Page last updated: 2024-10-25

clonidine and Reflex Sympathetic Dystrophy

clonidine has been researched along with Reflex Sympathetic Dystrophy in 11 studies

Clonidine: An imidazoline sympatholytic agent that stimulates ALPHA-2 ADRENERGIC RECEPTORS and central IMIDAZOLINE RECEPTORS. It is commonly used in the management of HYPERTENSION.
clonidine (amino form) : A clonidine that is 4,5-dihydro-1H-imidazol-2-amine in which one of the amino hydrogens is replaced by a 2,6-dichlorophenyl group.

Reflex Sympathetic Dystrophy: A syndrome characterized by severe burning pain in an extremity accompanied by sudomotor, vasomotor, and trophic changes in bone without an associated specific nerve injury. This condition is most often precipitated by trauma to soft tissue or nerve complexes. The skin over the affected region is usually erythematous and demonstrates hypersensitivity to tactile stimuli and erythema. (Adams et al., Principles of Neurology, 6th ed, p1360; Pain 1995 Oct;63(1):127-33)

Research Excerpts

ExcerptRelevanceReference
"Clonidine, but not placebo, caused pain relief, sedation, and decreased blood pressure and heart rate after bolus epidural injection."9.07Epidural clonidine treatment for refractory reflex sympathetic dystrophy. ( Eisenach, JC; Jackson, K; Rauck, RL; Southern, J; Young, LD, 1993)
"Evidence suggests that complex regional pain syndrome (CRPS) is a manifestation of microvascular dysfunction."5.43A Novel Compound Analgesic Cream (Ketamine, Pentoxifylline, Clonidine, DMSO) for Complex Regional Pain Syndrome Patients. ( Russo, MA; Santarelli, DM, 2016)
"Clonidine, but not placebo, caused pain relief, sedation, and decreased blood pressure and heart rate after bolus epidural injection."5.07Epidural clonidine treatment for refractory reflex sympathetic dystrophy. ( Eisenach, JC; Jackson, K; Rauck, RL; Southern, J; Young, LD, 1993)
"Evidence suggests that complex regional pain syndrome (CRPS) is a manifestation of microvascular dysfunction."1.43A Novel Compound Analgesic Cream (Ketamine, Pentoxifylline, Clonidine, DMSO) for Complex Regional Pain Syndrome Patients. ( Russo, MA; Santarelli, DM, 2016)
"We evaluated the efficacy of local or systemic parecoxib combined with lidocaine/clonidine IV regional analgesia in complex regional pain syndrome (CRPS) type 1 in a dominant upper limb."1.33The antinociceptive effect of local or systemic parecoxib combined with lidocaine/clonidine intravenous regional analgesia for complex regional pain syndrome type I in the arm. ( Frade, LP; Lauretti, GR; Lima, ICPR; Pereira, NL, 2005)
"IVRA clonidine (IVRA-C) was performed on each patient up to six times (maximum of once a week for six weeks)."1.31Intravenous regional anesthesia with clonidine in the management of complex regional pain syndrome of the knee. ( Reuben, SS; Sklar, J, 2002)

Research

Studies (11)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's5 (45.45)18.2507
2000's4 (36.36)29.6817
2010's2 (18.18)24.3611
2020's0 (0.00)2.80

Authors

AuthorsStudies
Russo, MA1
Santarelli, DM1
Nascimento, MS1
Klamt, JG1
Prado, WA1
Ahmed, SU1
Vallejo, R1
Hord, ED1
Frade, LP1
Lauretti, GR1
Lima, ICPR1
Pereira, NL1
Ackerman, WE1
Ahmad, M1
Saxen, MA1
Campbell, RL1
Kirkpatrick, AF1
Miller, R1
Rauck, RL1
Eisenach, JC1
Jackson, K1
Young, LD1
Southern, J1
Gintautas, J1
Housny, W1
Kraynack, BJ1
Reuben, SS1
Sklar, J1
Ueno, K1
Miyai, K1
Mitsuzane, K1

Clinical Trials (1)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Hemodynamic Effect of Intrathecal Clonidine in Hypertensive Subjects: A Pilot Study to Assess Its Effectiveness in Hypertensive Subjects With Poor Blood Pressure Control (Phase II)[NCT01297335]Phase 210 participants (Actual)Interventional2011-02-28Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Change in Blood Pressure After Intrathecal Injection of Clonidine.

"Subjects baseline blood pressure (systolic blood pressure (SBP), and diastolic blood pressure (DBP)), and blood pressures after clonidine injection was compared against baseline to assess efficacy of clonidine in refractory hypertensive subjects. Subject's blood pressure was monitored continuously after intrathecal injection of clonidine until subjects blood pressure nadir and return to pre clonidine injection level. The mean value reported below are the average changes in blood pressure from baseline (pre clonidine injection) in both SBP and DBP during post clonidine injection blood pressure monitoring for 4 hours.~Blood pressure measurements were collected every 10 minutes for first hour after injection, and every 15 minutes after the first hour, up to 4 hours were averaged to report the change from baseline." (NCT01297335)
Timeframe: Baseline, Every 10 Minutes for first hour after clonidine injection, and every 15 minutes after first hour, until 4 hours after clonidine injection

Interventionmm Hg (Mean)
Change in mean SBP after clonidine injectionChange in DBP after clonidine injection
Intrathecal Clonidine7937

Changes in Visual Analogue Scale (VAS) Ratings of Sedation and Sensation of Dry Mouth Reported by the Subjects, Pre and 1 Hour Post Injection

Subjects were asked to rate severity of two of the most common side effects of clonidine, sedation and sensation of dry mouth, at pre and post (1 hour after) intrathecal administration of clonidine. The mean changes between pre and post injection VAS ratings of sedation and sensation of dry mouth are reported below. The VAS scale ranges from 1 to 10 cm, with higher values indicating higher level of sedation and higher level of dry mouth. (NCT01297335)
Timeframe: Before clonidine injection (Baseline), and at 1 hour after clonidine injection.

Interventioncm (Mean)
Change in level of sedationChange in sensation of dry mouth
Intrathecal Clonidine3.363.47

Likert Scale Pain Rating

Likert scale is 11 point digital pain rating system that asks subjects to rate their pain from 0 to 10. Rating of 0 means no pain at all, and in increasing order, 10 would mean worst pain imaginable/ unbearable pain. (NCT01297335)
Timeframe: Pre-dose and 1 hour post injection.

Interventionunits on a scale (Mean)
Pre-injection average Likert scorePost-injection average Likert score
Intrathecal Clonidine6.53.6

Trials

1 trial available for clonidine and Reflex Sympathetic Dystrophy

ArticleYear
Epidural clonidine treatment for refractory reflex sympathetic dystrophy.
    Anesthesiology, 1993, Volume: 79, Issue:6

    Topics: Adult; Analgesics; Blood Pressure; Chronic Disease; Clonidine; Heart Rate; Humans; Injections, Epidu

1993

Other Studies

10 other studies available for clonidine and Reflex Sympathetic Dystrophy

ArticleYear
A Novel Compound Analgesic Cream (Ketamine, Pentoxifylline, Clonidine, DMSO) for Complex Regional Pain Syndrome Patients.
    Pain practice : the official journal of World Institute of Pain, 2016, Volume: 16, Issue:1

    Topics: Adrenergic alpha-Agonists; Adult; Analgesics; Anesthetics, Dissociative; Anti-Infective Agents, Loca

2016
Intravenous regional block is similar to sympathetic ganglion block for pain management in patients with complex regional pain syndrome type I.
    Brazilian journal of medical and biological research = Revista brasileira de pesquisas medicas e biologicas, 2010, Volume: 43, Issue:12

    Topics: Adult; Anesthesia, Intravenous; Anesthetics, Local; Autonomic Nerve Block; Clonidine; Female; Gangli

2010
Seizures after a Bier block with clonidine and lidocaine.
    Anesthesia and analgesia, 2004, Volume: 99, Issue:2

    Topics: Adrenergic alpha-Agonists; Anesthetics, Local; Clonidine; Epilepsy, Complex Partial; Humans; Lidocai

2004
The antinociceptive effect of local or systemic parecoxib combined with lidocaine/clonidine intravenous regional analgesia for complex regional pain syndrome type I in the arm.
    Anesthesia and analgesia, 2005, Volume: 101, Issue:3

    Topics: Adrenergic alpha-Agonists; Aged; Analgesics; Anesthetics, Local; Arm; Clonidine; Cyclooxygenase 2; C

2005
Recurrent postoperative CRPS I in patients with abnormal preoperative sympathetic function.
    The Journal of hand surgery, 2008, Volume: 33, Issue:2

    Topics: Adult; Amines; Analgesics; Anti-Inflammatory Agents, Non-Steroidal; Autonomic Nerve Block; Carpal Tu

2008
An unusual case of sympathetically maintained facial pain complicated by telangiectasia.
    Oral surgery, oral medicine, oral pathology, oral radiology, and endodontics, 1995, Volume: 79, Issue:4

    Topics: Adult; Autonomic Nerve Block; Bupivacaine; Causalgia; Clonidine; Face; Facial Pain; Female; Humans;

1995
Should epidural clonidine be used for reflex sympathetic dystrophy?
    Anesthesiology, 1994, Volume: 80, Issue:5

    Topics: Analgesia, Epidural; Chronic Disease; Clonidine; Humans; Pain; Reflex Sympathetic Dystrophy

1994
Successful treatment of reflex sympathetic dystrophy by bier block with lidocaine and clonidine.
    Proceedings of the Western Pharmacology Society, 1999, Volume: 42

    Topics: Adult; Anesthesia, Conduction; Anesthetics, Local; Cardiography, Impedance; Clonidine; Female; Human

1999
Intravenous regional anesthesia with clonidine in the management of complex regional pain syndrome of the knee.
    Journal of clinical anesthesia, 2002, Volume: 14, Issue:2

    Topics: Adult; Analgesics; Anesthesia, Conduction; Clonidine; Female; Humans; Infusions, Intravenous; Knee;

2002
Phenytoin-tizanidine interaction.
    DICP : the annals of pharmacotherapy, 1991, Volume: 25, Issue:11

    Topics: Anticonvulsants; Biotransformation; Clonidine; Drug Interactions; Drug Monitoring; Female; Humans; M

1991