Neuropathic Pain Clinical Trial
Official title:
Management of Neuropathic Chronic Pain With Methadone Combined With Ketamine: Randomized, Double Blind, Active-controlled Clinical Trial
Methadone and ketamine are effective for neuropathic pain management. However, the benefits of the association of both drugs are uncertain. Here, the investigators conducted a randomized, double-blind, in parallel, active controlled clinical trial to test the hypothesis that methadone combined ketamine (methadone/ketamine) is more effective than methadone or ketamine alone in reducing neuropathic pain.
Either oral methadone or ketamine have been used in neuropathic pain management, however,
the benefits of the association of both drugs are uncertain. Here, we conducted a
randomized, double-blind, in parallel, active controlled clinical trial to test the
hypothesis that methadone combined ketamine (methadone/ketamine) is more effective than
methadone or ketamine alone in reducing neuropathic pain.
Methods: Fourthly two patients with neuropathic pain refractory to conventional therapy were
randomly assigned to receive during three months oral methadone (n= 13), ketamine (n=13) or
methadone combined with ketamine (n=13). The primary outcome was pain score on visual
analogical scale (VAS) assessed on baseline, 8, 15, 30, 60 and 90 days throughout the
treatment, and the secondary outcomes were symptoms of neuropathic pain such as allodynia,
burning or shooting pain as well the side effects.
;
Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Factorial Assignment, Masking: Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor), Primary Purpose: Treatment
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