Page last updated: 2024-10-31

mexiletine and Ache

mexiletine has been researched along with Ache in 46 studies

Mexiletine: Antiarrhythmic agent pharmacologically similar to LIDOCAINE. It may have some anticonvulsant properties.
mexiletine : An aromatic ether which is 2,6-dimethylphenyl ether of 2-aminopropan-1-ol.

Research Excerpts

ExcerptRelevanceReference
"To determine the effects of mexiletine for symptoms and signs of myotonia in patients with NDMs."9.16Mexiletine for symptoms and signs of myotonia in nondystrophic myotonia: a randomized controlled trial. ( Barohn, RJ; Bundy, BN; Ciafaloni, E; Griggs, RC; Hanna, MG; Herbelin, L; Matthews, E; Meola, G; Rayan, DR; Salajegheh, MK; Sansone, VA; Statland, JM; Trivedi, JR; Venance, SL; Wang, Y, 2012)
"To investigate the effects of IV lidocaine on spontaneous and evoked pain (allodynia and hyperalgesia) due to peripheral nerve injury (postherpetic neuralgia or nerve trauma) using quantitative sensory testing."9.11Systemic lidocaine in pain due to peripheral nerve injury and predictors of response. ( Attal, N; Bouhassira, D; Brasseur, L; Chauvin, M; Rouaud, J, 2004)
"Although mexiletine, an antiarrhythmic with local anesthetic properties, has been reported to relieve discomfort in diabetic neuropathy, its usefulness in the treatment of HIV-related painful peripheral neuropathy (PPN) has not been determined."9.08Mexiletine for HIV-infected patients with painful peripheral neuropathy: a double-blind, placebo-controlled, crossover treatment trial. ( Burton, S; Deresinski, SC; Kemper, CA; Kent, G, 1998)
"A total of 216 insulin-treated diabetes patients with painful diabetic neuropathy were randomly allocated to three dosages of mexiletine or placebo."9.08Efficacy and safety of mexiletine in the treatment of painful diabetic neuropathy. The Mexiletine Study Group. ( Lins, PE; Ljunggren, JG; Oskarsson, P, 1997)
"Neither amitriptyline nor mexiletine provide significant pain relief in patients with HIV-associated painful sensory neuropathy."9.08A randomized trial of amitriptyline and mexiletine for painful neuropathy in HIV infection. AIDS Clinical Trial Group 242 Protocol Team. ( Clifford, DB; Cohen, B; Dal Pan, GJ; Ellis, RJ; Hall, CD; Kieburtz, K; Marra, CM; Max, MB; McKendall, R; Simpson, D; Singer, E; Tucker, T; Yiannoutsos, C, 1998)
"Lidocaine is a use-dependent sodium channel blocker that produces analgesia when administered intravenously to patients with neuropathic pain."8.84Intravenous lidocaine for neuropathic pain: diagnostic utility and therapeutic efficacy. ( Carroll, I, 2007)
" Mexiletine, an orally available Na(+)-channel blocker, has widely been used in patients with chronic painful diabetic neuropathy."7.76Mexiletine reverses oxaliplatin-induced neuropathic pain in rats. ( Egashira, N; Hirakawa, S; Ikesue, H; Kawashiri, T; Oishi, R; Yano, T, 2010)
"The influence of mexiletine hydrochloride on herpes-related pain responses was examined using mice infected with herpes virus."7.72Attenuating effect of mexiletine hydrochloride on herpetic pain in mice infected with herpes simplex virus. ( Asano, K; Hisamitsu, T; Sameshima, T; Shirasawa, H, 2003)
"Dercum's disease (adiposis dolorosa) is associated with very painful subcutaneous fatty deposits normally localized to the lower extremities in which pain treatment is usually unsuccessful."6.66Dercum's disease (adiposis dolorosa). Treatment of the severe pain with intravenous lidocaine. ( Kastrup, J; Petersen, P, 1987)
"Physicians caring for patients with CSPN should consider mexiletine to address pain and fatigue, although nortriptyline and duloxetine are better medications to trial first since they are better tolerated."5.51A secondary analysis of PAIN-CONTRoLS: Pain's impact on sleep, fatigue, and activities of daily living. ( Barohn, RJ; Bhai, SF; Brown, A; Gajewski, B; Kimminau, KS; Pasnoor, M; Waitman, LR, 2022)
"Furthermore, fenvalerate-induced thermal allodynia and hyperalgesia were inhibited by the pretreatment with calphostin C."5.31Nociception and allodynia/hyperalgesia induced by intrathecal administration of fenvalerate. ( Kamei, J; Morita, K; Sasaki, M; Tanaka, S; Zushida, K, 2001)
"Mexiletine was generally well tolerated with only two patients experiencing transient nausea and dizziness."5.28Mexiletine for thalamic pain syndrome. ( Awerbuch, GI; Sandyk, R, 1990)
"To determine the effects of mexiletine for symptoms and signs of myotonia in patients with NDMs."5.16Mexiletine for symptoms and signs of myotonia in nondystrophic myotonia: a randomized controlled trial. ( Barohn, RJ; Bundy, BN; Ciafaloni, E; Griggs, RC; Hanna, MG; Herbelin, L; Matthews, E; Meola, G; Rayan, DR; Salajegheh, MK; Sansone, VA; Statland, JM; Trivedi, JR; Venance, SL; Wang, Y, 2012)
"To investigate the effects of IV lidocaine on spontaneous and evoked pain (allodynia and hyperalgesia) due to peripheral nerve injury (postherpetic neuralgia or nerve trauma) using quantitative sensory testing."5.11Systemic lidocaine in pain due to peripheral nerve injury and predictors of response. ( Attal, N; Bouhassira, D; Brasseur, L; Chauvin, M; Rouaud, J, 2004)
"A total of 216 insulin-treated diabetes patients with painful diabetic neuropathy were randomly allocated to three dosages of mexiletine or placebo."5.08Efficacy and safety of mexiletine in the treatment of painful diabetic neuropathy. The Mexiletine Study Group. ( Lins, PE; Ljunggren, JG; Oskarsson, P, 1997)
"Although mexiletine, an antiarrhythmic with local anesthetic properties, has been reported to relieve discomfort in diabetic neuropathy, its usefulness in the treatment of HIV-related painful peripheral neuropathy (PPN) has not been determined."5.08Mexiletine for HIV-infected patients with painful peripheral neuropathy: a double-blind, placebo-controlled, crossover treatment trial. ( Burton, S; Deresinski, SC; Kemper, CA; Kent, G, 1998)
"Neither amitriptyline nor mexiletine provide significant pain relief in patients with HIV-associated painful sensory neuropathy."5.08A randomized trial of amitriptyline and mexiletine for painful neuropathy in HIV infection. AIDS Clinical Trial Group 242 Protocol Team. ( Clifford, DB; Cohen, B; Dal Pan, GJ; Ellis, RJ; Hall, CD; Kieburtz, K; Marra, CM; Max, MB; McKendall, R; Simpson, D; Singer, E; Tucker, T; Yiannoutsos, C, 1998)
"To prove the efficacy of mexiletine in painful diabetic neuropathy."5.07Mexiletine in the treatment of diabetic neuropathy. ( Federlin, K; Meyer, UE; Schumacher, HE; Stracke, H, 1992)
"Lidocaine is a use-dependent sodium channel blocker that produces analgesia when administered intravenously to patients with neuropathic pain."4.84Intravenous lidocaine for neuropathic pain: diagnostic utility and therapeutic efficacy. ( Carroll, I, 2007)
"Lidocaine and oral analogs were safe drugs in controlled clinical trials for neuropathic pain, were better than placebo, and were as effective as other analgesics."4.82Systemic administration of local anesthetic agents to relieve neuropathic pain. ( Carr, DB; Challapalli, V; Lau, J; McNicol, ED; Tremont-Lukats, IW, 2005)
" Mexiletine, an orally available Na(+)-channel blocker, has widely been used in patients with chronic painful diabetic neuropathy."3.76Mexiletine reverses oxaliplatin-induced neuropathic pain in rats. ( Egashira, N; Hirakawa, S; Ikesue, H; Kawashiri, T; Oishi, R; Yano, T, 2010)
" In this study, we investigated the effects of M58373 on substance P release from sensory neurons in vitro and pain behaviors/responses in rats, compared with mexiletine."3.73Potent analgesic effects of a putative sodium channel blocker M58373 on formalin-induced and neuropathic pain in rats. ( Akada, Y; Amano, K; Fukudome, Y; Itoh, M; Ogawa, S; Yamamoto, I; Yamasaki, F, 2006)
"The influence of mexiletine hydrochloride on herpes-related pain responses was examined using mice infected with herpes virus."3.72Attenuating effect of mexiletine hydrochloride on herpetic pain in mice infected with herpes simplex virus. ( Asano, K; Hisamitsu, T; Sameshima, T; Shirasawa, H, 2003)
"Mexiletine is widely used for the treatment of neuropathic pain although its site(s) of action remain unclear."3.70A novel spinal action of mexiletine in spinal somatosensory transmission of nerve injured rats. ( Chapman, V; Dickenson, AH; Ng, J, 1998)
"Drugs that are clinically effective (mexiletine and desipramine) or ineffective (fluoxetine) in the treatment of human neuropathic pain were evaluated for efficacy in rat models involving central sensitization (i."3.69The effects of mexiletine, desipramine and fluoxetine in rat models involving central sensitization. ( Hunter, JC; Jett, MF; McGuirk, J; Waligora, D, 1997)
"We examined the effect of mexiletine on the threshold for pain perception as determined by the application of mechanical noxious stimuli (tail-pinch) in diabetic mice."3.68Antinociceptive effect of mexiletine in diabetic mice. ( Aoki, T; Hitosugi, H; Kamei, J; Kasuya, Y; Kawashima, N; Ohhashi, Y, 1992)
"Dercum's disease (adiposis dolorosa) is associated with very painful subcutaneous fatty deposits normally localized to the lower extremities in which pain treatment is usually unsuccessful."2.66Dercum's disease (adiposis dolorosa). Treatment of the severe pain with intravenous lidocaine. ( Kastrup, J; Petersen, P, 1987)
"neuropathic pain) is not very satisfactorily managed."2.44[Central and peripheral mechanisms in antinociception: current and future perspectives]. ( Fürst, Z, 2008)
" Compound 4 had good efficacy (52% and 41% reversal of allodynia at 2 and 4h post-dose, respectively) in the Chung rat spinal nerve ligation (SNL) model of neuropathic pain when dosed orally at 10mg/kg."1.35Imidazopyridines: a novel class of hNav1.7 channel blockers. ( Abbadie, C; Dean, B; Duffy, JL; Felix, JP; Garcia, ML; Hoyt, SB; Jochnowitz, N; Kaczorowski, GJ; Karanam, BV; Li, X; London, C; Lyons, KA; Martin, WJ; McGowan, E; Parsons, WH; Priest, BT; Smith, MM; Tschirret-Guth, R; Warren, VA; Williams, BS, 2008)
"Furthermore, fenvalerate-induced thermal allodynia and hyperalgesia were inhibited by the pretreatment with calphostin C."1.31Nociception and allodynia/hyperalgesia induced by intrathecal administration of fenvalerate. ( Kamei, J; Morita, K; Sasaki, M; Tanaka, S; Zushida, K, 2001)
"Acyclovir treatment healed all skin lesions by day 15 after inoculation."1.31Effects of analgesics on delayed postherpetic pain in mice. ( Andoh, T; Kuraishi, Y; Nojima, H; Sasaki, A; Shiraki, K; Takasaki, I, 2002)
"Pretreatment with mexiletine (5-30 mg/kg i."1.30Comparable dose-dependent inhibition of AP-7 sensitive strychnine-induced allodynia and paw pinch-induced nociception by mexiletine in the rat. ( Hodge, E; Khandwala, H; Loomis, CW, 1997)
"Dercum's disease (adiposis dolorosa) is a rare condition characterized by progressively painful fatty deposits, usually, in menopausal women with obesity, asthenia and mental phenomena."1.30Dercum's disease (adiposis dolorosa). ( O'Flynn, P; Reece, PH; Wyatt, M, 1999)
"Mexiletine was generally well tolerated with only two patients experiencing transient nausea and dizziness."1.28Mexiletine for thalamic pain syndrome. ( Awerbuch, GI; Sandyk, R, 1990)
"SUN 1165 had no effect on clonic convulsions induced by pentetrazol and pictrotoxin in mice, while both mexiletine and lidocaine prolonged the duration of clonic convulsions."1.27General pharmacological studies on N-(2,6-dimethylphenyl)-8-pyrrolizidineacetamide hydrochloride hemihydrate. 1st communication: effect on the central nervous system. ( Hashimoto, Y; Hatta, M; Hattori, Y; Hirotsu, I; Ishihara, T; Kihara, T; Kitakaze, Y; Miyata, T; Nakamura, S; Takahama, K, 1988)

Research

Studies (46)

TimeframeStudies, this research(%)All Research%
pre-19902 (4.35)18.7374
1990's23 (50.00)18.2507
2000's16 (34.78)29.6817
2010's4 (8.70)24.3611
2020's1 (2.17)2.80

Authors

AuthorsStudies
Jarvis, MF1
Honore, P1
Shieh, CC1
Chapman, M1
Joshi, S1
Zhang, XF1
Kort, M1
Carroll, W1
Marron, B1
Atkinson, R1
Thomas, J1
Liu, D2
Krambis, M1
Liu, Y1
McGaraughty, S1
Chu, K1
Roeloffs, R1
Zhong, C1
Mikusa, JP1
Hernandez, G1
Gauvin, D1
Wade, C1
Zhu, C1
Pai, M1
Scanio, M1
Shi, L1
Drizin, I1
Gregg, R1
Matulenko, M1
Hakeem, A1
Gross, M1
Johnson, M1
Marsh, K1
Wagoner, PK1
Sullivan, JP1
Faltynek, CR1
Krafte, DS1
London, C1
Hoyt, SB1
Parsons, WH2
Williams, BS1
Warren, VA1
Tschirret-Guth, R1
Smith, MM2
Priest, BT2
McGowan, E1
Martin, WJ3
Lyons, KA2
Li, X2
Karanam, BV1
Jochnowitz, N1
Garcia, ML2
Felix, JP1
Dean, B1
Abbadie, C2
Kaczorowski, GJ2
Duffy, JL1
Bregman, H1
Berry, L1
Buchanan, JL1
Chen, A1
Du, B1
Feric, E1
Hierl, M1
Huang, L1
Immke, D1
Janosky, B1
Johnson, D1
Ligutti, J1
Malmberg, A1
Matson, D1
McDermott, J1
Miu, P1
Nguyen, HN1
Patel, VF1
Waldon, D1
Wilenkin, B1
Zheng, XM1
Zou, A1
McDonough, SI1
DiMauro, EF1
Vivier, D1
Bennis, K1
Lesage, F1
Ducki, S1
Bhai, SF1
Brown, A1
Gajewski, B1
Kimminau, KS1
Waitman, LR1
Pasnoor, M1
Barohn, RJ2
Fürst, Z1
Egashira, N1
Hirakawa, S1
Kawashiri, T1
Yano, T1
Ikesue, H1
Oishi, R1
Statland, JM1
Bundy, BN1
Wang, Y1
Rayan, DR1
Trivedi, JR1
Sansone, VA1
Salajegheh, MK1
Venance, SL1
Ciafaloni, E1
Matthews, E1
Meola, G1
Herbelin, L1
Griggs, RC1
Hanna, MG1
Asano, K1
Sameshima, T1
Shirasawa, H1
Hisamitsu, T1
Attal, N1
Rouaud, J1
Brasseur, L1
Chauvin, M1
Bouhassira, D1
Shao, PP1
Ok, D1
Fisher, MH1
Li, C1
Meinke, PT1
Wyvratt, MJ1
Ye, F1
Lindia, JA1
Köhler, MG1
Challapalli, V2
Tremont-Lukats, IW2
McNicol, ED2
Lau, J2
Carr, DB2
Akada, Y1
Ogawa, S1
Amano, K1
Fukudome, Y1
Yamasaki, F1
Itoh, M1
Yamamoto, I1
Carroll, I1
Tanimoto-Mori, S1
Nakazato-Imasato, E1
Toide, K1
Kita, Y1
Hedley, LR1
Martin, B1
Waterbury, LD1
Clarke, DE1
Hunter, JC2
Kamei, J4
Saitoh, A1
Kasuya, Y3
Hitosugi, H2
Colclough, G1
Carter, A1
Ackerman, WE2
Boulton, AJ1
Pfeifer, MA1
Ross, DR1
Schrage, JP1
Gelber, DA1
Schumer, MP1
Crain, GM1
Markwell, SJ1
Jung, S1
Jett, MF1
McGuirk, J1
Waligora, D1
Khandwala, H1
Hodge, E1
Loomis, CW1
Oskarsson, P1
Ljunggren, JG1
Lins, PE1
Duggan, S1
Milne, B1
Loomis, C1
Chapman, V1
Ng, J1
Dickenson, AH1
Kemper, CA1
Kent, G1
Burton, S1
Deresinski, SC1
Kieburtz, K1
Simpson, D1
Yiannoutsos, C1
Max, MB1
Hall, CD1
Ellis, RJ1
Marra, CM1
McKendall, R1
Singer, E1
Dal Pan, GJ1
Clifford, DB1
Tucker, T1
Cohen, B1
Sakurai, M1
Kanazawa, I1
Reece, PH1
Wyatt, M1
O'Flynn, P1
Lein, B1
Sasaki, M1
Zushida, K1
Morita, K1
Tanaka, S1
Laird, JM1
Carter, AJ1
Grauert, M1
Cervero, F1
Takasaki, I1
Sasaki, A1
Andoh, T1
Nojima, H1
Shiraki, K1
Kuraishi, Y1
Kawashima, N1
Aoki, T1
Ohhashi, Y1
Stracke, H1
Meyer, UE1
Schumacher, HE1
Federlin, K1
Xu, XJ1
Hao, JX1
Seiger, A1
Arnér, S1
Lindblom, U1
Wiesenfeld-Hallin, Z1
Ziegler, D1
Gries, FA1
Colclough, GW1
Juneja, MM1
Bellinger, K1
Suzuki, K1
Toyota, T1
Awerbuch, GI1
Sandyk, R1
Hirotsu, I1
Kihara, T1
Nakamura, S1
Hattori, Y1
Hatta, M1
Kitakaze, Y1
Takahama, K1
Hashimoto, Y1
Miyata, T1
Ishihara, T1
Petersen, P1
Kastrup, J1

Clinical Trials (7)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Phase II Therapeutic Trial of Mexiletine in Non-Dystrophic Myotonia[NCT00832000]Phase 259 participants (Actual)Interventional2008-12-31Completed
Long Term Outcome After Serial Lidocaine Infusion in Peripheral Neuropathic Pain : A Pilot Study[NCT02217267]Phase 329 participants (Actual)Interventional2014-08-01Completed
Intravenous Lidocaine for Preventing Painful Oxaliplatin-induced Peripheral Neuropathy (OIPN)[NCT03254394]Phase 1/Phase 226 participants (Actual)Interventional2017-09-15Completed
The Study of Perioperative Intravenous Infusion of Lidocaine on Postoperative Analgesia in Patients Undergoing Single-port Thoracoscopic[NCT04043624]Phase 480 participants (Anticipated)Interventional2019-08-01Recruiting
High Dose Intravenous Lidocaine vs Hydromorphone for Acute Abdominal Pain in the Emergency Department: A Randomized, Comparative Efficacy Trial[NCT04398316]Phase 4187 participants (Anticipated)Interventional2021-02-18Recruiting
A Phase II/III Double-Blind Study of Amitriptyline and Mexiletine for Painful Neuropathy in HIV Infection[NCT00000793]Phase 2240 participants InterventionalCompleted
A Phase II, Double-Blind Trial of Recombinant Human Nerve Growth Factor for Treatment of HIV-Associated Sensory Neuropathy[NCT00000842]Phase 2270 participants InterventionalCompleted
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Clinical Eye Closure Myotonia Evaluation (Seconds)

Time to open the eyes after forced eye closure as measured on a stopwatch. (NCT00832000)
Timeframe: The end of period 1 (week 4) and the end of period 2 (week 9)

InterventionSeconds (Mean)
Mexiletine0.161
Placebo0.474

Clinical Hand Grip Myotonia Evaluation (Seconds)

The time to open the fist after a forced handgrip as measured on a stopwatch. (NCT00832000)
Timeframe: The end of period 1 (week 4) and the end of period 2 (week 9)

InterventionSeconds (Mean)
Mexiletine0.164
Placebo0.494

Compound Motor Action Potentials After Long Exercise Test

Compound muscle action potential (CMAP) after long periods of exercise as a percentage of baseline. (NCT00832000)
Timeframe: The end of period 1 (week 4) and period 2 (week 9)

Interventionpercentage of baseline CMAP amplitude (Mean)
Mexiletine81.8
Placebo80.1

Compound Motor Action Potentials After Short Exercise Test

The maximal post-exercise compound muscle action potential (CMAP) after short periods of exercise as a percent of the baseline measurement. (NCT00832000)
Timeframe: The end of period 1 (week 4) and period 2 (week 9)

Interventionpercentage of baseline CMAP amplitude (Mean)
Mexiletine83.1
Placebo78.6

Graded Myotonia by Needle Electromyography - Right Abductor Digiti Minimi

Measured the amount of myotonia present on needle exam by assigning a number 1-3, with 1 being minimal amount of myotonia on needle stick and 3 being maximal amount of myotonia present on needle stick. (NCT00832000)
Timeframe: The end of period 1 (week 4) and period 2 (week 9)

Interventionunits on a scale (Mean)
Mexiletine2.05
Placebo2.62

Graded Myotonia by Needle Electromyography - Right Tibialis Anterior

Measured the amount of myotonia present on needle exam by assigning a number 1-3, with 1 being minimal amount of myotonia on needle stick and 3 being maximal amount of myotonia present on needle stick. (NCT00832000)
Timeframe: The end of period 1 (week 4) and period 2 (week 9)

Interventionunits on a scale (Mean)
Mexiletine2.07
Placebo2.54

Individualized Neuromuscular Quality of Life Scale - Summary Score

Quality of life scale for patinets with neuromuscular disorders. The INQoL summary score is a weighted average made up of 5 subdomains (activities, social relationships, independence, emotions, and body image) which document the impact of a disease on a patients' quality of life. Scores range from 0-100, and can be interpreted as the percent of maximal detrimental impact on quality of life. A higher score indicates more detrimental impact. (NCT00832000)
Timeframe: The end of period 1 (week 4) and period 2 (week 9)

Interventionunits on a scale (Mean)
Mexiletine14.0
Placebo16.7

Patient Reported Pain on the IVR

Pain measured on a 1-9 scale, 1 being minimal, 9 the worst ever experienced. 0=no symptom reported. For analysis the average severity of pain for each participant was calculated from daily calls made in weeks 3-4 of each period. (NCT00832000)
Timeframe: Weeeks 3-4 of each period

Interventionunits on a scale (Mean)
Mexiletine1.54
Placebo3.17

Patient Reported Tiredness on the IVR

Tiredness measured on a 1-9 scale, 1 being minimal, 9 the worst ever experienced. 0=no symptom reported. For analysis the average severity of tiredness for each participant was calculated from daily calls made in weeks 3-4 of each period. (NCT00832000)
Timeframe: Weeks 3-4 of each period

Interventionunits on a scale (Mean)
Mexiletine2.90
Placebo3.82

Patient Reported Weakness on the IVR

Weakness measured on a 1-9 scale, 1 being minimal, 9 the worst ever experienced. 0=no symptom reported. For analysis the average severity of weakness for each participant was calculated from daily calls made in weeks 3-4 of each period. (NCT00832000)
Timeframe: Weeks 3-4 of each period

Interventionunits on a scale (Mean)
Mexiletine1.96
Placebo3.22

Patient-reported Stiffness on the IVR

Stiffness measured on a 1-9 scale, 1 being minimal, 9 the worst ever experienced. 0=no symptom reported. For analysis the average severity of stiffness for each participant was calculated from daily calls made in weeks 3-4 of each period. (NCT00832000)
Timeframe: Weeks 3-4 of each period

Interventionunits on a scale (Mean)
Mexiletine - Period 12.53
Placebo - Period 14.21
Mexiletine - Period 21.60
Placebo - Period 25.27

Quantitative Measure of Hand Grip Myotonia (Seconds)

Maximum voluntary contractions following forced right hand grip were recorded and the time to relax from 90% to 5% of average maximal force was determined using automated analysis software. (NCT00832000)
Timeframe: The end of period 1 (week 4) and period 2 (week 9)

Interventionseconds (Mean)
Mexiletine0.321
Placebo0.429

Short Form 36 - Mental Composite Score

The SF-36 is a standard quality of life instrument. The mental composite score represents the the mental burden on quality of life and is a summary of questions related to mental impact of a disease or condition (mental function, role emotional, vitality, and mental health). The score is nomralized to the population and ranges from 0-100, with the US normal value of 50. A lower score represents a greater impact of quality of life. (NCT00832000)
Timeframe: The end of period 1 (week 4) and period 2 (week 9)

Interventionunits on a scale (Mean)
Mexiletine - Period 147.4
Placebo - Period 147.7
Mexiletine - Period 253.1
Placebo - Period 242.7

Short Form 36 - Physical Composite Score

The SF-36 is a standard quality of life instrument. The physical composite score represents the the physical burden on quality of life and is a summary of questions related to physical impact of a disease or condition (physical function, role physical, bodily pain, and general health). The score is nomralized to the population and ranges from 0-100, with the US normal value of 50. A lower score represents a greater impact of quality of life. (NCT00832000)
Timeframe: Particiapnts who experienced weakness on mexiletine in either period 1 or period 2.

Interventionunits on a scale (Mean)
Mexiletine44.8
Placebo39.2

The Cumulative Dose of Oxaliplatin

The cumulative dose of oxaliplatin received over the course (up to 12 cycles) of mFOLFOX6 treatment regimen. It corresponds to the absolute summed up quantity of Oxaliplatin administered to the patient over time. There is no range for this measure. Since this is a dose-limiting neuropathy prevention study, the higher value can be interpreted as better outcome. (NCT03254394)
Timeframe: 24 weeks

Interventionmg (Mean)
Placebo + FOLFOX1161.8
Lidocaine + FOLFOX1294.8

Area Under the Curve (AUC) of Intensity of Oxaliplatin-induced Cold Pain/Unpleasantness vs Time

"The intensity of cold pain and cold unpleasantness is evaluated separately, assessed daily on a 0-10 scale, upon holding a pre-cooled (~8°C) metal cylinder for 10 seconds. the area under the curve of cold pain and cold unpleasantness vs time is calculated per chemotherapy cycle (every two weeks) and serves as a primary outcome measure.~For intervention (lidocaine+FOLFOX) and control (placebo+FOLFOX) groups, the average of cold pain AUC and cold unpleasantness AUC over 7 cycles was calculated. The average AUCs over 7 cycles were compared between study arms.~The AUC is measured as a score on a 0-10 scale multiplied by 14 days and may range between 0 and 140. Higher AUC values represent more intense cold pain/unpleasantness." (NCT03254394)
Timeframe: 14 weeks

,
Interventionscore on a scale*days (Mean)
pain AUCunpleasantness AUC
Lidocaine + FOLFOX9.525.4
Placebo + FOLFOX16.433.1

Changes in NPSI Score.

Changes in Neuropathic Pain Symptom Inventory (NPSI) descriptors of neuropathic pain over time from baseline to cycle 3(6 weeks), cycle 6 (12 weeks), and the last follow-up (34-36 weeks). The total NPSI score ranges from 0 to 100; a higher NPSI total score represents a worse neuropathy outcome. The changes in scores from baseline are compared between study arms. (NCT03254394)
Timeframe: 6 weeks, 12 weeks, 34-36 weeks

,
Interventionscore on a scale (Median)
6 weeks visit12 weeks visitlast follow-up visit
Lidocaine + FOLFOX0013.5
Placebo + FOLFOX003.0

CIPN Score on EORTC QLQ-CIPN20

"Change in CIPN (Chemotherapy-induced peripheral Neuropathy) score (on EORTC QLQ-CIPN20 tool ) from baseline to the Cycle 6 (12 weeks), and from baseline to last follow-up (34-36 weeks). EORTC QLQ-CIPN20 ranges from 0 (no symptoms) to 100 (worst symptoms). A higher score represents worse neuropathy. The changes in scores are compared between study arms.~EORTC QLQ-CIPN20 tool is a quality of life questionnaire (QLQ) from the European Organization for Research and Treatment of Cancer (EORTC) for evaluation of CIPN." (NCT03254394)
Timeframe: 12 weeks and 34-36 weeks

,
Interventionscore on a scale (Median)
1234-36 weeks
Lidocaine + FOLFOX437.0
Placebo + FOLFOX217.0

Reviews

7 reviews available for mexiletine and Ache

ArticleYear
Perspectives on the Two-Pore Domain Potassium Channel TREK-1 (TWIK-Related K(+) Channel 1). A Novel Therapeutic Target?
    Journal of medicinal chemistry, 2016, 06-09, Volume: 59, Issue:11

    Topics: Arrhythmias, Cardiac; Depression; Epilepsy; Humans; Inflammation; Models, Molecular; Molecular Struc

2016
[Central and peripheral mechanisms in antinociception: current and future perspectives].
    Neuropsychopharmacologia Hungarica : a Magyar Pszichofarmakologiai Egyesulet lapja = official journal of the Hungarian Association of Psychopharmacology, 2008, Volume: 10, Issue:3

    Topics: Amines; Analgesics, Non-Narcotic; Analgesics, Opioid; Animals; Bridged Bicyclo Compounds, Heterocycl

2008
Systemic administration of local anesthetic agents to relieve neuropathic pain.
    The Cochrane database of systematic reviews, 2005, Oct-19, Issue:4

    Topics: Administration, Oral; Anesthetics, Intravenous; Anesthetics, Local; Flecainide; Humans; Lidocaine; M

2005
Systemic administration of local anesthetic agents to relieve neuropathic pain.
    The Cochrane database of systematic reviews, 2005, Oct-19, Issue:4

    Topics: Administration, Oral; Anesthetics, Intravenous; Anesthetics, Local; Flecainide; Humans; Lidocaine; M

2005
Systemic administration of local anesthetic agents to relieve neuropathic pain.
    The Cochrane database of systematic reviews, 2005, Oct-19, Issue:4

    Topics: Administration, Oral; Anesthetics, Intravenous; Anesthetics, Local; Flecainide; Humans; Lidocaine; M

2005
Systemic administration of local anesthetic agents to relieve neuropathic pain.
    The Cochrane database of systematic reviews, 2005, Oct-19, Issue:4

    Topics: Administration, Oral; Anesthetics, Intravenous; Anesthetics, Local; Flecainide; Humans; Lidocaine; M

2005
Systemic administration of local anesthetics to relieve neuropathic pain: a systematic review and meta-analysis.
    Anesthesia and analgesia, 2005, Volume: 101, Issue:6

    Topics: Anesthetics, Local; Humans; Lidocaine; Mexiletine; Pain; Peripheral Nervous System Diseases; Randomi

2005
Intravenous lidocaine for neuropathic pain: diagnostic utility and therapeutic efficacy.
    Current pain and headache reports, 2007, Volume: 11, Issue:1

    Topics: Anesthetics, Local; Humans; Infusions, Intravenous; Lidocaine; Mexiletine; Pain; Peripheral Nervous

2007
Causes of neuropathic pain.
    Diabetic medicine : a journal of the British Diabetic Association, 1993, Volume: 10 Suppl 2

    Topics: Animals; Blood Glucose; Diabetic Neuropathies; Humans; Leg; Lidocaine; Mexiletine; Pain; Regional Bl

1993
Drug treatment of neuropathic pain.
    Drug and therapeutics bulletin, 2000, Volume: 38, Issue:12

    Topics: Aged; Analgesics, Opioid; Anti-Arrhythmia Agents; Anti-Inflammatory Agents, Non-Steroidal; Anticonvu

2000

Trials

10 trials available for mexiletine and Ache

ArticleYear
A secondary analysis of PAIN-CONTRoLS: Pain's impact on sleep, fatigue, and activities of daily living.
    Muscle & nerve, 2022, Volume: 66, Issue:4

    Topics: Activities of Daily Living; Bayes Theorem; Diabetic Neuropathies; Double-Blind Method; Duloxetine Hy

2022
Mexiletine for symptoms and signs of myotonia in nondystrophic myotonia: a randomized controlled trial.
    JAMA, 2012, Oct-03, Volume: 308, Issue:13

    Topics: Administration, Oral; Adolescent; Adult; Aged; Anti-Arrhythmia Agents; Cross-Over Studies; Double-Bl

2012
Systemic lidocaine in pain due to peripheral nerve injury and predictors of response.
    Neurology, 2004, Jan-27, Volume: 62, Issue:2

    Topics: Adult; Aged; Analgesics; Cold Temperature; Cross-Over Studies; Double-Blind Method; Female; Hot Temp

2004
Systemic lidocaine in pain due to peripheral nerve injury and predictors of response.
    Neurology, 2004, Jan-27, Volume: 62, Issue:2

    Topics: Adult; Aged; Analgesics; Cold Temperature; Cross-Over Studies; Double-Blind Method; Female; Hot Temp

2004
Systemic lidocaine in pain due to peripheral nerve injury and predictors of response.
    Neurology, 2004, Jan-27, Volume: 62, Issue:2

    Topics: Adult; Aged; Analgesics; Cold Temperature; Cross-Over Studies; Double-Blind Method; Female; Hot Temp

2004
Systemic lidocaine in pain due to peripheral nerve injury and predictors of response.
    Neurology, 2004, Jan-27, Volume: 62, Issue:2

    Topics: Adult; Aged; Analgesics; Cold Temperature; Cross-Over Studies; Double-Blind Method; Female; Hot Temp

2004
A highly successful and novel model for treatment of chronic painful diabetic peripheral neuropathy.
    Diabetes care, 1993, Volume: 16, Issue:8

    Topics: Analgesics; Capsaicin; Diabetic Neuropathies; Exercise Therapy; Female; Glycated Hemoglobin; Humans;

1993
Efficacy and safety of mexiletine in the treatment of painful diabetic neuropathy. The Mexiletine Study Group.
    Diabetes care, 1997, Volume: 20, Issue:10

    Topics: Anti-Arrhythmia Agents; Blood Pressure; Diabetic Neuropathies; Dose-Response Relationship, Drug; Dou

1997
Mexiletine for HIV-infected patients with painful peripheral neuropathy: a double-blind, placebo-controlled, crossover treatment trial.
    Journal of acquired immune deficiency syndromes and human retrovirology : official publication of the International Retrovirology Association, 1998, Dec-01, Volume: 19, Issue:4

    Topics: Adult; Analgesics; Cross-Over Studies; Double-Blind Method; HIV Infections; Humans; Mexiletine; Pain

1998
A randomized trial of amitriptyline and mexiletine for painful neuropathy in HIV infection. AIDS Clinical Trial Group 242 Protocol Team.
    Neurology, 1998, Volume: 51, Issue:6

    Topics: Adrenergic Uptake Inhibitors; Adult; Amitriptyline; Anti-Arrhythmia Agents; Double-Blind Method; Dru

1998
Positive symptoms in multiple sclerosis: their treatment with sodium channel blockers, lidocaine and mexiletine.
    Journal of the neurological sciences, 1999, Jan-15, Volume: 162, Issue:2

    Topics: Adult; Dose-Response Relationship, Drug; Female; Humans; Lidocaine; Male; Mexiletine; Middle Aged; M

1999
Mexiletine in the treatment of diabetic neuropathy.
    Diabetes care, 1992, Volume: 15, Issue:11

    Topics: Adult; Aged; Diabetic Neuropathies; Dose-Response Relationship, Drug; Double-Blind Method; Female; H

1992
Dercum's disease (adiposis dolorosa). Treatment of the severe pain with intravenous lidocaine.
    Pain, 1987, Volume: 28, Issue:1

    Topics: Adiposis Dolorosa; Adult; Aged; Aged, 80 and over; Double-Blind Method; Female; Humans; Injections,

1987

Other Studies

29 other studies available for mexiletine and Ache

ArticleYear
A-803467, a potent and selective Nav1.8 sodium channel blocker, attenuates neuropathic and inflammatory pain in the rat.
    Proceedings of the National Academy of Sciences of the United States of America, 2007, May-15, Volume: 104, Issue:20

    Topics: Action Potentials; Analgesics; Aniline Compounds; Animals; Capsaicin; Evoked Potentials; Furans; Gan

2007
Imidazopyridines: a novel class of hNav1.7 channel blockers.
    Bioorganic & medicinal chemistry letters, 2008, Mar-01, Volume: 18, Issue:5

    Topics: Analgesics; Animals; Inflammation; Molecular Structure; NAV1.7 Voltage-Gated Sodium Channel; Pain; P

2008
Identification of a potent, state-dependent inhibitor of Nav1.7 with oral efficacy in the formalin model of persistent pain.
    Journal of medicinal chemistry, 2011, Jul-14, Volume: 54, Issue:13

    Topics: Acetamides; Administration, Oral; Analgesics; Animals; Binding Sites; Cell Line; ERG1 Potassium Chan

2011
Mexiletine reverses oxaliplatin-induced neuropathic pain in rats.
    Journal of pharmacological sciences, 2010, Volume: 112, Issue:4

    Topics: Animals; Anti-Arrhythmia Agents; Mexiletine; Organoplatinum Compounds; Oxaliplatin; Pain; Peripheral

2010
Attenuating effect of mexiletine hydrochloride on herpetic pain in mice infected with herpes simplex virus.
    The Journal of pharmacy and pharmacology, 2003, Volume: 55, Issue:10

    Topics: Animals; Anti-Arrhythmia Agents; Disease Models, Animal; Dose-Response Relationship, Drug; Female; H

2003
Novel cyclopentane dicarboxamide sodium channel blockers as a potential treatment for chronic pain.
    Bioorganic & medicinal chemistry letters, 2005, Apr-01, Volume: 15, Issue:7

    Topics: Administration, Oral; Amides; Analgesics; Animals; Biphenyl Compounds; Cyclopentanes; Ion Channel Ga

2005
Relationship between sodium channel NaV1.3 expression and neuropathic pain behavior in rats.
    Pain, 2005, Volume: 117, Issue:1-2

    Topics: Analgesics; Animals; Behavior, Animal; Disease Models, Animal; Dose-Response Relationship, Drug; Gan

2005
Potent analgesic effects of a putative sodium channel blocker M58373 on formalin-induced and neuropathic pain in rats.
    European journal of pharmacology, 2006, May-01, Volume: 536, Issue:3

    Topics: Analgesics; Animals; Cells, Cultured; Dose-Response Relationship, Drug; Formaldehyde; Ganglia, Spina

2006
Pharmacologic investigation of the mechanism underlying cold allodynia using a new cold plate procedure in rats with chronic constriction injuries.
    Behavioural pharmacology, 2008, Volume: 19, Issue:1

    Topics: Analgesics, Opioid; Animals; Behavior, Animal; Calcium Channel Blockers; Chronic Disease; Cold Tempe

2008
A comparison of the action of mexiletine and morphine in rodent models of acute and chronic pain.
    Proceedings of the Western Pharmacology Society, 1995, Volume: 38

    Topics: Acute Disease; Animals; Chronic Disease; Cold Temperature; Male; Mexiletine; Morphine; Pain; Pain Me

1995
Involvement of delta 1-opioid receptors in the antinociceptive effects of mexiletine in mice.
    Neuroscience letters, 1995, Aug-25, Volume: 196, Issue:3

    Topics: Animals; Diabetic Neuropathies; Male; Mexiletine; Mice; Mice, Inbred ICR; Naltrexone; Narcotic Antag

1995
Effects of mexiletine on formalin-induced nociceptive responses in mice.
    Research communications in chemical pathology and pharmacology, 1993, Volume: 80, Issue:2

    Topics: Animals; Diabetes Mellitus, Experimental; Formaldehyde; Injections, Intraperitoneal; Injections, Spi

1993
Mexiletine for chronic pain.
    Lancet (London, England), 1993, Dec-11, Volume: 342, Issue:8885

    Topics: Aged; Chronic Disease; Humans; Male; Mexiletine; Pain

1993
The effects of mexiletine, desipramine and fluoxetine in rat models involving central sensitization.
    Pain, 1997, Volume: 69, Issue:1-2

    Topics: Animals; Anti-Arrhythmia Agents; Antidepressive Agents, Second-Generation; Antidepressive Agents, Tr

1997
Comparable dose-dependent inhibition of AP-7 sensitive strychnine-induced allodynia and paw pinch-induced nociception by mexiletine in the rat.
    Pain, 1997, Volume: 72, Issue:3

    Topics: 2-Amino-5-phosphonovalerate; Animals; Dose-Response Relationship, Drug; Foot; Hyperesthesia; Male; M

1997
Use of differential normal pulse voltammetry for the measurement of locus coeruleus catecholaminergic metabolism in an acute anaesthetized rodent model of allodynia: effect of mexiletine.
    Journal of neuroscience methods, 1997, Sep-05, Volume: 76, Issue:1

    Topics: Anesthesia; Anesthetics, Local; Animals; Anti-Arrhythmia Agents; Catecholamines; Electrodes, Implant

1997
A novel spinal action of mexiletine in spinal somatosensory transmission of nerve injured rats.
    Pain, 1998, Volume: 77, Issue:3

    Topics: Animals; Anti-Arrhythmia Agents; Behavior, Animal; Evoked Potentials, Somatosensory; Ligation; Male;

1998
Dercum's disease (adiposis dolorosa).
    The Journal of laryngology and otology, 1999, Volume: 113, Issue:2

    Topics: Adipose Tissue; Adiposis Dolorosa; Anti-Arrhythmia Agents; Female; Humans; Mexiletine; Middle Aged;

1999
Potential therapy for painful neuropathy.
    PI perspective, 1995, Issue:no 16

    Topics: Acupuncture Therapy; Amitriptyline; HIV Infections; Humans; Mexiletine; Nerve Growth Factors; Pain;

1995
Potential therapy for painful neuropathy.
    PI perspective, 1995, Issue:no 16

    Topics: Acupuncture Therapy; Amitriptyline; HIV Infections; Humans; Mexiletine; Nerve Growth Factors; Pain;

1995
Potential therapy for painful neuropathy.
    PI perspective, 1995, Issue:no 16

    Topics: Acupuncture Therapy; Amitriptyline; HIV Infections; Humans; Mexiletine; Nerve Growth Factors; Pain;

1995
Potential therapy for painful neuropathy.
    PI perspective, 1995, Issue:no 16

    Topics: Acupuncture Therapy; Amitriptyline; HIV Infections; Humans; Mexiletine; Nerve Growth Factors; Pain;

1995
Nociception and allodynia/hyperalgesia induced by intrathecal administration of fenvalerate.
    Japanese journal of pharmacology, 2001, Volume: 86, Issue:3

    Topics: Animals; Behavior, Animal; Dizocilpine Maleate; Enzyme Activators; Enzyme Inhibitors; Hyperalgesia;

2001
Analgesic activity of a novel use-dependent sodium channel blocker, crobenetine, in mono-arthritic rats.
    British journal of pharmacology, 2001, Volume: 134, Issue:8

    Topics: Analgesics; Animals; Anti-Inflammatory Agents, Non-Steroidal; Arthritis, Experimental; Benzomorphans

2001
Effects of analgesics on delayed postherpetic pain in mice.
    Anesthesiology, 2002, Volume: 96, Issue:5

    Topics: Acetates; Acute Disease; Acyclovir; Amines; Analgesics; Analgesics, Opioid; Animals; Antiviral Agent

2002
Antinociceptive effect of mexiletine in diabetic mice.
    Research communications in chemical pathology and pharmacology, 1992, Volume: 77, Issue:2

    Topics: Animals; Diabetes Mellitus, Experimental; Male; Mexiletine; Mice; Mice, Inbred ICR; Nociceptors; Pai

1992
Systemic mexiletine relieves chronic allodynialike symptoms in rats with ischemic spinal cord injury.
    Anesthesia and analgesia, 1992, Volume: 74, Issue:5

    Topics: Animals; Female; Injections, Intraperitoneal; Ischemia; Mexiletine; Motor Activity; Pain; Pain Measu

1992
[Treatment of pain in diabetic polyneuropathy].
    Deutsche medizinische Wochenschrift (1946), 1991, May-03, Volume: 116, Issue:18

    Topics: Analgesics; Antidepressive Agents; Antidepressive Agents, Tricyclic; Antipsychotic Agents; Carbamaze

1991
The management of oral mexiletine and intravenous lidocaine to treat chronic painful symmetrical distal diabetic neuropathy.
    The Journal of the Kentucky Medical Association, 1991, Volume: 89, Issue:10

    Topics: Chronic Disease; Diabetic Neuropathies; Drug Therapy, Combination; Female; Humans; Infusions, Intrav

1991
[Diabetic neuropathy--sensory abnormalities and treatment for painful neuropathy].
    Nihon rinsho. Japanese journal of clinical medicine, 1991, Volume: 49 Suppl

    Topics: Alprostadil; Anticonvulsants; Antidepressive Agents, Tricyclic; Child; Diabetic Neuropathies; Female

1991
Mexiletine for thalamic pain syndrome.
    The International journal of neuroscience, 1990, Volume: 55, Issue:2-4

    Topics: Cerebral Hemorrhage; Cerebral Infarction; Female; Humans; Male; Mexiletine; Middle Aged; Multiple Sc

1990
General pharmacological studies on N-(2,6-dimethylphenyl)-8-pyrrolizidineacetamide hydrochloride hemihydrate. 1st communication: effect on the central nervous system.
    Arzneimittel-Forschung, 1988, Volume: 38, Issue:10

    Topics: Administration, Oral; Animals; Anti-Arrhythmia Agents; Body Temperature; Catalepsy; Cats; Central Ne

1988