Antidepressant therapy in complex treatment of painful diabetic polyneuropathy

Aims. Comparative efficiency and safety analysis of antidepressant agents from different pharmacological classes (pipofezine and venlafaxine)in combination with carbamazepine for treatment of neuropathic pain (NP) in patients with diabetic polyneuropathy (DP). Materials and methods. We examined 21...

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Autores principales: Lidia Grigor'evna Turbina, Sergey Alexandrovich Gordeev, Anna Aronovna Zus'man
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Publicado: Endocrinology Research Centre 2012
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spelling oai:doaj.org-article:a07cf4cbcb9e484995ebefa677e678f82021-11-14T09:00:17ZAntidepressant therapy in complex treatment of painful diabetic polyneuropathy2072-03512072-037810.14341/2072-0351-6088https://doaj.org/article/a07cf4cbcb9e484995ebefa677e678f82012-09-01T00:00:00Zhttps://www.dia-endojournals.ru/jour/article/view/6088https://doaj.org/toc/2072-0351https://doaj.org/toc/2072-0378Aims. Comparative efficiency and safety analysis of antidepressant agents from different pharmacological classes (pipofezine and venlafaxine)in combination with carbamazepine for treatment of neuropathic pain (NP) in patients with diabetic polyneuropathy (DP). Materials and methods. We examined 21 male and 27 female patients with painful DP (mean age 54.3?14.2 years; mean duration ofdiabetes mellitus (DM) 8.9?5.1 years; mean duration of DP - 3.8?2.1 years). DP was diagnosed clinically and by electromyographymethod. Pain syndrome was assessed with DN4 questionnaire, visual analogue scale (VAS) and McGill Pain Questionnaire. Psycho-vegetative status was evaluated by Spielberger test with reactive and personal anxiety (RA and PA) assessment and Beck depressioninventory. All patients received symptomatic pharmacotherapy with anticonvulsant and antidepressant agent. First group (DP-1)included 23 patients on carbamazepin and pipofezine. Second group (DP-2) included 25 patients on carbamazepin and venlafaxine. Results. Following treatment, pain syndrome was completely compensated in 8.7% of patients from DP-1 group and 12.5% from DP-2.Decrease in pain intensity?50% from initial level was achieved in 73.9% (DP-1) and 75% (DP-2) of cases. Mean pain intensityaccording to VAS reduced from 5.2?2.1 points to 2.3?1.4 points (DP-1) and from 5.8?2.3 points (DP-2) with equal statistical significance(pLidia Grigor'evna TurbinaSergey Alexandrovich GordeevAnna Aronovna Zus'manEndocrinology Research Centrearticlediabetic polyneuropathyneuropathic painanxietydepressionvenlafaxinepipofezinecarbamazepineNutritional diseases. Deficiency diseasesRC620-627ENRUСахарный диабет, Vol 15, Iss 3, Pp 67-73 (2012)
institution DOAJ
collection DOAJ
language EN
RU
topic diabetic polyneuropathy
neuropathic pain
anxiety
depression
venlafaxine
pipofezine
carbamazepine
Nutritional diseases. Deficiency diseases
RC620-627
spellingShingle diabetic polyneuropathy
neuropathic pain
anxiety
depression
venlafaxine
pipofezine
carbamazepine
Nutritional diseases. Deficiency diseases
RC620-627
Lidia Grigor'evna Turbina
Sergey Alexandrovich Gordeev
Anna Aronovna Zus'man
Antidepressant therapy in complex treatment of painful diabetic polyneuropathy
description Aims. Comparative efficiency and safety analysis of antidepressant agents from different pharmacological classes (pipofezine and venlafaxine)in combination with carbamazepine for treatment of neuropathic pain (NP) in patients with diabetic polyneuropathy (DP). Materials and methods. We examined 21 male and 27 female patients with painful DP (mean age 54.3?14.2 years; mean duration ofdiabetes mellitus (DM) 8.9?5.1 years; mean duration of DP - 3.8?2.1 years). DP was diagnosed clinically and by electromyographymethod. Pain syndrome was assessed with DN4 questionnaire, visual analogue scale (VAS) and McGill Pain Questionnaire. Psycho-vegetative status was evaluated by Spielberger test with reactive and personal anxiety (RA and PA) assessment and Beck depressioninventory. All patients received symptomatic pharmacotherapy with anticonvulsant and antidepressant agent. First group (DP-1)included 23 patients on carbamazepin and pipofezine. Second group (DP-2) included 25 patients on carbamazepin and venlafaxine. Results. Following treatment, pain syndrome was completely compensated in 8.7% of patients from DP-1 group and 12.5% from DP-2.Decrease in pain intensity?50% from initial level was achieved in 73.9% (DP-1) and 75% (DP-2) of cases. Mean pain intensityaccording to VAS reduced from 5.2?2.1 points to 2.3?1.4 points (DP-1) and from 5.8?2.3 points (DP-2) with equal statistical significance(p
format article
author Lidia Grigor'evna Turbina
Sergey Alexandrovich Gordeev
Anna Aronovna Zus'man
author_facet Lidia Grigor'evna Turbina
Sergey Alexandrovich Gordeev
Anna Aronovna Zus'man
author_sort Lidia Grigor'evna Turbina
title Antidepressant therapy in complex treatment of painful diabetic polyneuropathy
title_short Antidepressant therapy in complex treatment of painful diabetic polyneuropathy
title_full Antidepressant therapy in complex treatment of painful diabetic polyneuropathy
title_fullStr Antidepressant therapy in complex treatment of painful diabetic polyneuropathy
title_full_unstemmed Antidepressant therapy in complex treatment of painful diabetic polyneuropathy
title_sort antidepressant therapy in complex treatment of painful diabetic polyneuropathy
publisher Endocrinology Research Centre
publishDate 2012
url https://doaj.org/article/a07cf4cbcb9e484995ebefa677e678f8
work_keys_str_mv AT lidiagrigorevnaturbina antidepressanttherapyincomplextreatmentofpainfuldiabeticpolyneuropathy
AT sergeyalexandrovichgordeev antidepressanttherapyincomplextreatmentofpainfuldiabeticpolyneuropathy
AT annaaronovnazusman antidepressanttherapyincomplextreatmentofpainfuldiabeticpolyneuropathy
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