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Membrane Stabilizer Medications in the Treatment of Chronic Neuropathic Pain: a Comprehensive Review

  • Omar ViswanathEmail author
  • Ivan Urits
  • Mark R. Jones
  • Jacqueline M. Peck
  • Justin Kochanski
  • Morgan Hasegawa
  • Best Anyama
  • Alan D. Kaye
Other Pain (A Kaye and N Vadivelu, Section Editors)
  • 79 Downloads
Part of the following topical collections:
  1. Topical Collection on Other Pain

Abstract

Purpose of Review

Neuropathic pain is often debilitating, severely limiting the daily lives of patients who are affected. Typically, neuropathic pain is difficult to manage and, as a result, leads to progression into a chronic condition that is, in many instances, refractory to medical management.

Recent Findings

Gabapentinoids, belonging to the calcium channel blocking class of drugs, have shown good efficacy in the management of chronic pain and are thus commonly utilized as first-line therapy. Various sodium channel blocking drugs, belonging to the categories of anticonvulsants and local anesthetics, have demonstrated varying degrees of efficacy in the in the treatment of neurogenic pain.

Summary

Though there is limited medical literature as to efficacy of any one drug, individualized multimodal therapy can provide significant analgesia to patients with chronic neuropathic pain.

Keywords

Neuropathic pain Chronic pain Ion Channel blockers Anticonvulsants Membrane stabilizers 

Notes

Compliance with Ethical Standards

Conflict of Interest

Omar Viswanath, Ivan Urits, Mark R. Jones, Jacquelin M. Peck, Justin Kochanski, Morgan Hasegawa, and Best Anyama declare no conflict of interest. Dr. Kaye discloses that he is on the Speakers Bureau for Depomed, Inc. and Merck. and declares no conflict of interest.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.

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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  • Omar Viswanath
    • 1
    • 2
    • 3
    Email author
  • Ivan Urits
    • 4
  • Mark R. Jones
    • 4
  • Jacqueline M. Peck
    • 5
  • Justin Kochanski
    • 6
  • Morgan Hasegawa
    • 6
  • Best Anyama
    • 7
  • Alan D. Kaye
    • 7
  1. 1.Valley Anesthesiology and Pain Consultants, Envision Physician ServicesPhoenixUSA
  2. 2.Department of AnesthesiologyUniversity of Arizona College of Medicine-PhoenixPhoenixUSA
  3. 3.Department of AnesthesiologyCreighton University School of MedicineOmahaUSA
  4. 4.Beth Israel Deaconess Medical Center, Department of Anesthesia, Critical Care, and Pain MedicineHarvard Medical SchoolBostonUSA
  5. 5.Department of AnesthesiologyMt. Sinai Medical Center of FloridaMiami BeachUSA
  6. 6.Creighton University School of Medicine – Phoenix Regional CampusPhoenixUSA
  7. 7.Department of AnesthesiologyLouisiana State University Health Science CenterNew OrleansUSA

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