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  4. A Nutritional Supplement as Adjuvant of Gabapentinoids for Adults with Neuropathic Pain following Spinal Cord Injury and Stroke: Preliminary Results

A Nutritional Supplement as Adjuvant of Gabapentinoids for Adults with Neuropathic Pain following Spinal Cord Injury and Stroke: Preliminary Results

Healthcare, 2023 · DOI: https://doi.org/10.3390/healthcare11182563 · Published: September 16, 2023

Spinal Cord InjuryPain ManagementNeurorehabilitation

Simple Explanation

This study investigates whether a nutritional supplement called NACVAN®, when combined with gabapentinoids, can help reduce pain in patients with central neuropathic pain (CNP) caused by spinal cord injury or stroke. The researchers measured pain intensity, neuropathic symptoms, and quality-of-life at the beginning of the study, after 3 weeks, and after 6 weeks of treatment with NACVAN®. Preliminary results showed that NACVAN® may have a beneficial effect when used with gabapentinoids to alleviate pain in patients with CNP due to SCI or stroke, without causing adverse effects.

Study Duration
6 weeks
Participants
29 adult inpatients with spinal cord injury (SCI) or stroke-related CNP
Evidence Level
Not specified

Key Findings

  • 1
    There was a significant reduction in pain intensity from baseline to 3 weeks (p = 0.021) and from baseline to 6 weeks (p = 0.011).
  • 2
    The study found a significant reduction in neuropathic symptoms from baseline to 3 weeks (p = 0.024) and from baseline to 6 weeks (p = 0.003).
  • 3
    Evoked pain was significantly reduced from baseline to 6 weeks (p = 0.048).

Research Summary

This study evaluated the effects of NACVAN®, a commercially available nutraceutical, as an add-on to gabapentinoids for treating pain in patients with central neuropathic pain (CNP) resulting from spinal cord injury (SCI) or stroke. The preliminary results suggest that NACVAN® may have a beneficial adjuvant effect in reducing pain intensity and neuropathic pain symptoms, especially evoked pain, with no reported adverse effects. The findings support further research into NACVAN®'s role as an adjuvant to gabapentinoids, particularly given the recognized difficulties in treating CNP conditions.

Practical Implications

Potential Adjuvant Therapy

NACVAN® could be a beneficial adjuvant therapy to gabapentinoids for patients with CNP due to SCI or stroke.

Reduced Pain Intensity

NACVAN® supplementation may help reduce the perceived intensity of pain and neuropathic pain symptoms.

Improved Quality of Life

Although not significantly observed in this study, future research could explore the potential of NACVAN® to improve the quality of life for CNP patients.

Study Limitations

  • 1
    Small sample size
  • 2
    Lack of a control group
  • 3
    Limited number of stroke patients

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