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- Title
A Meta-Analysis of Therapeutic Efficacy and Safety of Gabapentin in the Treatment of Postherpetic Neuralgia from Randomized Controlled Trials.
- Authors
Zhang, Meng; Gao, Cun-Xiang; Ma, Ke-Tao; Li, Li; Dai, Zhi-Gang; Wang, Sheng; Si, Jun-Qiang
- Abstract
Objective. The study aims to systematically evaluate the clinical effect of gabapentin in the treatment of postherpetic neuralgia (PHN). Method. Data were retrieved electronically from PubMed, Embase, CNKI, the China Biomedical Database, and the Library of Clinical Database, beginning from the time of inception to April 2017, in order to collect data on randomized controlled trials (RCTs) of gabapentin and placebo in PHN treatment. Results. A total of 11 RCTs (2376 people) were retrieved. The gabapentin group reported significantly reduced pain intensity [MD=−0.91, 95% CI −1.32 to −0.51, P<0.00001] compared with the placebo group. Those treated with gabapentin also experienced significantly improved sleep quality [SMD=−0.44, 95% CI −0.66 to −0.23, P<0.0001], but were more likely to experience incidence of adverse events, such as somnolence, dizziness, and peripheral edema. Results of the subgroup analysis showed that the source of heterogeneity may be related to the formulations of the drug. Conclusion. Gabapentin can be used to effectively and safely treat PHN.
- Subjects
CONFIDENCE intervals; DIZZINESS; EDEMA; HERPES zoster; MEDICAL information storage &; retrieval systems; MEDLINE; META-analysis; NEURALGIA; ONLINE information services; SLEEP; SLEEP disorders; SYSTEMATIC reviews; PAIN measurement; RANDOMIZED controlled trials; TREATMENT effectiveness; GABAPENTIN; THERAPEUTICS
- Publication
BioMed Research International, 2018, Vol 2018, p1
- ISSN
2314-6133
- Publication type
Article
- DOI
10.1155/2018/7474207