A eficácia dos tratamentos para a dor neuropática
DOI:
https://doi.org/10.33448/rsd-v11i10.32248Palavras-chave:
Neuralgia; Tratamento farmacológico; Dor.Resumo
The neuropathic pain is a type of chronic pain that arises from an injury or disease of the somatosensory nervous system, central or peripheral origin. It is a heterogeneous range of pain syndromes, with different pathophysiological mechanisms and different degrees of intensity of signs and symptoms. As a result, there are several therapeutic resources, whether they are pharmacological, physical or cognitive, and obstacles to an adequate and effective treatment. From the advances in therapy alone, only a minority of patients achieve significant pain relief. To analyze available treatments for neuropathic pain and present the best pharmacological options. A literature review was carried out, using the descriptors "pain", "neuropathy", "treatment". The database used was PUBMED, with filters for full free text, systematic review and meta-analysis, from 2016 to 2021. This review found that there is evident efficacy when using gabapentin and pregabalin to relieve neuropathic pain. These drugs are neuromodulators of the antidepressant class, and both showed greater improvement than the placebo group. In addition, the use of vitamin B12 (methylcobalamin) and acupuncture was also shown to be effective, but on a smaller scale and with a longer treatment time. Studies on the treatment of neuropathic pain have increased over the years, which allows us to think about significant advances in the future. Currently, drugs such as Pregabalin and Gabapentin are used, or non-pharmacological methods such as acupuncture. Therefore, greater attention should be given to studies on treatments for this disease, aiming at the patient's well-being.
Referências
Amaniti, A., Sardeli, C., Fyntanidou, V., Papakonstantinou, P., Dalakakis, I., Mylonas, A., & Grosomanidis, V. (2019). Pharmacologic and non-pharmacologic interventions for HIV-neuropathy pain. A systematic review and a meta-analysis. Medicina, 55(12), 762.
Asrar, M. M., Kumari, S., Chandrasekhr, B., Bhansali, A., & Bansal, D. (2021). Relative efficacy and safety of pharmacotherapeutic interventions for diabetic peripheral neuropathy: a systematic review and bayesian network meta-analysis. Pain Physician, 24(1), E1.
Boyd, A., Bleakley, C., Hurley, D. A., Gill, C., Hannon-Fletcher, M., Bell, P., & McDonough, S. (2019). Herbal medicinal products or preparations for neuropathic pain. Cochrane Database of Systematic Reviews, (4).
Bula-Oyola, E.. Belda-Lois, J. M., Porcar-Seder, R., & Page, Á. (2021). Effectiveness of electrophysical modalities in the sensorimotor rehabilitation of radial, ulnar, and median neuropathies: A meta-analysis. PloS one, 16(3), e0248484.
Cooper, T. E., Chen, J., Wiffen, P. J., Derry, S., Carr, D. B., Aldington, D., ... & Moore, R. A. (2017). Morphine for chronic neuropathic pain in adults. Cochrane database of systematic reviews, (5).
Derry, S., Bell, R. F., Straube, S., Wiffen, P. J., Aldington, D., & Moore, R. A. (2019). Pregabalin for neuropathic pain in adults. Cochrane Database of Systematic Reviews, (1).
Derry, S., Rice, A. S., Cole, P., Tan, T., & Moore, R. A. (2017). Topical capsaicin (high concentration) for chronic neuropathic pain in adults. Cochrane Database of Systematic Reviews, (1).
Di Stefano, G., Di Lionardo, A., Galosi, E., Truini, A., & Cruccu, G. (2019). Acetyl-L-carnitine in painful peripheral neuropathy: a systematic review. Journal of pain research, 12, 1341.
Dimitrova, A., Murchison, C., & Oken, B. (2017). Acupuncture for the treatment of peripheral neuropathy: a systematic review and meta-analysis. The Journal of Alternative and Complementary Medicine, 23(3), 164-179.
Dimitrova, A., Murchison, C., & Oken, B. (2018). The case for local needling in successful randomized controlled trials of peripheral neuropathy: A follow-up systematic review. Medical acupuncture, 30(4), 179-191.
Duan, Y. H., Liu, A. X., Su, H. X., Lv, J. H., Gong, X. Y., & Wang, L. (2020). Effectiveness of acupuncture combined mecobalamin in the treatment of elderly diabetic peripheral neuropathy: A protocol of systematic review and meta-analysis. Medicine, 99(23).
Julian, T., Syeed, R., Glascow, N., Angelopoulou, E., & Zis, P. (2020). B12 as a Treatment for peripheral neuropathic pain: a systematic review. Nutrients, 12(8), 2221.
Kolber, M. R., Ton, J., Thomas, B., Kirkwood, J., Moe, S., Dugré, N., & Perry, D. (2021). PEER systematic review of randomized controlled trials: management of chronic low back pain in primary care. Canadian Family Physician, 67(1), e20-e30.
Li, K., Giustini, D., & Seely, D. (2019). A systematic review of acupuncture for chemotherapy-induced peripheral neuropathy. Current Oncology, 26(2), 4261.
Liampas, A., Rekatsina, M., Vadalouca, A., Paladini, A., Varrassi, G., & Zis, P. (2021). Pharmacological management of painful peripheral neuropathies: a systematic review. Pain and Therapy, 10(1), 55-68.Pain and Therapy , v. 10, n. 1, p. 55-68.
Ogle, T., Alexander, K., Miaskowski, C., & Yates, P. (2020). Systematic review of the effectiveness of self-initiated interventions to decrease pain and sensory disturbances associated with peripheral neuropathy. Journal of Cancer Survivorship, 14(4), 444-463.
Hou, S., Huh, B., Kim, H. K., Kim, K. H., & Abdi, S. (2018). Treatment of chemotherapy-induced peripheral neuropathy: systematic review and recommendations. Pain Physician, 21(6), 571.
Robinson, C. C., Barreto, R. P. G., & Plentz, R. D. M. (2018). Effects of whole body vibration in individuals with diabetic peripheral neuropathy: a systematic review. Journal of musculoskeletal & neuronal interactions, 18(3), 382.
Rolim, L. C., da Silva, E. M., Flumignan, R. L., Abreu, M. M., & Dib, S. A. (2019). Acetyl-L-carnitine for the treatment of diabetic peripheral neuropathy. The Cochrane database of systematic reviews, 6(6).
Rolim, L. C., Koga da Silva, E. M., De Sá, J. R., & Dib, S. A. (2017). A systematic review of treatment of painful diabetic neuropathy by pain phenotype versus treatment based on medical comorbidities. Frontiers in Neurology, 8, 285.
Wang, L. Q., Chen, Z., Zhang, K., Liang, N., Yang, G. Y., Lai, L., & Liu, J. P. (2018). Zusanli (ST36) acupoint injection for diabetic peripheral neuropathy: a systematic review of randomized controlled trials. The Journal of Alternative and Complementary Medicine, 24(12), 1138-1149.
Wei, W., Zhang, Y., Chen, R., Qiu, X., Gao, Y., & Chen, Q. (2020). The efficacy of vitamin D supplementation on painful diabetic neuropathy: Protocol for a systematic review and meta-analysis. Medicine, 99(31).
Wiffen, P. J., Derry, S., Bell, R. F., Rice, A. S., Toelle, T. R., Phillips, T., & Moore, R. A. (2017). Gabapentin for chronic neuropathic pain in adults. Cochrane Database of Systematic Reviews, (6).
Zeng, H., Pacheco-Barrios, K., Cao, Y., Li, Y., Zhang, J., Yang, C., & Fregni, F. (2020). Non-invasive neuromodulation effects on painful diabetic peripheral neuropathy: a systematic review and meta-analysis. Scientific reports, 10(1), 1-11.
Zhou, M., Chen, N., He, L., Yang, M., Zhu, C., & Wu, F. (2017). Oxcarbazepine for neuropathic pain. Cochrane Database of Systematic Reviews, (12).
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Copyright (c) 2022 Carlos Gonzaga Melo Filho; Bianca Maranhão Vieira; Lethícia Maria Morais Gonzalez ; Ítalo Moraes Castro; Ana Maria Silva Lima; Catarina Gomes Chaves; Monique da Silva Portela; Renata Correia Freire; Rafael Sousa Araújo Ferreira; Joana Katya Veras Rodrigues Sampaio Nunes
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