Page last updated: 2024-10-22

amitriptyline and Polyneuropathies

amitriptyline has been researched along with Polyneuropathies in 6 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.

Polyneuropathies: Diseases of multiple peripheral nerves simultaneously. Polyneuropathies usually are characterized by symmetrical, bilateral distal motor and sensory impairment with a graded increase in severity distally. The pathological processes affecting peripheral nerves include degeneration of the axon, myelin or both. The various forms of polyneuropathy are categorized by the type of nerve affected (e.g., sensory, motor, or autonomic), by the distribution of nerve injury (e.g., distal vs. proximal), by nerve component primarily affected (e.g., demyelinating vs. axonal), by etiology, or by pattern of inheritance.

Research Excerpts

ExcerptRelevanceReference
"A double-blind, randomized, placebo-controlled 3-week study evaluated the efficacy of topical 2% amitriptyline, 1% ketamine, and a combination of both in treating patients with neuropathic pain."9.11Topical 2% amitriptyline and 1% ketamine in neuropathic pain syndromes: a randomized, double-blind, placebo-controlled trial. ( Clark, AJ; Lynch, ME; Sawynok, J; Sullivan, MJ, 2005)
"A double-blind, randomized, placebo-controlled 3-week study evaluated the efficacy of topical 2% amitriptyline, 1% ketamine, and a combination of both in treating patients with neuropathic pain."5.11Topical 2% amitriptyline and 1% ketamine in neuropathic pain syndromes: a randomized, double-blind, placebo-controlled trial. ( Clark, AJ; Lynch, ME; Sawynok, J; Sullivan, MJ, 2005)
"This neuropathy causes pain, paresthesias and burning sensations and/or numbness in the feet, which sometimes occurs in the hands as well."2.41[Sensory neuropathy in HIV infection: pathogenesis and therapy]. ( Portegies, P; Rosenberg, NR, 2001)
"Electroneurography demonstrated distal motor polyneuropathy with segmental demyelination associated with axonal degeneration prominent in the distal parts of both lower extremities."1.35Myeloneuritis due to acute organophosphate (DDVP) intoxication. ( Kekec, Z; Koc, F; Yerdelen, D, 2009)

Research

Studies (6)

TimeframeStudies, this research(%)All Research%
pre-19901 (16.67)18.7374
1990's0 (0.00)18.2507
2000's4 (66.67)29.6817
2010's0 (0.00)24.3611
2020's1 (16.67)2.80

Authors

AuthorsStudies
Sachau, J1
Fabig, SC1
Rehm, S1
Baron, R1
Koc, F1
Yerdelen, D1
Kekec, Z1
Lynch, ME1
Clark, AJ1
Sawynok, J1
Sullivan, MJ1
van Doorn, PA1
Portegies, P1
Rosenberg, NR1
Boudouresques, J1
Khalil, R1
Pellissier, JF1
Alicherif, A1
Boudouresques, G1

Clinical Trials (2)

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)
Plasma Concentrations of Ketamine and Norketamine in Patients Using Topical Application of 10% Ketamine for Neuropathic Pain.[NCT01385904]15 participants (Anticipated)Observational2011-06-30Recruiting
[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

3 reviews available for amitriptyline and Polyneuropathies

ArticleYear
[Treatment of polyneuropathy: autonomic symptoms and pain].
    Der Internist, 2020, Volume: 61, Issue:3

    Topics: Amitriptyline; Analgesics; Anticonvulsants; Antidepressive Agents; Calcium Channel Blockers; Humans;

2020
[Guideline on polyneuropathy].
    Nederlands tijdschrift voor geneeskunde, 2007, Jul-14, Volume: 151, Issue:28

    Topics: Amitriptyline; Analgesics, Non-Narcotic; Carbamazepine; Chronic Disease; Diabetes Complications; Ele

2007
[Sensory neuropathy in HIV infection: pathogenesis and therapy].
    Nederlands tijdschrift voor geneeskunde, 2001, Apr-14, Volume: 145, Issue:15

    Topics: Amitriptyline; Analgesics, Non-Narcotic; Analgesics, Opioid; Antidepressive Agents, Tricyclic; Carba

2001

Trials

1 trial available for amitriptyline and Polyneuropathies

ArticleYear
Topical 2% amitriptyline and 1% ketamine in neuropathic pain syndromes: a randomized, double-blind, placebo-controlled trial.
    Anesthesiology, 2005, Volume: 103, Issue:1

    Topics: Administration, Topical; Adult; Aged; Aged, 80 and over; Amitriptyline; Double-Blind Method; Drug Th

2005
Topical 2% amitriptyline and 1% ketamine in neuropathic pain syndromes: a randomized, double-blind, placebo-controlled trial.
    Anesthesiology, 2005, Volume: 103, Issue:1

    Topics: Administration, Topical; Adult; Aged; Aged, 80 and over; Amitriptyline; Double-Blind Method; Drug Th

2005
Topical 2% amitriptyline and 1% ketamine in neuropathic pain syndromes: a randomized, double-blind, placebo-controlled trial.
    Anesthesiology, 2005, Volume: 103, Issue:1

    Topics: Administration, Topical; Adult; Aged; Aged, 80 and over; Amitriptyline; Double-Blind Method; Drug Th

2005
Topical 2% amitriptyline and 1% ketamine in neuropathic pain syndromes: a randomized, double-blind, placebo-controlled trial.
    Anesthesiology, 2005, Volume: 103, Issue:1

    Topics: Administration, Topical; Adult; Aged; Aged, 80 and over; Amitriptyline; Double-Blind Method; Drug Th

2005

Other Studies

2 other studies available for amitriptyline and Polyneuropathies

ArticleYear
Myeloneuritis due to acute organophosphate (DDVP) intoxication.
    The International journal of neuroscience, 2009, Volume: 119, Issue:10

    Topics: Adolescent; Adrenergic Uptake Inhibitors; Amitriptyline; Dichlorvos; Female; Humans; Insecticides; M

2009
[Polyneuritis following amitriptyline poisoning].
    La Nouvelle presse medicale, 1977, Dec-17, Volume: 6, Issue:43

    Topics: Adult; Amitriptyline; Humans; Male; Polyneuropathies

1977