Postthoracoscopy Neuropathic Pain, Postthoracotomy Pain
Conditions
Brief summary
Neuropathic pain is due to a lesion or disease affecting the nervous system. Antidepressants (ADs) are recommended as the first line treatment. In a murine model, the investigators evidenced that antidepressants antiallodynic action is mediated through β2-adrenergic receptor stimulation and that β-mimetics display the same effect. These data support the idea that β-mimetics could offer a therapeutic alternative to ADs for neuropathic pain treatment. This study will aim at assessing the effects of terbutaline on neuropathic pain symptoms.
Interventions
Terbutaline 10mg oral per day (5 mg twice a day) during 28 days
Sponsors
Study design
Eligibility
Inclusion criteria
* adults from 18 to 75 years old * neuropathic painful condition following a thoracotomy or thoracoscopy for at least 3 months
Exclusion criteria
* cardiovascular risk * unstable diabetes mellitus * allergy for terbutaline * hypokaliemia without treatment * untreated hypothyroidism * HIV- or chemotherapy-induced neuropathy * cancer being treated by chemo- or radio-therapy * concomitant treatment with β-blockers, tricyclic ADs or morphine * concomitant pain more severe than neuropathic pain- pregnant women
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Change from baseline in the average intensity of pain during the last 24 hours reported by the patient on a 11 points Numeric Scale | Day one, day 14 and day 28 of each 4 weeks period |
Countries
France