Pain and symptomatic treatment

Milnacipran for neuropathic pain and fibromyalgia in adults

Abstract Background This is an updated version of the original Cochrane review published in Issue 3, 2012. That review considered both fibromyalgia and neuropathic pain, but the efficacy of milnacipran for neuropathic pain is now dealt with in a separate review. Milnacipran is a serotonin‐norepinephrine (noradrenaline) reuptake inhibitor (SNRI) that is licensed for the treatment […]

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Selective serotonin reuptake inhibitors for fibromyalgia syndrome

Abstract Background Fibromyalgia is a clinically well-defined chronic condition with a biopsychosocial aetiology. Fibromyalgia is characterized by chronic widespread musculoskeletal pain, sleep problems, cognitive dysfunction, and fatigue. Patients often report high disability levels and poor quality of life. Since there is no specific treatment that alters the pathogenesis of fibromyalgia, drug therapy focuses on pain […]

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Mind and body therapy for fibromyalgia

Abstract Background Mind-body interventions are based on the holistic principle that mind, body and behaviour are all interconnected. Mind-body interventions incorporate strategies that are thought to improve psychological and physical well-being, aim to allow patients to take an active role in their treatment, and promote people’s ability to cope. Mind-body interventions are widely used by […]

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Pharmacological treatment for pain in Guillain-Barré syndrome

Abstract Background Pain in Guillain-Barré syndrome (GBS) is common, yet it is often under recognised and poorly managed. In recent years, a variety of pharmacological treatment options have been investigated in clinical trials for people with GBS-associated pain. This is an updated version of the original Cochrane review published in Issue 10, 2013. Objectives To […]

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Zonisamide for neuropathic pain in adults

Abstract Background Antiepileptic drugs have been used in pain management since the 1960s; some have shown efficacy in treating different neuropathic pain conditions. The efficacy of zonisamide for the relief of neuropathic pain has not previously been reviewed. Objectives To assess the analgesic efficacy and associated adverse events of zonisamide for chronic neuropathic pain in […]

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Nortriptyline for neuropathic pain in adults

Abstract Background Antidepressants are widely used to treat chronic neuropathic pain (pain due to nerve damage), usually in doses below those at which they exert antidepressant effects. An earlier review that included all antidepressants for neuropathic pain is being replaced by new reviews of individual drugs examining individual neuropathic pain conditions. Nortriptyline is a tricyclic […]

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Caffeine as an analgesic adjuvant for acute pain in adults

Jump to… Abstract Background This is an updated version of the original Cochrane review published in Issue 3, 2012. Caffeine has been added to common analgesics such as paracetamol, ibuprofen, and aspirin, in the belief that it enhances analgesic efficacy. Evidence to support this belief is limited and often based on invalid comparisons. Objectives To […]

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Aquatic exercise training for fibromyalgia

Abstract Background Exercise training is commonly recommended for individuals with fibromyalgia. This review examined the effects of supervised group aquatic training programs (led by an instructor). We defined aquatic training as exercising in a pool while standing at waist, chest, or shoulder depth. This review is part of the update of the ‘Exercise for treating […]

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Desipramine for neuropathic pain in adults

Abstract Background Antidepressants are widely used to treat chronic neuropathic pain (pain due to nerve damage), usually in doses below those at which they exert antidepressant effects. An earlier review that included all antidepressants for neuropathic pain is being replaced by new reviews of individual drugs examining individual neuropathic pain conditions. Desipramine is a tricyclic […]

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Botulinum toxin for myofascial pain syndromes in adults

Abstract Background This is an updated version of the original Cochrane review published in Issue 4, 2012. Myofascial pain syndrome (MPS) is a regional muscular pain syndrome characterised by the presence of trigger points, which are painful points in one or more muscles. The pain can be felt at the site where the trigger point […]

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