Neuralgia, Spinal Cord Injury
Conditions
Keywords
Neuralgia, Spinal cord, Oxcarbazepine, Pregabalin, Drug therapy, Algorithms
Brief summary
1\. Neuropathic pain in spinal cord injured patients 1. Inclusion criteria * pain intensity, visual analogue scale \> 3 * a LANSS (Leeds assessment of neuropathic symptoms and signs) score of 12 and above * aged ≥20 2. Method * Stop pain medications * Test oxcarbazepine (150mg twice daily) and pregabalin (150mg twice daily) * Check pain intensity (VAS score) with Baron's classification
Detailed description
In the present study, pharmacologic treatment included pregabalin and oxcarbazepine. Stop medications such as Non-Steroidal Anti-Inflammatory Drugs (NSAIDs), tramadol and anti-spastic drugs (baclofen, tizanidine) and other medications known to have effect on pain and the central nervous system prior to the study for at least 3 days. 1. Pain intensity (VAS score) 1. 4 spontaneous characters * electric * burning * pricking * numbness 2. evoked pain * allodynia * heat hyperalgesia * pressure hyperalgesia 2. Location of neuropathic pain 1. neuropathic pain at level of spinal cord injury 2. neuropathic pain below level of spinal cord injury 2\. Side effects
Interventions
Subjects will take pregabalin for the duration of 2 weeks. The dosage will be increased from 75 mg twice to 150 mg twice a day. Subjects will stop pregabalin for 1 week and take oxcarbazepine 150mg twice.
Sponsors
Study design
Eligibility
Inclusion criteria
* aged than 20 years * Neuropathic pain symptoms : LANSS (Leeds assessment of neuropathic symptoms and signs) score of 12 and above * Visual analogue scale score of 3 and above
Exclusion criteria
* No pregnancy * systemic disease * psychiatric disease
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Symptom based treatment of neuropathic pain | 2 week later | Pain intensity using Visual analogue scale (0\ 100) |
Countries
South Korea