Page last updated: 2024-10-22

amitriptyline and Neuralgia, Postherpetic

amitriptyline has been researched along with Neuralgia, Postherpetic in 10 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.

Neuralgia, Postherpetic: Pain in nerves, frequently involving facial SKIN, resulting from the activation the latent varicella-zoster virus (HERPESVIRUS 3, HUMAN). The two forms of the condition preceding the pain are HERPES ZOSTER OTICUS; and HERPES ZOSTER OPHTHALMICUS. Following the healing of the rashes and blisters, the pain sometimes persists.

Research Excerpts

ExcerptRelevanceReference
"Amitriptyline was administered in a dose of 25 mg once daily and pregabalin in a dose of 75 mg twice daily."6.77Comparative study of clinical efficacy of amitriptyline and pregabalin in postherpetic neuralgia. ( Achar, A; Bisai, S; Biswas, A; Chakraborty, PP; Guharay, T, 2012)
"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)
"In 47 patients with postherpetic neuralgia (PHN) who had never had an adequate trial of any antidepressant, we performed a randomized, double-blind, parallel design trial comparing desipramine, amitriptyline, and fluoxetine."5.11Treatment response in antidepressant-naïve postherpetic neuralgia patients: double-blind, randomized trial. ( Davies, PS; Fields, HL; Reisner, LA; Rowbotham, MC, 2005)
"We conducted a single-center, retrospective observational study, and evaluated 87 patients (65 amitriptyline, 22 nortriptyline) who underwent 12-lead electrocardiogram (ECG) examinations both before and after receiving TCAs for herpes zoster pain or postherpetic neuralgia from May 2007 to January 2012."3.80Use of tricyclic antidepressants as analgesic adjuvants results in nonhazardous prolongation of the QTc interval. ( Funai, Y; Funao, T; Hase, I; Ikenaga, K; Nishikawa, K; Takahashi, R, 2014)
"Amitriptyline was administered in a dose of 25 mg once daily and pregabalin in a dose of 75 mg twice daily."2.77Comparative study of clinical efficacy of amitriptyline and pregabalin in postherpetic neuralgia. ( Achar, A; Bisai, S; Biswas, A; Chakraborty, PP; Guharay, T, 2012)
"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 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)

Research

Studies (10)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's0 (0.00)18.2507
2000's2 (20.00)29.6817
2010's8 (80.00)24.3611
2020's0 (0.00)2.80

Authors

AuthorsStudies
Hall, GC1
Morant, SV1
Carroll, D1
Gabriel, ZL1
McQuay, HJ1
Hearn, L1
Moore, RA1
Derry, S1
Wiffen, PJ1
Phillips, T1
Funai, Y1
Funao, T1
Ikenaga, K1
Takahashi, R1
Hase, I1
Nishikawa, K1
Griffin, JR1
Davis, MD1
Pi, ZB1
Lin, H1
He, GD1
Cai, Z1
Xu, XZ1
Sawynok, J1
Zinger, C1
Achar, A1
Chakraborty, PP1
Bisai, S1
Biswas, A1
Guharay, T1
Rowbotham, MC1
Reisner, LA1
Davies, PS1
Fields, HL1

Clinical Trials (1)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Antipruritic Effect of Topical Ketamine, Amitriptyline, and Lidocaine[NCT03096444]Phase 213 participants (Actual)Interventional2017-05-23Terminated (stopped due to Efficacy was not seen after interim analysis)
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Peak Itch Intensity Between the Vehicle and Active Treatments (Individual and KeAmLi-combo).

"Peak itch intensity between the vehicle and 4 other active treatments (individual ketamine, amitriptyline, or lidocaine, and KeAmLi-combo). Itch intensity was measured on a 100mm scale visual analog scale for 10 minutes. 0 was weighted with no itch and 100 was weighted with most itch imaginable." (NCT03096444)
Timeframe: 10 minutes

InterventionIntensity score (Mean)
Topical KeAmLi Combo62.7
Topical Ketamine63.1
Topical Amitriptyline69.2
Topical Lidocaine65.8
Topical Vehicle61.9

Mechanical Thresholds (Mechanical Detection and Pain).

Assess mechanical detection and pain thresholds using von Frey filaments stimulators (measured in force mN) to calculate the final threshold as the geometric mean of five series of ascending and descending stimuli. (NCT03096444)
Timeframe: 5 minutes

,,,,
InterventionmN (Mean)
Mechanical Detection ThresholdMechanical Pain Threshold
Topical Amitriptyline3.573423965152.4768146
Topical KeAmLi Combo3.519376956152.3293608
Topical Ketamine3.464204768135.9
Topical Lidocaine3.546037659126.9
Topical Vehicle3.525692637148.7138273

Thermal Threshold Detection (Warmth and Heat Pain)

Two standardized quantitative sensory tests are performed to measure warmth detection threshold (assesses the threshold of which warmth sensation is first detected) and heat pain threshold (assesses the threshold at which heat pain sensation is first detected). Measured in change in celsius. (NCT03096444)
Timeframe: 3 minutes

,,,,
InterventionDegrees celsius (Mean)
Warm Detection ThresholdHeat Pain Threshold
Topical Amitriptyline33.940.0
Topical KeAmLi Combo33.639.8
Topical Ketamine34.040.0
Topical Lidocaine33.739.4
Topical Vehicle33.839.7

Reviews

1 review available for amitriptyline and Neuralgia, Postherpetic

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

Trials

3 trials available for amitriptyline and Neuralgia, Postherpetic

ArticleYear
Randomized and controlled prospective trials of Ultrasound-guided spinal nerve posterior ramus pulsed radiofrequency treatment for lower back post-herpetic neuralgia.
    La Clinica terapeutica, 2015, Volume: 166, Issue:5

    Topics: Administration, Oral; Adult; Aged; Amines; Amitriptyline; Analgesics; Celecoxib; Cyclohexanecarboxyl

2015
Comparative study of clinical efficacy of amitriptyline and pregabalin in postherpetic neuralgia.
    Acta dermatovenerologica Croatica : ADC, 2012, Volume: 20, Issue:2

    Topics: Amitriptyline; Analgesics; Analgesics, Non-Narcotic; Female; gamma-Aminobutyric Acid; Humans; Male;

2012
Treatment response in antidepressant-naïve postherpetic neuralgia patients: double-blind, randomized trial.
    The journal of pain, 2005, Volume: 6, Issue:11

    Topics: Adult; Aged; Aged, 80 and over; Amitriptyline; Antidepressive Agents, Second-Generation; Antidepress

2005

Other Studies

6 other studies available for amitriptyline and Neuralgia, Postherpetic

ArticleYear
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
Use of tricyclic antidepressants as analgesic adjuvants results in nonhazardous prolongation of the QTc interval.
    Osaka city medical journal, 2014, Volume: 60, Issue:1

    Topics: Aged; Aged, 80 and over; Amitriptyline; Analgesics; Antidepressive Agents, Tricyclic; Electrocardiog

2014
Amitriptyline/Ketamine as therapy for neuropathic pruritus and pain secondary to herpes zoster.
    Journal of drugs in dermatology : JDD, 2015, Volume: 14, Issue:2

    Topics: Administration, Cutaneous; Amitriptyline; Analgesics; Drug Combinations; Gels; Herpes Zoster; Humans

2015
[Shingles symptoms are gone but not the pain].
    MMW Fortschritte der Medizin, 2015, Jul-23, Volume: 157, Issue:13

    Topics: Administration, Cutaneous; Administration, Oral; Aged; Amines; Amitriptyline; Analgesics; Anti-Infla

2015
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
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