This review of studies was carried out through Cochrane Oral Health, and the evidence is current up to 31 December 2015. We found 23 studies (assessing 1121 people; 83% were women), published between 1995 and 2015 to include in this review. The Cochrane Library is a collection of high-quality, independent evidence to inform healthcare decision-making, including the Cochrane Database of Systematic Reviews and the CENTRAL register of controlled trials. In May 2016 we searched for clinical trials where gabapentin was used to treat pain due to fibromyalgia in adults. We found one study that met the requirements for this review. The study tested 1200 to 2400 mg/day of gabapentin compared with a placebo over 12 weeks, in 150 people. Key results Gabapentin at doses of 1800 mg to 3600 mg daily (1200 mg to 3600 mg gabapentin encarbil) can provide good levels of pain relief to some people with postherpetic neuralgia and peripheral diabetic neuropathy. Antiepileptic drugs (previously called anticonvulsants) are used for treating epilepsy, but have also been used for treating neuropathic pain and fibromyalgia. Many of the drugs have been the subject of individual Cochrane reviews. In August 2013 we collected all these Cochrane reviews on antiepileptic drugs together to provide an overview. Researchers have studied the ability of various drug treatments to prevent the development of chronic pain after surgery and this systematic review evaluated published studies in this field. Available studies suggest a modest effect of ketamine, compared to placebo, for prevention of chronic pain after surgery, however small study size could Using the IMMPACT definition of substantial benefit, gabapentin was superior to placebo in 13 studies with 2627 participants, 31% improving with gabapentin and 17% with placebo; the NNT was 6.8 (5.6 to 8.7). These estimates of efficacy are more conservative than those reported in a previous review. Authors' conclusions: Gabapentin at doses of 1800 mg to 3600 mg daily (1200 mg to 3600 mg gabapentin encarbil) can provide good levels of pain relief to some people with postherpetic neuralgia and peripheral diabetic neuropathy. Evidence for other types of neuropathic pain is very limited. This is an update of a Cochrane Review titled 'Gabapentin for chronic neuropathic pain and fibromyalgia in adults', published in 2014 (Moore 2014a). The review has now been split and this update will consider only neuropathic pain. The Cochrane Review 1 summarized in this Cochrane Rehabilitation Corner addresses analgesic efficacy and harms of gabapentin for adults experiencing chronic neuropathic pain. The rehabilitation implications are that gabapentin achieves substantial or moderate beneficial effect in more patients with PHN and PDN compared with placebo, but it is We identified 21 eligible studies: four (578 participants) evaluated the combination of an opioid with gabapentin or pregabalin; two (77 participants) evaluated an opioid with a tricyclic antidepressant; one (56 participants) of gabapentin and nortriptyline; one (120 participants) of gabapentin and alpha-lipoic acid, three (90 participants) of fluphenazine with a tricyclic antidepressant Gabapentin compared with placebo for peripheral diabetic neuropathy: efficacy. Patient or population: adults with peripheral diabetic neuropathy . Settings: community . Intervention: ≥ 1800 mg daily or gabapentin encarbil 1200 mg daily . Comparison: placebo . Outcome. Probable outcome with gabapentin. Probable outcome with placebo. RR and NNT Background: Gabapentin is an antiepileptic drug, also used in the treatment of neuropathic pain, which is the subject of a Cochrane review, currently under revision. Its efficacy in treating established acute postoperative pain has not been demonstrated. The present review is part of an update of a Cochrane review first published in 2004, and previously updated (conclusions not changed) in 2007. Objectives: To describe and assess the evidence from controlled trials on the efficacy and tolerability of gabapentin/gabapentin enacarbil or pregabalin for preventing migraine attacks in adult patients This review updates parts of two earlier Cochrane reviews investigating effects of gabapentin in chronic neuropathic pain (pain due to nerve damage). Antiepileptic drugs are used to manage pain, predominantly for chronic neuropathic pain, especially when the pain is lancinating or burning. Few patients with neuropathy experience clinically relevant benefit from any intervention (30%-48% with active and 11%-30% with placebo). 1 This JAMA Clinical Evidence Synopsis summarizes an updated Cochrane review on gabapentin for neuropathic pain. 2 Background: This review is an update of a review published in 2011, itself a major update of previous reviews published in 2005 and 2000, investigating the effects of gabapentin in chronic neuropathic pain (pain due to nerve damage). Antiepileptic drugs are used to manage chronic neuropathic pain and fibromyalgia. The two new reviews which replace this piece of work can be found on The Cochrane Library as: 'Single‐dose oral gabapentin for established acute postoperative pain' and 'Gabapentin for 'Gabapentin for chronic neuropathic pain in adults'. The remaining gaps from the original review will be updated as soon as possible. Gabapentin is an antiepileptic drug, also used in the treatment of neuropathic pain, which is the subject of a Cochrane review, currently under revision. Its efficacy in treating established acute postoperative pain has not been demonstrated. Gabapentin is commonly used to treat neuropathic pain (pain due to nerve damage). This review updates a review published in 2014, and previous reviews published in 2011, 2005 and 2000. To assess the analgesic efficacy and adverse effects of gabapentin in chronic neuropathic pain in adults.
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