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[Tolrestat in the therapy of diabetic peripheral neuropathy: is this drug really useful?].

Abstract
The authors have studied the effect of the treatment with an aldose reductase inhibitor, tolrestat, on the peripheral diabetic neuropathy during a placebo controlled randomised trial. 74 diabetics affected by peripheral neuropathy were divided in two groups of 39 (group A) and 35 (group B) patients comparable as to age, sex, duration of diabetes and severity of the neurological symptoms. The group A was treated with tolrestat orally 200 my once daily for six months, the group B was treated with placebo. After six months an improvement of analysed symptoms (pain and paraesthesias) and objective assessments (NCV-DB) was observed in patients treated with tolrestat (group A) significantly higher than in patients treated with placebo (group B). A light improvement was found also during a control effected after three months of treatment with tolrestat. The improvement after six months of therapy was mild but significant; therefore the authors conclude that the tolrestat is an useful drug in the treatment of the peripheral diabetic neuropathy in addition to attainment of a better glycemia's control.
AuthorsE Daniele, M P Coco
JournalLa Clinica terapeutica (Clin Ter) Vol. 146 Issue 12 Pg. 793-99 (Dec 1995) ISSN: 0009-9074 [Print] Italy
Vernacular TitleLa terapia della neuropatia diabetica periferica con tolrestat: tale farmaco è realmente utile?
PMID8681499 (Publication Type: Clinical Trial, Clinical Trial, Phase II, English Abstract, Journal Article, Randomized Controlled Trial, Review)
Chemical References
  • Blood Glucose
  • Enzyme Inhibitors
  • Naphthalenes
  • tolrestat
  • Aldehyde Reductase
Topics
  • Aldehyde Reductase (antagonists & inhibitors)
  • Blood Glucose (drug effects)
  • Diabetes Mellitus, Type 1 (drug therapy)
  • Diabetic Neuropathies (drug therapy)
  • Dose-Response Relationship, Drug
  • Enzyme Inhibitors (therapeutic use)
  • Female
  • Humans
  • Hyperglycemia (drug therapy)
  • Male
  • Middle Aged
  • Naphthalenes (therapeutic use)

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