دورية أكاديمية

Efficacy of topical gabapentin in women with primary macular amyloidosis: A side-by-side triple-blinded randomized clinical trial.

التفاصيل البيبلوغرافية
العنوان: Efficacy of topical gabapentin in women with primary macular amyloidosis: A side-by-side triple-blinded randomized clinical trial.
المؤلفون: Abtahi-Naeini B; Pediatric Dermatology Division of Department of Pediatrics, Imam Hossein Children's Hospital, Isfahan University of Medical Sciences, Isfahan, Iran.; Skin Diseases and Leishmaniasis Research Center, Isfahan University of Medical Sciences, Isfahan, Iran., Hemati E; Pediatric Dermatology Division of Department of Pediatrics, Imam Hossein Children's Hospital, Isfahan University of Medical Sciences, Isfahan, Iran., Faghihi G; Skin Diseases and Leishmaniasis Research Center, Isfahan University of Medical Sciences, Isfahan, Iran., Shahmoradi Z; Skin Diseases and Leishmaniasis Research Center, Isfahan University of Medical Sciences, Isfahan, Iran., Paknazar F; Social Determinants of Health Research Center, Semnan University of Medical Sciences, Semnan, Iran., Rastegarnasab F; Student Research Committee, Isfahan University of Medical Sciences, Isfahan, Iran., Varshosaz J; Department of Pharmaceutics, Faculty of Pharmacy and Novel Drug Delivery Systems Research Center, Isfahan University of Medical Sciences, Isfahan, Iran., Hadian M; Skin Diseases and Leishmaniasis Research Center, Isfahan University of Medical Sciences, Isfahan, Iran., Akbari M; Department of Epidemiology, School of Health, Isfahan University of Medical Sciences, Isfahan, Iran., Sabzghabaee AM; Isfahan Clinical Toxicology Research Center, Isfahan University of Medical Sciences, Isfahan, Iran.
المصدر: Journal of cosmetic dermatology [J Cosmet Dermatol] 2024 May; Vol. 23 (5), pp. 1677-1684. Date of Electronic Publication: 2024 Jan 30.
نوع المنشور: Journal Article; Randomized Controlled Trial
اللغة: English
بيانات الدورية: Publisher: Blackwell Science Country of Publication: England NLM ID: 101130964 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1473-2165 (Electronic) Linking ISSN: 14732130 NLM ISO Abbreviation: J Cosmet Dermatol Subsets: MEDLINE
أسماء مطبوعة: Original Publication: Oxford, UK : Blackwell Science, c2002-
مواضيع طبية MeSH: Gabapentin*/administration & dosage , Pruritus*/drug therapy , Pruritus*/etiology , Amyloidosis, Familial*, Humans ; Female ; Middle Aged ; Treatment Outcome ; Amyloidosis/drug therapy ; Amyloidosis/complications ; Adult ; Skin Diseases, Genetic/drug therapy ; Aged ; Skin Cream/administration & dosage ; Administration, Cutaneous ; Double-Blind Method
مستخلص: Background: Primary cutaneous macular amyloidosis (PCMA) is a chronic pruritic cutaneous disease characterized by heterogeneous extracellular deposition of amyloid protein in the skin.
Aims: This study aimed to evaluate the efficacy of topical 6% gabapentin cream for the treatment of patients with PCMA.
Materials and Methods: In this triple-blind clinical trial, a total of 34 patients, who were diagnosed with PCMA, treated using two different strategies of topical gabapentin as the active group and vehicle cream as the control group.
Results: Pruritus score reduction in both groups was statistically significant compared with the baseline value (p < 0.001). There was a significant pigmentation score reduction in intervention group compared with control group after 1 month of the study (p < 0.001). The differences of pigmentation score changes between the groups were not significant at month 2 (p = 0.52) and month 3 (p = 0.22).
Conclusions: The results of this study suggest that topical gabapentin cream may be effective as a topical agent in the treatment of pruritus associated with PCMA without any significant adverse effects. It is recommended to perform similar studies with a larger sample size and longer duration in both sexes.
(© 2024 The Authors. Journal of Cosmetic Dermatology published by Wiley Periodicals LLC.)
References: Shumway NK, Cole E, Fernandez KH. Neurocutaneous disease: neurocutaneous dysesthesias. J Am Acad Dermatol. 2016;74(2):215‐228.
Weidner T, Illing T, Elsner P. Primary localized cutaneous amyloidosis: a systematic treatment review. Am J Clin Dermatol. 2017;18(5):629‐642.
Ahramiyanpour N, Akbari Z, Sarasyabi MS, Aflatoonian M, Saki N, Shafie'ei M. The therapeutic role of lasers in primary localized cutaneous amyloidosis: a systematic review. Lasers Med Sci. 2021;37:799‐813.
Hamie L, Haddad I, Nasser N, Kurban M, Abbas O. Primary localized cutaneous amyloidosis of keratinocyte origin: an update with emphasis on atypical clinical variants. Am J Clin Dermatol. 2021;22(5):667‐680.
Rinaldi G. The itch‐scratch cycle: a review of the mechanisms. Dermatol Pract Concept. 2019;9(2):90‐97.
Tanaka A, Arita K, Lai‐Cheong J, Palisson F, Hide M, McGrath J. New insight into mechanisms of pruritus from molecular studies on familial primary localized cutaneous amyloidosis. Br J Dermatol. 2009;161(6):1217‐1224.
Taylor CP, Gee NS, Su T‐Z, et al. A summary of mechanistic hypotheses of gabapentin pharmacology. Epilepsy Res. 1998;29(3):233‐249.
Ciceri P, Elli F, Brenna I, Volpi E, Brancaccio D, Cozzolino M. The calcimimetic calindol prevents high phosphate‐induced vascular calcification by upregulating matrix GLA protein. Nephron Exp Nephrol. 2012;122(3–4):75‐82.
Shimoyama M, Shimoyama N, Hori Y. Gabapentin affects glutamatergic excitatory neurotransmission in the rat dorsal horn. Pain. 2000;85(3):405‐414.
Maciel AAW, Cunha PR, Laraia IO, Trevisan F. Efficacy of gabapentin in the improvement of pruritus and quality of life of patients with notalgia paresthetica. An Bras Dermatol. 2014;89:570‐575.
Thornsberry LA, English JC. Scalp dysesthesia related to cervical spine disease. JAMA Dermatol. 2013;149(2):200‐203.
Hiom S, Patel GK, Newcombe RG, Khot S, Martin C. Severe postherpetic neuralgia and other neuropathic pain syndromes alleviated by topical gabapentin. Br J Dermatol. 2015;173(1):300‐302.
Boardman LA, Cooper AS, Blais LR, Raker CA. Topical gabapentin in the treatment of localized and generalized vulvodynia. Obstet Gynecol. 2008;112(3):579‐585.
Fang S, Shen X, Chen A‐J, Li S, Shan K. Health‐related quality of life in patients with primary cutaneous amyloidosis. PloS One. 2015;10(3):e0120623.
Reich A, Mędrek K, Szepietowski J. Four‐item itch questionnaire–validation of questionnaire. Przegl Dermatol. 2012;99(5):600‐604.
Brid T, Sacristán de Lama MP, González N, Baamonde A. Topical gabapentin as add‐on therapy for trigeminal neuralgia. A case report. Pain Med. 2017;18(9):1824‐1826.
Summey BT Jr, Yosipovitch G. Pharmacologic advances in the systemic treatment of itch. Dermatol Ther. 2005;18(4):328‐332.
Anand S. Gabapentin for pruritus in palliative care. Am J Hosp Palliat Care. 2013;30(2):192‐196.
Gee NS, Brown JP, Dissanayake VU, Offord J, Thurlow R, Woodruff GN. The novel anticonvulsant drug, gabapentin (Neurontin), binds to the α2δ subunit of a Calcium Channel (*). J Biol Chem. 1996;271(10):5768‐5776.
Maneuf Y, Luo Z, Lee K, editorsα2δ and the mechanism of action of gabapentin in the treatment of pain. Seminars in Cell & Developmental Biology. Elsevier; 2006.
Yoon MH, Choi JI, Jeong SW. Spinal gabapentin and antinociception: mechanisms of action. J Korean Med Sci. 2003;18(2):255‐261.
Aquino TMO, Luchangco KAC, Sanchez EV, Verallo‐Rowell VM. A randomized controlled study of 6% gabapentin topical formulation for chronic kidney disease‐associated pruritus. Int J Dermatol. 2020;59(8):955‐961.
Saki N, Ahramiyanpour N, Heiran A, Alipour S, Parvizi MM. Efficacy of topical dimethyl sulfoxide (DMSO) 50% solution vs tretinoin 0.5% cream in treatment of patients with primary macular amyloidosis: a split‐side single‐blinded randomized clinical trial. Dermatol Ther. 2020;33(3):e13305.
فهرسة مساهمة: Keywords: gabapentin; macular amyloidosis; pruritus; topical gabapentin
المشرفين على المادة: 6CW7F3G59X (Gabapentin)
SCR Disease Name: Amyloidosis, Primary Cutaneous
تواريخ الأحداث: Date Created: 20240131 Date Completed: 20240424 Latest Revision: 20240502
رمز التحديث: 20240503
DOI: 10.1111/jocd.16180
PMID: 38291677
قاعدة البيانات: MEDLINE
الوصف
تدمد:1473-2165
DOI:10.1111/jocd.16180