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Efficacy of pregabalin in neuropathic pain in paediatric oncological patients
Petr Vondracek1, Hana Oslejskova, Tomas Kepak
1Department of Paediatric Neurology, University Hospital and Masaryk University, Brno, Czech Republic. pvondracek@fnbrno.cz
Insights
Pregabalin effectively managed chemotherapy-induced neuropathic pain in children with cancer, showing significant pain relief and a good safety profile. This offers a new treatment option for pediatric oncology patients.
Area of Science:
- Pediatric Oncology
- Pain Management
- Pharmacology
Background:
- Chemotherapy often causes neuropathic pain in children with cancer.
- Effective pain management is crucial for improving quality of life in these patients.
Purpose of the Study:
- To assess the safety and efficacy of pregabalin for chemotherapy-induced neuropathic pain.
- To evaluate pregabalin's role in managing pain in pediatric oncology patients.
Main Methods:
- An open-label study involved 30 children with solid tumors and leukemia experiencing neuropathic pain.
- Patients received pregabalin (150-300 mg daily) for 8 weeks.
Main Results:
- 86% of patients experienced significant and lasting pain relief.
- The Visual Analog Scale (VAS) pain score decreased by 59% after 8 weeks.
- Adverse effects were infrequent and transient.
Conclusions:
- Pregabalin significantly improved pain symptoms in pediatric oncology patients.
- Despite being an off-label use, pregabalin appears safe and effective.
- This drug could expand therapeutic options for neuropathic pain in children with cancer.
Objective:
To evaluate the safety and efficacy of pregabalin in the management of chemotherapy-induced neuropathic pain in patients with childhood solid tumors and leukaemia.
Materials And Methods:
In an open-label study, 30 children (11 boys and 19 girls; mean age 13.5 years) who were treated for solid tumors and leukaemia, and developed a painful peripheral neuropathy, were medicated with pregabalin in the daily dose of 150-300 mg for 8 weeks.
Results:
Twenty-eight patients completed the 8-week follow-up. A significant and long-lasting pain relief was noted in 86% of these patients. Median VAS score decreased by 59% at the 8th week from baseline. Adverse effects were infrequent and transient.
Conclusion:
The treatment with pregabalin resulted in a significant improvement in pain symptoms. The use of pregabalin in children is off-label so far. However, this drug seems to be a safe and effective remedy, which could significantly broaden the therapeutic spectrum in paediatric oncological patients suffering from neuropathic pain.
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