Dolore neuropatico localizzato: revisione della letteratura sull'utilizzo di Lidocaina cerotto 5% come first line treatment e nostra esperienza come add-on therapy

Translated title of the contribution: Localized neuropathic pain: 5% Lidocaine medicated plaster as a first line treatment and as add-on therapy: Literature review and personal experience

R. Casale, E. Polati, V. Schweiger, F. Coluzzi, A. Bhaskar, C. Mattia

Research output: Contribution to journalArticlepeer-review

Abstract

Localized neuropathic pain (LNP) is a type of neuropathic pain characterized by consistent and circumscribed area(s) of maximum pain, which are associated with negative or positive sensory signs and/or spontaneous symptoms typical of neuropathic pain. This description, outlines the clinical features of a group of pathologies, in which a LNP can be diagnosed and for whom topical targeted treatment with 5% Lidocaine medicated plaster can be suggested. Indeed both American as well as European guidelines already suggest 5% Lidocaine medicated plaster as a first line treatment in post herpetic neuralgia and in general in the treatment of conditions such as diabetic painful polyneuropathy and post surgical pain where a LNP can be ascertain. In a daily practice of a Pain Unit however the usual case mix encompasses also other causes of LNP, most of them with a scanty pain control in spite of a ongoing polytherapy. Aims of this paper were to focus on 5% Lidocaine medicated plaster as a first line treatment in LNP and to add new insight on its possible use as add-on therapy reporting our data on a consecutive series of 42 patients affected by LNP under unsatisfactory polytherapy in which 5% Lidocaine medicated plaster was able to achieve a satisfactory pain control.

Translated title of the contributionLocalized neuropathic pain: 5% Lidocaine medicated plaster as a first line treatment and as add-on therapy: Literature review and personal experience
Original languageItalian
Pages (from-to)177-195
Number of pages19
JournalMinerva Medica
Volume105
Issue number3
Publication statusPublished - Jun 1 2014

ASJC Scopus subject areas

  • Medicine(all)

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