Page last updated: 2024-10-29

ketamine and Herpes Zoster

ketamine has been researched along with Herpes Zoster in 8 studies

Ketamine: A cyclohexanone derivative used for induction of anesthesia. Its mechanism of action is not well understood, but ketamine can block NMDA receptors (RECEPTORS, N-METHYL-D-ASPARTATE) and may interact with sigma receptors.
ketamine : A member of the class of cyclohexanones in which one of the hydrogens at position 2 is substituted by a 2-chlorophenyl group, while the other is substituted by a methylamino group.

Herpes Zoster: An acute infectious, usually self-limited, disease believed to represent activation of latent varicella-zoster virus (HERPESVIRUS 3, HUMAN) in those who have been rendered partially immune after a previous attack of CHICKENPOX. It involves the SENSORY GANGLIA and their areas of innervation and is characterized by severe neuralgic pain along the distribution of the affected nerve and crops of clustered vesicles over the area. (From Dorland, 27th ed)

Research Excerpts

ExcerptRelevanceReference
"Four patients with postherpetic neuralgia had their pain alleviated by epidural administration of ketamine."7.71[Usefulness of epidural administration of ketamine for relief of postherpetic neuralgia]. ( Ikeda, M; Machida, K; Mikawa, Y; Mizuno, J; Sugimoto, S, 2001)
" The result strongly suggests a synergy from this combination that warrants a formal study of the dose-response relationship involved in this treatment and the mechanism by which this effect is achieved."5.29Epidural coadministration of ketamine, morphine and bupivacaine attenuates post-herpetic neuralgia--a case report. ( Cherng, CH; Ho, ST; Liaw, WJ; Shen, TT; Wong, CS, 1996)
"Four patients with postherpetic neuralgia had their pain alleviated by epidural administration of ketamine."3.71[Usefulness of epidural administration of ketamine for relief of postherpetic neuralgia]. ( Ikeda, M; Machida, K; Mikawa, Y; Mizuno, J; Sugimoto, S, 2001)
"A 74 year-old woman with a 6-month history of RSD following herpes zoster on her right arm was treated with stellate ganglion blocks (SGB), continuous epidural block (CEB) and continuous intravenous infusion of ketamine known as one of the NMDA receptor blockers."3.69[A case of RSD with complete disappearance of symptoms following intravenous ketamine infusion combined with stellate ganglion block and continuous epidural block]. ( Arakawa, H; Kato, J; Kishimoto, N; Ogawa, S; Suzuki, H; Suzuki, T, 1995)
"A post-herpetic neuralgia is thought to be a neuropathic pain due to the irreversible nerve injury and sensitization."2.41[Herpes zoster and post-herpetic neuralgia]. ( Hashizume, K, 2001)
" The result strongly suggests a synergy from this combination that warrants a formal study of the dose-response relationship involved in this treatment and the mechanism by which this effect is achieved."1.29Epidural coadministration of ketamine, morphine and bupivacaine attenuates post-herpetic neuralgia--a case report. ( Cherng, CH; Ho, ST; Liaw, WJ; Shen, TT; Wong, CS, 1996)

Research

Studies (8)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's3 (37.50)18.2507
2000's4 (50.00)29.6817
2010's1 (12.50)24.3611
2020's0 (0.00)2.80

Authors

AuthorsStudies
Griffin, JR1
Davis, MD1
Quan, D1
Wellish, M1
Gilden, DH1
Lovitt, S1
Kishimoto, N1
Kato, J1
Suzuki, T1
Arakawa, H1
Ogawa, S1
Suzuki, H1
Wong, CS1
Shen, TT1
Liaw, WJ1
Cherng, CH1
Ho, ST1
Klepstad, P1
Borchgrevink, PC1
Mizuno, J1
Sugimoto, S1
Ikeda, M2
Machida, K1
Mikawa, Y1
Hashizume, K1

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

2 reviews available for ketamine and Herpes Zoster

ArticleYear
Topical ketamine treatment of postherpetic neuralgia.
    Neurology, 2003, Apr-22, Volume: 60, Issue:8

    Topics: Administration, Cutaneous; Analgesics, Non-Narcotic; Drug Evaluation; Female; Gels; Herpes Zoster; H

2003
[Herpes zoster and post-herpetic neuralgia].
    Nihon rinsho. Japanese journal of clinical medicine, 2001, Volume: 59, Issue:9

    Topics: Anticonvulsants; Antidepressive Agents, Tricyclic; Autonomic Nerve Block; Carbamazepine; Epidural Sp

2001

Other Studies

6 other studies available for ketamine and Herpes Zoster

ArticleYear
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
Patient pages. Treatment of postherpetic neuralgia.
    Neurology, 2003, Apr-22, Volume: 60, Issue:8

    Topics: Administration, Topical; Adult; Chickenpox; Chickenpox Vaccine; Child; gamma-Aminobutyric Acid; Gels

2003
[A case of RSD with complete disappearance of symptoms following intravenous ketamine infusion combined with stellate ganglion block and continuous epidural block].
    Masui. The Japanese journal of anesthesiology, 1995, Volume: 44, Issue:12

    Topics: Aged; Analgesia, Epidural; Autonomic Nerve Block; Excitatory Amino Acid Antagonists; Female; Herpes

1995
Epidural coadministration of ketamine, morphine and bupivacaine attenuates post-herpetic neuralgia--a case report.
    Acta anaesthesiologica Sinica, 1996, Volume: 34, Issue:3

    Topics: Adult; Analgesia, Epidural; Bupivacaine; Drug Therapy, Combination; Herpes Zoster; Humans; Ketamine;

1996
Four years' treatment with ketamine and a trial of dextromethorphan in a patient with severe post-herpetic neuralgia.
    Acta anaesthesiologica Scandinavica, 1997, Volume: 41, Issue:3

    Topics: Aged; Dextromethorphan; Excitatory Amino Acid Antagonists; Herpes Zoster; Humans; Ketamine; Male; Ne

1997
[Usefulness of epidural administration of ketamine for relief of postherpetic neuralgia].
    Masui. The Japanese journal of anesthesiology, 2001, Volume: 50, Issue:8

    Topics: Aged; Analgesia, Epidural; Bupivacaine; Drug Therapy, Combination; Female; Herpes Zoster; Humans; In

2001