sponsors
Ruhr University of Bochum
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Inclusion criteria
* Patients with saved diagnosis of CRPS of the upper extremity based on the current used criteria for diagnosis plus a positiv 3-phase-sceletal-scintilgraphy, if they show pathological PPT-values in QST on the ipsilateral site (Z-values \> 2 in age- and gender-based Z-transformation of the raw values)• age ≥ 18 years• Existence of an age-based normal creatinin-clearance (calculated with a defined formula)
Exclusion criteria
* Important cardiovascular illness for the purpose of heart failure (NYHA II - IV), coronary heart disease (CHD), peripheral artery occlusive disease (PAOD) or unstable hypertension (values constantly over 140/90 mm Hg) * Florid kidney disease * Cerebral disease * Neurological systemic disorder (exception: beginning polyneuropathy with normal values of the PPT on the opposite side) * Lesion of the median nerve (ipsi- oder contralateral) * Acute bleeding disease * Known ulcer of the stomach or duodenum * Inflammatory bowel disease * Positive anamnesis of a gastrointestinal bleeding in the last 5 years * Important hepatic dysfunction (Child- pugh \> 9) * Hypersensitivity to the agent or to sulfonamides * Known allergy to acetylsalicylic acid, nonsteroidal antiinflammatory drugs or other selectiv cyclooxygenase-inhibitors * Pregnancy and lactation period * Intake of one of the following drugs (current or in the last 3 days) * selective-serotonin-reuptake-inhibitor * cetoconazole * rifampicin * phenytoin * carbamazepine * dexamethasone or other systemic corticoids * traditional nonsteroidal antiphlogistics * cyclooxygenase-inhibitors * immunsupressives * TNF-α-inhibitors
Outcome results
None listed