Page last updated: 2024-10-22

amitriptyline and Diabetic Neuropathies

amitriptyline has been researched along with Diabetic Neuropathies in 60 studies

Amitriptyline: Tricyclic antidepressant with anticholinergic and sedative properties. It appears to prevent the re-uptake of norepinephrine and serotonin at nerve terminals, thus potentiating the action of these neurotransmitters. Amitriptyline also appears to antagonize cholinergic and alpha-1 adrenergic responses to bioactive amines.
amitriptyline : An organic tricyclic compound that is 10,11-dihydro-5H-dibenzo[a,d][7]annulene substituted by a 3-(dimethylamino)propylidene group at position 5.

Diabetic Neuropathies: Peripheral, autonomic, and cranial nerve disorders that are associated with DIABETES MELLITUS. These conditions usually result from diabetic microvascular injury involving small blood vessels that supply nerves (VASA NERVORUM). Relatively common conditions which may be associated with diabetic neuropathy include third nerve palsy (see OCULOMOTOR NERVE DISEASES); MONONEUROPATHY; mononeuropathy multiplex; diabetic amyotrophy; a painful POLYNEUROPATHY; autonomic neuropathy; and thoracoabdominal neuropathy. (From Adams et al., Principles of Neurology, 6th ed, p1325)

Research Excerpts

ExcerptRelevanceReference
"Low-dose naltrexone exhibited similar efficacy and a superior safety profile compared with amitriptyline in painful diabetic neuropathy."9.41Efficacy and safety of low-dose naltrexone in painful diabetic neuropathy: A randomized, double-blind, active-control, crossover clinical trial. ( Bansal, D; Bhansali, AK; Chakrabarti, A; Dutta, P; Hota, D; Srinivasan, A, 2021)
"To compare the efficacy and safety of pregabalin and amitriptyline in alleviating pain associated with diabetic peripheral neuropathy."9.14Amitriptyline vs. pregabalin in painful diabetic neuropathy: a randomized double blind clinical trial. ( Bansal, D; Bhansali, A; Chakrabarti, A; Dutta, P; Hota, D, 2009)
"The objective of this study was to compare the efficacy and tolerability of gabapentin and amitriptyline monotherapy in painful diabetic neuropathy."9.09Gabapentin vs. amitriptyline in painful diabetic neuropathy: an open-label pilot study. ( Buffa, C; Chiroli, S; Dallocchio, C; Mazzarello, P, 2000)
"To determine the efficacy of gabapentin compared with amitriptyline in treating diabetic peripheral neuropathy pain."9.09Randomized double-blind study comparing the efficacy of gabapentin with amitriptyline on diabetic peripheral neuropathy pain. ( Leckband, SG; Moorhouse, DF; Morello, CM; Sahagian, GA; Stoner, CP, 1999)
"From the present results and the literature, it is concluded that tricyclic antidepressants with a pharmacologic profile similar to amitriptyline are the most effective drugs in the treatment of polyneuropathy pain in both diabetic and nondiabetic patients."9.08A comparison a amitriptyline and maprotiline in the treatment of painful polyneuropathy in diabetics and nondiabetics. ( Arnqvist, H; Boivie, J; Holmgren, H; Lindström, T; Thorell, LH; Vrethem, M, 1997)
"Amitriptyline reduces the pain caused by peripheral-nerve disease, but treatment is often limited by side effects related to the drug's many pharmacologic actions."9.07Effects of desipramine, amitriptyline, and fluoxetine on pain in diabetic neuropathy. ( Dubner, R; Lynch, SA; Max, MB; Muir, J; Shoaf, SE; Smoller, B, 1992)
"We conducted a double-blind, placebo-controlled, crossover study of the effectiveness of amitriptyline and fluphenazine in alleviating the pain of diabetic peripheral neuropathy in six diabetic patients."9.06A trial of amitriptyline and fluphenazine in the treatment of painful diabetic neuropathy. ( Chappell, DA; Dere, WH; Gertz, BJ; Grunfeld, C; Karam, JH; Klein, RF; Lavin, TN; Mendel, CM, 1986)
"Seven patients with diabetes of ten to 24 years' duration and renal insufficiency were treated with fluphenazine and amitriptyline in an attempt to control severe pain in the extremities."7.66Diabetic neuropathic pain: control by amitriptyline and fluphenazine in renal insufficiency. ( Drager, AM; Mitas, JA; Mosley, CA, 1983)
"Amitriptyline is a tricyclic antidepressant agent which also has analgesic properties."6.39Amitriptyline. A review of its pharmacological properties and therapeutic use in chronic pain states. ( Bryson, HM; Wilde, MI, 1996)
"In mixed neuropathic pain, case series reports suggest a favourable response rate, but are limited by trial characteristics."5.43Topical amitriptyline and ketamine for post-herpetic neuralgia and other forms of neuropathic pain. ( Sawynok, J; Zinger, C, 2016)
"Low-dose naltrexone exhibited similar efficacy and a superior safety profile compared with amitriptyline in painful diabetic neuropathy."5.41Efficacy and safety of low-dose naltrexone in painful diabetic neuropathy: A randomized, double-blind, active-control, crossover clinical trial. ( Bansal, D; Bhansali, AK; Chakrabarti, A; Dutta, P; Hota, D; Srinivasan, A, 2021)
"To compare the efficacy and safety of pregabalin and amitriptyline in alleviating pain associated with diabetic peripheral neuropathy."5.14Amitriptyline vs. pregabalin in painful diabetic neuropathy: a randomized double blind clinical trial. ( Bansal, D; Bhansali, A; Chakrabarti, A; Dutta, P; Hota, D, 2009)
"The objective of this study was to compare the efficacy and tolerability of gabapentin and amitriptyline monotherapy in painful diabetic neuropathy."5.09Gabapentin vs. amitriptyline in painful diabetic neuropathy: an open-label pilot study. ( Buffa, C; Chiroli, S; Dallocchio, C; Mazzarello, P, 2000)
"To determine the efficacy of gabapentin compared with amitriptyline in treating diabetic peripheral neuropathy pain."5.09Randomized double-blind study comparing the efficacy of gabapentin with amitriptyline on diabetic peripheral neuropathy pain. ( Leckband, SG; Moorhouse, DF; Morello, CM; Sahagian, GA; Stoner, CP, 1999)
"From the present results and the literature, it is concluded that tricyclic antidepressants with a pharmacologic profile similar to amitriptyline are the most effective drugs in the treatment of polyneuropathy pain in both diabetic and nondiabetic patients."5.08A comparison a amitriptyline and maprotiline in the treatment of painful polyneuropathy in diabetics and nondiabetics. ( Arnqvist, H; Boivie, J; Holmgren, H; Lindström, T; Thorell, LH; Vrethem, M, 1997)
"Amitriptyline reduces the pain caused by peripheral-nerve disease, but treatment is often limited by side effects related to the drug's many pharmacologic actions."5.07Effects of desipramine, amitriptyline, and fluoxetine on pain in diabetic neuropathy. ( Dubner, R; Lynch, SA; Max, MB; Muir, J; Shoaf, SE; Smoller, B, 1992)
"We conducted a double-blind, placebo-controlled, crossover study of the effectiveness of amitriptyline and fluphenazine in alleviating the pain of diabetic peripheral neuropathy in six diabetic patients."5.06A trial of amitriptyline and fluphenazine in the treatment of painful diabetic neuropathy. ( Chappell, DA; Dere, WH; Gertz, BJ; Grunfeld, C; Karam, JH; Klein, RF; Lavin, TN; Mendel, CM, 1986)
" The aim of the present investigation was to evaluate, firstly, the peripheral and systemic effects of amitriptyline on tactile allodynia in the streptozotocin (STZ)-induced diabetic rat model of neuropathic pain and, secondly, whether caffeine coadministration affects the actions of amitriptyline."3.71Involvement of adenosine in the anti-allodynic effect of amitriptyline in streptozotocin-induced diabetic rats. ( Aslantas, A; Dokmeci, I; Firat, Z; Karadag, HC; Tamer, M; Ulugol, A, 2002)
"Seven patients with diabetes of ten to 24 years' duration and renal insufficiency were treated with fluphenazine and amitriptyline in an attempt to control severe pain in the extremities."3.66Diabetic neuropathic pain: control by amitriptyline and fluphenazine in renal insufficiency. ( Drager, AM; Mitas, JA; Mosley, CA, 1983)
"Diabetic peripheral neuropathic pain (DPNP) is common and often distressing."3.11Comparison of amitriptyline supplemented with pregabalin, pregabalin supplemented with amitriptyline, and duloxetine supplemented with pregabalin for the treatment of diabetic peripheral neuropathic pain (OPTION-DM): a multicentre, double-blind, randomise ( Ahmed, SH; Alam, U; Bennett, DL; Bouhassira, D; Bradburn, M; Cooper, C; Devers, M; Gandhi, R; Glover, R; Gouni, R; Hariman, C; Horspool, M; Johnson, M; Jude, EB; Julious, S; Loban, A; Maguire, D; McDougall, C; Petrie, J; Rajbhandari, S; Rayman, G; Rice, ASC; Selvarajah, D; Sharma, S; Sloan, G; Sutherland, K; Tesfaye, S; Tsatlidis, V; Turton, E; Vas, P; Waterhouse, S; White, D, 2022)
"As there are few differences between the two treatments in efficacy, lamotrigine 25 mg twice daily might be the first choice as it is associated with fewer adverse effects in our population."2.73Randomized double-blind study comparing the efficacy and safety of lamotrigine and amitriptyline in painful diabetic neuropathy. ( Bhansali, A; Hota, D; Jose, VM; Pandhi, P, 2007)
"Duloxetine hydrochloride is a dual reuptake inhibitor of both serotonin and norepinephrine."2.72Duloxetine versus routine care in the long-term management of diabetic peripheral neuropathic pain. ( D'Souza, DN; Iyengar, S; Pritchett, YL; Raskin, J; Smith, TR; Wernicke, JF; Wong, K, 2006)
"Amitriptyline was superior to placebo in relieving pain in weeks 3 through 6."2.66Amitriptyline relieves diabetic neuropathy pain in patients with normal or depressed mood. ( Culnane, M; Dubner, R; Gracely, RH; Max, MB; Schafer, SC; Smoller, B; Walther, DJ, 1987)
"Severe chronic neuropathic pain is a challenge to treat, and due to adverse effects of classical oral medication, optimal and effective dose levels are difficult to reach."2.48High doses of topical amitriptyline in neuropathic pain: two cases and literature review. ( Hesselink, JM; Kopsky, DJ, 2012)
"The pathogenesis of diabetic neuropathies is not clear, but possibly involves a complex of metabolic factors inducing nerve ischaemia."2.43[Diabetic neuropathy--a clinical review]. ( Berg, TJ; Nøkleby, K, 2005)
"Desipramine has been shown in one small study to have efficacy equal to amitriptyline."2.40Tricyclic antidepressant use in diabetic neuropathy. ( Joss, JD, 1999)
"Amitriptyline is a tricyclic antidepressant agent which also has analgesic properties."2.39Amitriptyline. A review of its pharmacological properties and therapeutic use in chronic pain states. ( Bryson, HM; Wilde, MI, 1996)
" However, sitagliptin was observed to have no effect when administered alone or in combination with the other three drugs."1.43Drug combinations in diabetic neuropathic pain: an experimental validation. ( Mehta, AK; Tripathi, CD; Yadav, AM, 2016)
"In mixed neuropathic pain, case series reports suggest a favourable response rate, but are limited by trial characteristics."1.43Topical amitriptyline and ketamine for post-herpetic neuralgia and other forms of neuropathic pain. ( Sawynok, J; Zinger, C, 2016)
"Amitriptyline was the most commonly used agent for treatment of diabetes related neuropathic pain with Duloxetine much less used."1.40Socioeconomic deprivation independently predicts symptomatic painful diabetic neuropathy in type 1 diabetes. ( Anderson, SG; Dunn, G; Heald, AH; Malipatil, NS; Roberts, H, 2014)
"Amitriptyline was the only antidepressant prescribed commonly as a first-line treatment."1.39An observational descriptive study of the epidemiology and treatment of neuropathic pain in a UK general population. ( Carroll, D; Gabriel, ZL; Hall, GC; McQuay, HJ; Morant, SV, 2013)
"(1) The first-line treatment for partial epilepsy is carbamazepine monotherapy; gabapentin monotherapy is an alternative, given its lower risk of drug-drug interactions."1.33Pregabalin: new drug. Very similar to gabapentin. ( , 2005)
" Amitriptyline did not attenuate STZ-induced mechanical allodynia, even after chronic administration of high doses."1.33Adverse effects of gabapentin and lack of anti-allodynic efficacy of amitriptyline in the streptozotocin model of painful diabetic neuropathy. ( Bourin, C; Chen, P; Hogan, JB; Leet, JE; Lindner, MD; Machet, F; McElroy, JF; Stock, DA, 2006)

Research

Studies (60)

TimeframeStudies, this research(%)All Research%
pre-19909 (15.00)18.7374
1990's13 (21.67)18.2507
2000's17 (28.33)29.6817
2010's16 (26.67)24.3611
2020's5 (8.33)2.80

Authors

AuthorsStudies
Tesfaye, S3
Sloan, G1
Petrie, J2
White, D2
Bradburn, M2
Julious, S2
Rajbhandari, S1
Sharma, S1
Rayman, G1
Gouni, R2
Alam, U1
Cooper, C2
Loban, A2
Sutherland, K2
Glover, R1
Waterhouse, S1
Turton, E1
Horspool, M1
Gandhi, R1
Maguire, D1
Jude, EB1
Ahmed, SH1
Vas, P1
Hariman, C1
McDougall, C1
Devers, M1
Tsatlidis, V1
Johnson, M1
Rice, ASC1
Bouhassira, D1
Bennett, DL1
Selvarajah, D2
Barry, HC1
Saul, H1
Deeney, B1
Imison, C1
Eissa, RG1
Eissa, NG1
Eissa, RA1
Diab, NH1
Abdelshafi, NA1
Shaheen, MA1
Elsabahy, M1
Hammad, SK1
Srinivasan, A1
Dutta, P3
Bansal, D3
Chakrabarti, A3
Bhansali, AK1
Hota, D4
Chaudhry, M1
Alessandrini, M1
Rademan, J1
Dodgen, TM1
Steffens, FE1
van Zyl, DG1
Gaedigk, A1
Pepper, MS1
Bortolami, O1
Bowler, H1
Swaby, L1
Hall, GC1
Morant, SV1
Carroll, D1
Gabriel, ZL1
McQuay, HJ1
Sokov, EL2
Kornilova, LE2
Artiukov, OP1
Anderson, SG1
Malipatil, NS1
Roberts, H1
Dunn, G1
Heald, AH1
Hearn, L1
Moore, RA1
Derry, S1
Wiffen, PJ1
Phillips, T1
Sawynok, J1
Zinger, C1
Tripathi, CD1
Mehta, AK1
Yadav, AM1
Snyder, MJ1
Gibbs, LM1
Lindsay, TJ1
Ziegler, D1
Bhansali, A3
Mahmood, D1
Akhtar, M1
Vohora, D1
Khanam, R1
Varsavsky, M1
Quesada Charneco, M1
Rozas Moreno, P1
Kaur, H1
Kopsky, DJ1
Hesselink, JM1
Shenoy, AM1
Boyle, J1
Eriksson, ME1
Gribble, L1
Johnsen, S1
Coppini, DV1
Kerr, D1
Arsiukhin, NA1
Nozdriukhina, NV1
Ulugol, A1
Karadag, HC1
Tamer, M1
Firat, Z1
Aslantas, A1
Dokmeci, I1
Hong, HB1
Xu, RJ1
Nøkleby, K1
Berg, TJ1
Raskin, J2
Smith, TR2
Wong, K1
Pritchett, YL2
D'Souza, DN2
Iyengar, S2
Wernicke, JF2
Grewal, J1
Bril, V1
Lewis, GF1
Lewis, G1
Perkins, BA1
Lindner, MD1
Bourin, C1
Chen, P1
McElroy, JF1
Leet, JE1
Hogan, JB1
Stock, DA1
Machet, F1
Wu, EQ1
Birnbaum, HG1
Mareva, MN1
Le, TK2
Robinson, RL1
Rosen, A1
Gelwicks, S1
Cayley, WE1
Jose, VM1
Pandhi, P1
Baglioni, P1
Govindan, J1
Khan, A1
Wang, F1
Chappell, AS1
Beard, SM1
McCrink, L1
Garcia-Cebrian, A1
Monz, B1
Malik, RA1
Watson, CP1
Mitas, JA1
Mosley, CA1
Drager, AM1
Battla, H1
Silverblatt, CW1
Gade, GN1
Hofeldt, FD1
Treece, GL1
Kerstein, MD1
Polsky, S1
Klein, M1
Mahoney, JE1
Gray, SL1
Carnes, M1
Bertherat, J1
Netter, JM1
Timsit, J1
Chanson, P1
Blumberg-Tick, J1
Guillausseau, PJ1
Warnet, A1
Lubetzki, J1
Bryson, HM1
Wilde, MI1
Vrethem, M1
Boivie, J1
Arnqvist, H1
Holmgren, H1
Lindström, T1
Thorell, LH1
Kumar, D2
Alvaro, MS1
Julka, IS2
Marshall, HJ1
Joss, JD1
Morello, CM1
Leckband, SG1
Stoner, CP1
Moorhouse, DF1
Sahagian, GA1
Dallocchio, C1
Buffa, C1
Mazzarello, P1
Chiroli, S1
Rawn, T1
Papoushek, C1
Evans, MF1
Alvaro, M1
Davis, JL1
Lewis, SB1
Gerich, JE1
Kaplan, RA1
Schultz, TA1
Wallin, JD1
Max, MB2
Lynch, SA1
Muir, J1
Shoaf, SE1
Smoller, B2
Dubner, R2
Egbunike, IG1
Chaffee, BJ1
Young, RJ1
Clarke, BF1
Culnane, M1
Schafer, SC1
Gracely, RH1
Walther, DJ1
Mendel, CM1
Klein, RF1
Chappell, DA1
Dere, WH1
Gertz, BJ1
Karam, JH1
Lavin, TN1
Grunfeld, C1

Clinical Trials (7)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Impact of Direct Current Neuromuscular Electrical Stimulation on Physical Therapy Treatment of Peripheral Neuropathy[NCT05442021]148 participants (Actual)Interventional2022-08-01Completed
The Benefits of Astaxanthin as Add on Therapy in the Management of Painful Diabetic Neuropathy Patient: Randomized Clinical Trial[NCT04689984]Phase 2/Phase 360 participants (Anticipated)Interventional2020-11-03Recruiting
The Effect of Foot and Ankle Exercise on Pain and Quality of Life in Patients With Diabetic Neuropathy[NCT05670600]100 participants (Actual)Interventional2021-07-19Completed
A Double-blind, Randomised, Parallel Groups Investigation Into the Effects of Pregabalin, Duloxetine and Amitriptyline on Aspects of Pain, Sleep, and Next Day Performance in Patients Suffering From Diabetic Peripheral Neuropathy[NCT00370656]Phase 2/Phase 390 participants (Anticipated)Interventional2007-02-28Completed
A Phase I/II, Randomized, Study for Diabetic Macular Edema Using 0.3mg Ranibizumab Combined With Targeted PRP Monthly for 4 Months,Then PRN vs. 0.3mg Ranibizumab 4 Months Monotherapy, Then as Needed(DME-AntiVEgf) DAVE[NCT01552408]Phase 1/Phase 229 participants (Actual)Interventional2012-03-31Completed
Enhancing Functional and Cognitive Performances in People With Amputation and Peripheral Neuropathy Through the Restoration of Sensory Feedback in Real World and Virtual Reality Environments[NCT04217005]20 participants (Anticipated)Interventional2019-12-13Recruiting
Management of Chronic Pain in Rehabilitation Project I - Management of Chronic Pain in Persons With Spinal Cord Injury[NCT00006428]Phase 4100 participants Interventional1996-08-31Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Mean Change in Peripheral Visual Field as Measured by Goldmann Visual Field at Screen and Month and 36.

Mean change in peripheral visual field as measured by Goldmann visual field at screen and Month 36 in the ranibizumab and targeted PRP with ranibizumab cohorts. (NCT01552408)
Timeframe: 36 Months

Interventiondegrees squared (Mean)
0.3 mg Ranibizumab-215
Targeted PRP With 0.3 mg Ranibizumab-1723

Mean Change Over Time in Early Treatment Diabetic Retinopathy Study Best Corrected Visual Acuity (ETDRS BCVA) Through Month 36

Evaluate the mean change over time in ETDRS BCVA in the ranibizumab and targeted PRP with ranibizumab cohorts through Month 36. (NCT01552408)
Timeframe: 36 Months

Interventionletters (Mean)
0.3 mg Ranibizumab13.9
Targeted PRP With 0.3 mg Ranibizumab8.2

Patients With Persistent Macular Edema Post-intravitreal Injection.

Percentage of patients with persistent macular edema post-intravitreal injection in the ranibizumab and targeted PRP with ranibizumab cohorts. (NCT01552408)
Timeframe: Month 36

InterventionParticipants (Count of Participants)
0.3 mg Ranibizumab9
Targeted Pan-retinal Photocoagulation With 0.3 mg Ranibizumab12

Total Number of Ranibizumab Injections in Each of the Two Cohorts in a 36 Month Period

Assess the number of ranibizumab injections in the ranibizumab and targeted panretinal photocoagulation (PRP) with ranibizumab cohorts through Month 36. (NCT01552408)
Timeframe: 36 Months

Interventioninjections (Mean)
0.3 mg Ranibizumab24.4
Targeted PRP With 0.3 mg Ranibizumab27.1

Determine Percentage of Patients Who Experience a Gain of 15 or More Letters From Baseline to Month 12, 24, and 36 in ETDRS BCVA

Determine percentage of patients who experience a gain of 15 or more letters from Baseline to Month 12, 24, and 36 in ETDRS BCVA in the ranibizumab and targeted PRP with ranibizumab cohorts. (NCT01552408)
Timeframe: Month 12, 24, and 36

,
InterventionParticipants (Count of Participants)
Month 12Month 24Month 36
0.3 mg Ranibizumab10109
Targeted PRP With 0.3 mg Ranibizumab565

Evaluate Mean Change in Central Retinal Thickness Over Time Through Month 12, 24, and 36 as Assessed by High Resolution OCT's.

Evaluate mean change in central retinal thickness in the ranibizumab and targeted PRP with ranibizumab cohorts over time through Month 12, 24, and 36 as assessed by high resolution OCT's. (NCT01552408)
Timeframe: Month 12, 24, and 36

,
Interventionmicrons (Mean)
Month 12Month 24Month 36
0.3 mg Ranibizumab-301-296-302
Targeted PRP With 0.3 mg Ranibizumab-161-169-152

Incidence and Severity of Ocular and Non-ocular Adverse Events (AE's) Through Month 36.

Incidence and severity of ocular and non-ocular adverse events (AE's) in the monotherapy and combination cohorts through Month 36. (NCT01552408)
Timeframe: 36 Months

,
InterventionParticipants (Count of Participants)
Participants Experiencing Serious Ocular AEParticipants Experiencing Serious Systemic AE
0.3 mg Ranibizumab27
Targeted PRP With 0.3 mg Ranibizumab19

Patients Who Experience a Loss of 15 or More Letters From Baseline to Month 12, 24, and 36 in ETDRS BCVA.

Percentage of patients in the ranibizumab and targeted PRP with ranibizumab cohorts who experience a loss of 15 or more letters from Baseline to Month 12, 24, and 36 in ETDRS BCVA. (NCT01552408)
Timeframe: Month 12, 24, and 36

,
InterventionParticipants (Count of Participants)
12 Months24 Months36 Months
0.3 mg Ranibizumab000
Targeted PRP With 0.3 mg Ranibizumab011

Reviews

10 reviews available for amitriptyline and Diabetic Neuropathies

ArticleYear
Desipramine for neuropathic pain in adults.
    The Cochrane database of systematic reviews, 2014, Sep-23, Issue:9

    Topics: Aged; Amitriptyline; Analgesics; Antidepressive Agents, Tricyclic; Chronic Pain; Clomipramine; Desip

2014
Treating Painful Diabetic Peripheral Neuropathy: An Update.
    American family physician, 2016, Aug-01, Volume: 94, Issue:3

    Topics: Administration, Topical; Amines; Amitriptyline; Analgesics; Analgesics, Opioid; Anesthetics, Local;

2016
Treating Painful Diabetic Peripheral Neuropathy: An Update.
    American family physician, 2016, Aug-01, Volume: 94, Issue:3

    Topics: Administration, Topical; Amines; Amitriptyline; Analgesics; Analgesics, Opioid; Anesthetics, Local;

2016
Treating Painful Diabetic Peripheral Neuropathy: An Update.
    American family physician, 2016, Aug-01, Volume: 94, Issue:3

    Topics: Administration, Topical; Amines; Amitriptyline; Analgesics; Analgesics, Opioid; Anesthetics, Local;

2016
Treating Painful Diabetic Peripheral Neuropathy: An Update.
    American family physician, 2016, Aug-01, Volume: 94, Issue:3

    Topics: Administration, Topical; Amines; Amitriptyline; Analgesics; Analgesics, Opioid; Anesthetics, Local;

2016
Painful diabetic neuropathy: advantage of novel drugs over old drugs?
    Diabetes care, 2009, Volume: 32 Suppl 2

    Topics: Amitriptyline; Analgesics; Antioxidants; Antipruritics; Capsaicin; Chronic Disease; Diabetic Neuropa

2009
High doses of topical amitriptyline in neuropathic pain: two cases and literature review.
    Pain practice : the official journal of World Institute of Pain, 2012, Volume: 12, Issue:2

    Topics: Administration, Topical; Adult; Amitriptyline; Analgesics, Non-Narcotic; Diabetic Neuropathies; Huma

2012
[Progress on painful diabetic peripheral neuropathy treated by integrative medicine].
    Zhongguo Zhong xi yi jie he za zhi Zhongguo Zhongxiyi jiehe zazhi = Chinese journal of integrated traditional and Western medicine, 2005, Volume: 25, Issue:4

    Topics: Amines; Amitriptyline; Analgesics; Animals; Antidepressive Agents, Tricyclic; Blood Glucose; Cyclohe

2005
[Diabetic neuropathy--a clinical review].
    Tidsskrift for den Norske laegeforening : tidsskrift for praktisk medicin, ny raekke, 2005, Jun-16, Volume: 125, Issue:12

    Topics: Amitriptyline; Analgesics, Non-Narcotic; Diabetic Foot; Diabetic Neuropathies; Diagnosis, Differenti

2005
Antidepressants for the treatment of neuropathic pain.
    American family physician, 2006, Jun-01, Volume: 73, Issue:11

    Topics: Aged; Amitriptyline; Antidepressive Agents, Tricyclic; Diabetic Neuropathies; Humans; Male; Neuralgi

2006
Amitriptyline. A review of its pharmacological properties and therapeutic use in chronic pain states.
    Drugs & aging, 1996, Volume: 8, Issue:6

    Topics: Aged; Amitriptyline; Analgesics, Non-Narcotic; Animals; Antidepressive Agents, Tricyclic; Chronic Di

1996
Tricyclic antidepressant use in diabetic neuropathy.
    The Annals of pharmacotherapy, 1999, Volume: 33, Issue:9

    Topics: Amitriptyline; Antidepressive Agents, Tricyclic; Desipramine; Diabetic Neuropathies; Humans

1999
Antidepressants in the management of chronic pain syndromes.
    Pharmacotherapy, 1990, Volume: 10, Issue:4

    Topics: Amitriptyline; Antidepressive Agents; Arthritis; Back Pain; Chronic Disease; Diabetic Neuropathies;

1990

Trials

22 trials available for amitriptyline and Diabetic Neuropathies

ArticleYear
Comparison of amitriptyline supplemented with pregabalin, pregabalin supplemented with amitriptyline, and duloxetine supplemented with pregabalin for the treatment of diabetic peripheral neuropathic pain (OPTION-DM): a multicentre, double-blind, randomise
    Lancet (London, England), 2022, 08-27, Volume: 400, Issue:10353

    Topics: Amitriptyline; Analgesics; Cross-Over Studies; Diabetes Mellitus; Diabetic Neuropathies; Double-Blin

2022
Combination therapy for painful diabetic neuropathy is safe and effective.
    BMJ (Clinical research ed.), 2023, 04-21, Volume: 381

    Topics: Amitriptyline; Analgesics; Diabetes Mellitus; Diabetic Neuropathies; Double-Blind Method; Duloxetine

2023
Efficacy and safety of low-dose naltrexone in painful diabetic neuropathy: A randomized, double-blind, active-control, crossover clinical trial.
    Journal of diabetes, 2021, Volume: 13, Issue:10

    Topics: Amitriptyline; Analgesics, Non-Narcotic; Cross-Over Studies; Diabetes Mellitus, Type 2; Diabetic Neu

2021
Multicentre, double-blind, crossover trial to identify the Optimal Pathway for TreatIng neurOpathic paiN in Diabetes Mellitus (OPTION-DM): study protocol for a randomised controlled trial.
    Trials, 2018, Oct-22, Volume: 19, Issue:1

    Topics: Amitriptyline; Analgesics; Cross-Over Studies; Diabetic Neuropathies; Double-Blind Method; Drug Ther

2018
[Intraosseous blocks in the treatment of symmetrical distal diabetic polyneuropathy].
    Terapevticheskii arkhiv, 2013, Volume: 85, Issue:4

    Topics: Aged; Amitriptyline; Analgesics, Non-Narcotic; Anesthetics, Local; Diabetic Neuropathies; Female; Fo

2013
Amitriptyline vs. pregabalin in painful diabetic neuropathy: a randomized double blind clinical trial.
    Diabetic medicine : a journal of the British Diabetic Association, 2009, Volume: 26, Issue:10

    Topics: Amitriptyline; Analgesics, Non-Narcotic; Diabetic Neuropathies; Dose-Response Relationship, Drug; Do

2009
A comparative evaluation of amitriptyline and duloxetine in painful diabetic neuropathy: a randomized, double-blind, cross-over clinical trial.
    Diabetes care, 2011, Volume: 34, Issue:4

    Topics: Adolescent; Adult; Aged; Amitriptyline; Cross-Over Studies; Diabetic Neuropathies; Double-Blind Meth

2011
Randomized, placebo-controlled comparison of amitriptyline, duloxetine, and pregabalin in patients with chronic diabetic peripheral neuropathic pain: impact on pain, polysomnographic sleep, daytime functioning, and quality of life.
    Diabetes care, 2012, Volume: 35, Issue:12

    Topics: Aged; Amitriptyline; Diabetic Neuropathies; Double-Blind Method; Duloxetine Hydrochloride; Female; g

2012
Randomized, placebo-controlled comparison of amitriptyline, duloxetine, and pregabalin in patients with chronic diabetic peripheral neuropathic pain: impact on pain, polysomnographic sleep, daytime functioning, and quality of life.
    Diabetes care, 2012, Volume: 35, Issue:12

    Topics: Aged; Amitriptyline; Diabetic Neuropathies; Double-Blind Method; Duloxetine Hydrochloride; Female; g

2012
Randomized, placebo-controlled comparison of amitriptyline, duloxetine, and pregabalin in patients with chronic diabetic peripheral neuropathic pain: impact on pain, polysomnographic sleep, daytime functioning, and quality of life.
    Diabetes care, 2012, Volume: 35, Issue:12

    Topics: Aged; Amitriptyline; Diabetic Neuropathies; Double-Blind Method; Duloxetine Hydrochloride; Female; g

2012
Randomized, placebo-controlled comparison of amitriptyline, duloxetine, and pregabalin in patients with chronic diabetic peripheral neuropathic pain: impact on pain, polysomnographic sleep, daytime functioning, and quality of life.
    Diabetes care, 2012, Volume: 35, Issue:12

    Topics: Aged; Amitriptyline; Diabetic Neuropathies; Double-Blind Method; Duloxetine Hydrochloride; Female; g

2012
[The complex treatment of the pain syndrome in diabetic distal polyneuropathy using intraosteal blockades].
    Zhurnal nevrologii i psikhiatrii imeni S.S. Korsakova, 2012, Volume: 112, Issue:8

    Topics: Aged; Amitriptyline; Analgesia; Analgesics, Non-Narcotic; Bone and Bones; Combined Modality Therapy;

2012
Duloxetine versus routine care in the long-term management of diabetic peripheral neuropathic pain.
    Journal of palliative medicine, 2006, Volume: 9, Issue:1

    Topics: Amines; Amitriptyline; Analysis of Variance; Cyclohexanecarboxylic Acids; Cyclohexanols; Diabetic Ne

2006
Cost-effectiveness of duloxetine versus routine treatment for U.S. patients with diabetic peripheral neuropathic pain.
    The journal of pain, 2006, Volume: 7, Issue:6

    Topics: Adrenergic Uptake Inhibitors; Aged; Amines; Amitriptyline; Analgesia; Analgesics; Brain; Cohort Stud

2006
Randomized double-blind study comparing the efficacy and safety of lamotrigine and amitriptyline in painful diabetic neuropathy.
    Diabetic medicine : a journal of the British Diabetic Association, 2007, Volume: 24, Issue:4

    Topics: Adolescent; Adult; Aged; Algorithms; Amitriptyline; Analgesics, Non-Narcotic; Calcium Channel Blocke

2007
An open-label 52-week clinical extension comparing duloxetine with routine care in patients with diabetic peripheral neuropathic pain.
    Pain medicine (Malden, Mass.), 2007, Volume: 8, Issue:6

    Topics: Acetaminophen; Amitriptyline; Analgesics; Carbamazepine; Diabetes Complications; Diabetic Neuropathi

2007
Clinical trial of amitriptyline and fluphenazine in diabetic peripheral neuropathy.
    Southern medical journal, 1981, Volume: 74, Issue:4

    Topics: Amitriptyline; Clinical Trials as Topic; Diabetic Neuropathies; Drug Therapy, Combination; Fluphenaz

1981
A comparison a amitriptyline and maprotiline in the treatment of painful polyneuropathy in diabetics and nondiabetics.
    The Clinical journal of pain, 1997, Volume: 13, Issue:4

    Topics: Adult; Aged; Aged, 80 and over; Amitriptyline; Antidepressive Agents, Tricyclic; Cross-Over Studies;

1997
Diabetic peripheral neuropathy. Effectiveness of electrotherapy and amitriptyline for symptomatic relief.
    Diabetes care, 1998, Volume: 21, Issue:8

    Topics: Adult; Aged; Amitriptyline; Diabetic Neuropathies; Electric Stimulation Therapy; Female; Humans; Mal

1998
Randomized double-blind study comparing the efficacy of gabapentin with amitriptyline on diabetic peripheral neuropathy pain.
    Archives of internal medicine, 1999, Sep-13, Volume: 159, Issue:16

    Topics: Acetates; Adrenergic Uptake Inhibitors; Aged; Amines; Amitriptyline; Analgesics; Cross-Over Studies;

1999
Gabapentin vs. amitriptyline in painful diabetic neuropathy: an open-label pilot study.
    Journal of pain and symptom management, 2000, Volume: 20, Issue:4

    Topics: Acetates; Aged; Aged, 80 and over; Amines; Amitriptyline; Analgesics; Ataxia; Cyclohexanecarboxylic

2000
Effects of desipramine, amitriptyline, and fluoxetine on pain in diabetic neuropathy.
    The New England journal of medicine, 1992, May-07, Volume: 326, Issue:19

    Topics: Adult; Aged; Aged, 80 and over; Amitriptyline; Analgesics; Depression; Desipramine; Diabetic Neuropa

1992
Pain relief in diabetic neuropathy: the effectiveness of imipramine and related drugs.
    Diabetic medicine : a journal of the British Diabetic Association, 1985, Volume: 2, Issue:5

    Topics: Adult; Aged; Amitriptyline; Clinical Trials as Topic; Clonazepam; Diabetic Neuropathies; Double-Blin

1985
Amitriptyline relieves diabetic neuropathy pain in patients with normal or depressed mood.
    Neurology, 1987, Volume: 37, Issue:4

    Topics: Adult; Aged; Amitriptyline; Depression; Diabetic Neuropathies; Double-Blind Method; Female; Humans;

1987
A trial of amitriptyline and fluphenazine in the treatment of painful diabetic neuropathy.
    JAMA, 1986, Feb-07, Volume: 255, Issue:5

    Topics: Adult; Amitriptyline; Clinical Trials as Topic; Diabetic Neuropathies; Double-Blind Method; Female;

1986

Other Studies

28 other studies available for amitriptyline and Diabetic Neuropathies

ArticleYear
Amitriptyline, Duloxetine, and Pregabalin Each Effective in Decreasing Pain From Diabetic Peripheral Neuropathy; Combinations Even Better.
    American family physician, 2023, Volume: 107, Issue:3

    Topics: Amitriptyline; Analgesics; Diabetes Mellitus; Diabetic Neuropathies; Duloxetine Hydrochloride; Human

2023
Oral proniosomal amitriptyline and liraglutide for management of diabetic neuropathy: Exceptional control over hyperglycemia and neuropathic pain.
    International journal of pharmaceutics, 2023, Nov-25, Volume: 647

    Topics: Amitriptyline; Animals; Blood Glucose; Diabetes Mellitus; Diabetic Neuropathies; Humans; Hyperglycem

2023
Impact of CYP2D6 genotype on amitriptyline efficacy for the treatment of diabetic peripheral neuropathy: a pilot study.
    Pharmacogenomics, 2017, Volume: 18, Issue:5

    Topics: Amitriptyline; Analgesics, Non-Narcotic; Cytochrome P-450 CYP2D6; Diabetic Neuropathies; Genotype; H

2017
An observational descriptive study of the epidemiology and treatment of neuropathic pain in a UK general population.
    BMC family practice, 2013, Feb-26, Volume: 14

    Topics: Acetaminophen; Adolescent; Adult; Aged; Amines; Amitriptyline; Analgesics, Non-Narcotic; Analgesics,

2013
Socioeconomic deprivation independently predicts symptomatic painful diabetic neuropathy in type 1 diabetes.
    Primary care diabetes, 2014, Volume: 8, Issue:1

    Topics: Adolescent; Adult; Aged; Aged, 80 and over; Amitriptyline; Analgesics; Biomarkers; Body Mass Index;

2014
Topical amitriptyline and ketamine for post-herpetic neuralgia and other forms of neuropathic pain.
    Expert opinion on pharmacotherapy, 2016, Volume: 17, Issue:4

    Topics: Administration, Topical; Amitriptyline; Analgesics; Animals; Diabetic Neuropathies; Drug Combination

2016
Drug combinations in diabetic neuropathic pain: an experimental validation.
    Journal of basic and clinical physiology and pharmacology, 2016, Nov-01, Volume: 27, Issue:6

    Topics: Amitriptyline; Analgesics; Animals; Diabetes Mellitus, Experimental; Diabetic Neuropathies; Drug The

2016
Comparison of antinociceptive and antidiabetic effects of sertraline and amitriptyline on streptozotocin-induced diabetic rats.
    Human & experimental toxicology, 2010, Volume: 29, Issue:10

    Topics: Amitriptyline; Analgesics; Animals; Antidepressive Agents, Tricyclic; Blood Glucose; Diabetes Mellit

2010
[Urea as therapeutic option for the treatment of the syndrome of inappropriate antidiuretic hormone secretion].
    Medicina clinica, 2011, Jul-23, Volume: 137, Issue:5

    Topics: Amitriptyline; Carbamazepine; Comorbidity; Demeclocycline; Diabetic Neuropathies; Diuretics; Furosem

2011
Guidelines in practice: treatment of painful diabetic neuropathy.
    Continuum (Minneapolis, Minn.), 2012, Volume: 18, Issue:1

    Topics: Amitriptyline; Analgesics; Clinical Coding; Diabetic Neuropathies; gamma-Aminobutyric Acid; Humans;

2012
Involvement of adenosine in the anti-allodynic effect of amitriptyline in streptozotocin-induced diabetic rats.
    Neuroscience letters, 2002, Aug-09, Volume: 328, Issue:2

    Topics: Adenosine; Amitriptyline; Analgesics; Animals; Antidepressive Agents, Tricyclic; Caffeine; Diabetes

2002
Pregabalin: new drug. Very similar to gabapentin.
    Prescrire international, 2005, Volume: 14, Issue:80

    Topics: Amines; Amitriptyline; Anticonvulsants; Clinical Trials as Topic; Cost-Benefit Analysis; Cyclohexane

2005
Objective evidence for the reversibility of nerve injury in diabetic neuropathic cachexia.
    Diabetes care, 2006, Volume: 29, Issue:2

    Topics: Adult; Amines; Amitriptyline; Analgesics; Antidepressive Agents, Tricyclic; Cachexia; Cyclohexanecar

2006
Adverse effects of gabapentin and lack of anti-allodynic efficacy of amitriptyline in the streptozotocin model of painful diabetic neuropathy.
    Experimental and clinical psychopharmacology, 2006, Volume: 14, Issue:1

    Topics: Amines; Amitriptyline; Animals; Cognition Disorders; Cyclohexanecarboxylic Acids; Diabetes Mellitus,

2006
Career lifetime advances and key developments: diabetes.
    Clinical medicine (London, England), 2007, Volume: 7, Issue:3

    Topics: Amines; Amitriptyline; Analgesics; Antidepressive Agents; Cyclohexanecarboxylic Acids; Diabetic Neur

2007
Cost effectiveness of duloxetine in the treatment of diabetic peripheral neuropathic pain in the UK.
    Current medical research and opinion, 2008, Volume: 24, Issue:2

    Topics: Amines; Amitriptyline; Antidepressive Agents; Cost-Benefit Analysis; Cyclohexanecarboxylic Acids; Di

2008
Therapeutic window for amitriptyline analgesia.
    Canadian Medical Association journal, 1984, Jan-15, Volume: 130, Issue:2

    Topics: Aged; Amitriptyline; Analgesics; Diabetic Neuropathies; Dose-Response Relationship, Drug; Humans; Mi

1984
Diabetic neuropathic pain: control by amitriptyline and fluphenazine in renal insufficiency.
    Southern medical journal, 1983, Volume: 76, Issue:4

    Topics: Adult; Aged; Amitriptyline; Diabetic Neuropathies; Drug Therapy, Combination; Female; Fluphenazine;

1983
Diabetic neuropathic cachexia. Beneficial response to combination therapy with amitriptyline and fluphenazine.
    JAMA, 1980, Mar-21, Volume: 243, Issue:11

    Topics: Amitriptyline; Cachexia; Diabetic Neuropathies; Drug Therapy, Combination; Fluphenazine; Humans; Syn

1980
Treating wounds associated with decreased sensibility.
    Ostomy/wound management, 1995, Volume: 41, Issue:2

    Topics: Amitriptyline; Capsaicin; Diabetic Foot; Diabetic Neuropathies; Humans; Shoes; Skin Care

1995
Prevention and treatment of the complications of diabetes mellitus.
    The New England journal of medicine, 1995, Sep-21, Volume: 333, Issue:12

    Topics: Amitriptyline; Analgesics, Opioid; Diabetic Neuropathies; Humans; Pain

1995
Prevention and treatment of the complications of diabetes mellitus.
    The New England journal of medicine, 1995, Sep-21, Volume: 333, Issue:12

    Topics: Aged; Amitriptyline; Desipramine; Diabetic Neuropathies; Humans; Pain

1995
[Diabetic thoracoabdominal neuropathy. Clinical and electrophysiological study with evaluation of the autonomic nervous system].
    Presse medicale (Paris, France : 1983), 1993, Feb-13, Volume: 22, Issue:5

    Topics: Abdominal Pain; Adult; Aged; Amitriptyline; Analgesics; Autonomic Nervous System Diseases; Chest Pai

1993
Drugs for pain.
    The Medical letter on drugs and therapeutics, 1998, Aug-14, Volume: 40, Issue:1033

    Topics: Acetaminophen; Administration, Oral; Amitriptyline; Analgesics; Analgesics, Non-Narcotic; Analgesics

1998
Gabapentin or amitriptyline for painful diabetic neuropathy?
    Canadian family physician Medecin de famille canadien, 2000, Volume: 46

    Topics: Acetates; Amines; Amitriptyline; Analgesics; Analgesics, Non-Narcotic; Clinical Trials as Topic; Cyc

2000
Transcutaneous electrostimulation: emerging treatment for diabetic neuropathic pain.
    Diabetes technology & therapeutics, 1999,Spring, Volume: 1, Issue:1

    Topics: Amitriptyline; Clinical Trials as Topic; Combined Modality Therapy; Diabetic Neuropathies; Humans; N

1999
Peripheral diabetic neuropathy treated with amitriptyline and fluphenazine.
    JAMA, 1977, Nov-21, Volume: 238, Issue:21

    Topics: Adult; Aged; Amitriptyline; Diabetic Neuropathies; Drug Therapy, Combination; Female; Fluphenazine;

1977
Amitriptyline and fluphenazine for painful diabetic neuropathy.
    JAMA, 1986, Aug-08, Volume: 256, Issue:6

    Topics: Amitriptyline; Diabetic Neuropathies; Fluphenazine; Humans; Pain; Placebos; Research Design

1986