Antidepressants in the management of chronic pain syndromes.

Conditions in which antidepressants have been used include diabetic neuropathy, postherpetic neuralgia, headaches, arthritis, chronic back pain, cancer, thalamic pain, facial pain, and phantom limb pain. Although much of the available information is derived from inadequately controlled trials, it seems that antidepressants provide analgesia in many of these disorders. The analgesic effects tend to be independent of antidepressant effects, and doses of heterocyclic antidepressants used for analgesia seem to be lower than those considered effective in the treatment of depression. Doses should be started low and gradually increased until the patient reaches the highest tolerable dose. Onset of analgesia is variable, ranging from 1 day to 10 weeks. Common side effects include dry mouth, drowsiness, urinary retention, orthostatic hypotension, and constipation. Optimum dosages and schedules have not been established.
AuthorsI G Egbunike, B J Chaffee
JournalPharmacotherapy (Pharmacotherapy) Vol. 10 Issue 4 Pg. 262-70 ( 1990) ISSN: 0277-0008 [Print] UNITED STATES
PMID2143820 (Publication Type: Journal Article, Review)
Chemical References
  • Antidepressive Agents
  • Amitriptyline
  • Amitriptyline (therapeutic use)
  • Antidepressive Agents (pharmacology, therapeutic use)
  • Arthritis (drug therapy)
  • Back Pain (drug therapy)
  • Chronic Disease
  • Diabetic Neuropathies (drug therapy)
  • Headache (drug therapy)
  • Humans
  • Neoplasms (physiopathology)
  • Neuralgia (drug therapy)
  • Pain (drug therapy, etiology, physiopathology)

Join CureHunter, for free Research Interface BASIC access!

Take advantage of free CureHunter research engine access to explore the best drug and treatment options for any disease. Find out why thousands of doctors, pharma researchers and patient activists around the world use CureHunter every day.
Realize the full power of the drug-disease research network!

Choose Username:
Verify Password: