Newer agents for the treatment of painful diabetic peripheral neuropathy.

Abstract:

:Neuropathic pain is responsible for a significant amount of the morbidity associated with generalized and focal peripheral neuropathies in diabetes. It is a consequence of alterations in neuronal function, chemistry, and structure that occur secondary to nerve injury. A variety of agents from diverse pharmacologic classes, the so-called adjuvant analgesics, have been used to treat neuropathic pain. These include antidepressants, first- and second-generation anticonvulsants, antiarrhythmic agents, topical agents, N-methyl-d-aspartate receptor antagonists, and the opioid analgesics. The availability of several newer agents, used alone or in combination, has resulted in the successful alleviation of neuropathic pain in many patients. Recent advances in the understanding of pain mechanisms at multiple central nervous system levels should pave the way toward more effective treatment modalities with less prominent side effects.

journal_name

Curr Diab Rep

journal_title

Current diabetes reports

authors

Freeman R

doi

10.1007/s11892-005-0047-7

keywords:

subject

Has Abstract

pub_date

2005-12-01 00:00:00

pages

409-16

issue

6

eissn

1534-4827

issn

1539-0829

journal_volume

5

pub_type

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