La maladie de Parkinson en France (serveur d'exploration)

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Emerging analgesic drugs for Parkinson's disease.

Identifieur interne : 000863 ( PubMed/Corpus ); précédent : 000862; suivant : 000864

Emerging analgesic drugs for Parkinson's disease.

Auteurs : Santiago Perez-Lloret ; María Ver Nica Rey ; Estelle Dellapina ; Jean Pellaprat ; Christine Brefel-Courbon ; Olivier Rascol

Source :

RBID : pubmed:22530847

English descriptors

Abstract

Pain affects between 40 and 85% of Parkinson's disease (PD) patients. It is a frequently disabling and overlooked feature, which can significantly reduce health-related quality of life. Unfortunately, there are no universally recommended treatments for this condition.

DOI: 10.1517/14728214.2012.677949
PubMed: 22530847

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pubmed:22530847

Le document en format XML

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<name sortKey="Perez Lloret, Santiago" sort="Perez Lloret, Santiago" uniqKey="Perez Lloret S" first="Santiago" last="Perez-Lloret">Santiago Perez-Lloret</name>
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<nlm:affiliation>University Hospital and University Paul Sabatier Toulouse 3, Departments of Clinical Pharmacology and Neurosciences, France.</nlm:affiliation>
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<name sortKey="Rey, Maria Ver Nica" sort="Rey, Maria Ver Nica" uniqKey="Rey M" first="María Ver Nica" last="Rey">María Ver Nica Rey</name>
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<name sortKey="Dellapina, Estelle" sort="Dellapina, Estelle" uniqKey="Dellapina E" first="Estelle" last="Dellapina">Estelle Dellapina</name>
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<name sortKey="Brefel Courbon, Christine" sort="Brefel Courbon, Christine" uniqKey="Brefel Courbon C" first="Christine" last="Brefel-Courbon">Christine Brefel-Courbon</name>
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<name sortKey="Rascol, Olivier" sort="Rascol, Olivier" uniqKey="Rascol O" first="Olivier" last="Rascol">Olivier Rascol</name>
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<term>Double-Blind Method</term>
<term>Humans</term>
<term>Pain (drug therapy)</term>
<term>Pain (etiology)</term>
<term>Pain Management (methods)</term>
<term>Parkinson Disease (complications)</term>
<term>Parkinson Disease (drug therapy)</term>
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<term>Analgesics</term>
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<term>Analgesics</term>
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<term>Parkinson Disease</term>
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<div type="abstract" xml:lang="en">Pain affects between 40 and 85% of Parkinson's disease (PD) patients. It is a frequently disabling and overlooked feature, which can significantly reduce health-related quality of life. Unfortunately, there are no universally recommended treatments for this condition.</div>
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<AbstractText Label="INTRODUCTION" NlmCategory="BACKGROUND">Pain affects between 40 and 85% of Parkinson's disease (PD) patients. It is a frequently disabling and overlooked feature, which can significantly reduce health-related quality of life. Unfortunately, there are no universally recommended treatments for this condition.</AbstractText>
<AbstractText Label="AREAS COVERED" NlmCategory="METHODS">Evidence about the efficacy and safety of available analgesic treatments is summarized in this review. Potential targets for upcoming therapies are then discussed in light of what is currently known about the physiopathology of pain in PD. Protocols for efficacy and safety assessment of novel analgesic therapies are discussed. Finally, critical aspects of study protocol design such as patient selection or outcomes to be evaluated are discussed.</AbstractText>
<AbstractText Label="EXPERT OPINION" NlmCategory="CONCLUSIONS">Preliminary results indicate that duloxetine, cranial electrotherapy stimulation, rotigotine, subthalamic or pallidum nuclei stimulation or lesion or levodopa could be effective for treating pain in PD. Similarly, some case reports indicate that repetitive transcranial magnetic stimulation (rTMS) or apomorphine could be effective for relieving painful off-period dystonia. Clinical trials with rTMS or oxycodone/naloxone prolonged-release tablets for neuropathic pain or botulinum toxin for off-period dystonia are underway. Success of clinical trials about analgesic strategies in PD will depend on the selection of the right PD population to be treated, according to the type of pain, and the proper selection of study outcomes and follow-up of international recommendations.</AbstractText>
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