Preview

Neurology, Neuropsychiatry, Psychosomatics

Advanced search

Cervicocranialgia: rationale for and evaluation of the clinical efficiency of therapy with the Russian generics of dexketoprofen and tolperisone

https://doi.org/10.14412/2074-2711-2019-4-94-99

Full Text:

Abstract

Objective: to comparatively evaluate the clinical efficiency of cervicocranialgia therapy with dexketoprofen (flamadex) and tolperisone (calmyrex), as well as with their combination.
Patients and methods. The investigation enrolled 90 patients aged 30–60 years with cervicocranialgia, who were randomized into three equal groups. Group 1 included 7 men and 23 women who took dexketoprofen; Group 2 consisted of 13 men and 17 women who were prescribed dexketoprofen and tolperisone; Group 3 comprised 18 men and 12 women who used tolperisone. The three patient groups underwent assessment of the intensity of pain on a visual analogue scale and the degree of muscle tone on a 3-point scale and evaluation of the efficiency of therapy and the hemodynamic effect of the drugs in the common carotid and vertebral arteries.
Results and discussion. In all the groups, their treatment reversed neck pain, headache, and dizziness, normalized muscle tone, and improved hemodynamics in the carotid and vertebral arteries. The effect was more pronounced in patients receiving combination treatment (Group 2). The therapy showed a high safety and a good tolerability.
Conclusion. Dexketoprofen and tolperisone have been demonstrated to be effective and safe in treating cervicocranialgia.

About the Authors

M. N. Dadasheva
M.F. Vladimirsky Moscow Regional Research Clinical Institute
Russian Federation
61/2, Shchepkin St., Build. 1, Moscow 129110


G. I. Nurullina
Kazan State Medical University, Ministry of Health of Russia
Russian Federation
49, Butlerov St., Kazan 420012


R. V. Gorenkov
I.M. Sechenov First Moscow State Medical University (Sechenov University), Ministry of Health of Russia
Russian Federation
8, Trubetskaya, Build. 2, Moscow 119991


References

1. Fejer R, Kyvik KO, Hartvigsen J. The prevalence of neck pain in the world population: a systematic critical review of the literature. Eur Spine J. 2006;15(6):834-848.

2. Hogg-Johnson S, van der Velde G, Carroll LJ, et al; Bone and Joint Decade 2000-2010 Task Force on Neck Pain and Its Associated Disorders. The burden and determinants of neck pain in the general population: results of the Bone and Joint Decade 2000-2010 Task Force on Neck Pain and Its Associated Disorders. Spine (Phila Pa 1976). 2008;33 (4, suppl):S39-S51.

3. Fernandez-de-las-Penas C, HernandezBarrera V, Alonso-Blanco C, et al. Prevalence of neck and low back pain in communitydwelling adults in Spain: a population-based national study. Spine (Phila Pa 1976). 2011; 36(3):E213-E219.

4. Kelly J, Ritchie C, Sterling M. Clinical prediction rules for prognosis and treatment prescription in neck pain: A systematic review. Musculoskelet Sci Pract. 2017;27:155-164. doi: 10.1016/j.math.2016.10.066.

5. Torshin IJu, Gromova OA, Fedotova LE, Gromov AN. Sravnitel'nyj hemoreaktomnyj analiz deksketoprofena, ketoprofena i diklofenaka. Nevrologiya, neiropsikhiatriya, psikhosomatika = Neurology, Neuropsychiatry, Psychosomatics. 2018;10(1):47–54. (In Russ.)

6. Dadasheva MN, Razilova AV, Gorenkov RV, Kruglov VA. Assessment of the Efficacy of Influence of Generic Tolperisone on Hemodynamics in Patients with Complex Regional Pain Syndrome. Nervnye bolezni. 2019; 1:17-22. (In Russ.)

7. Kadyrova LR, Akarachkova ES, Kerimova KS, Kotova OV, Lebedeva DI, Orlova AS, Tkachev AM, Travnikova EV, Careva EV. A multidisciplinary approach to a patient with chronic pain. RMZH. 2018;26(7):28-32. (In Russ.)

8. Golubenko EO, Silina EV, Orlova AS. Personalized medicine in pain management. Sovremennaya nauka: aktual'nye problemy teorii i praktiki. Seriya: Estestvennye i tekhnicheskie nauki. 2017;7-8: 107-112. (In Russ.)

9. Leone M, D'Amigo D, Grazzi L, et al. Cervicogenic headache: a critical review of current diagnostic criteria. Pain. 1998;78(1): 1-5. doi: http://dx.doi.org/10.1016/S0304-3959(98)00116-X.

10. Hagen K, Einarsen C, Zwart J, et al. The co-occurance of headache and musculoskeletal symptoms among 51050 adults in Norway. Eur J Neurol. 2002;9(5):527—33. doi: http://dx.doi.org/10.1046/j.1468-1331.2002.00451.x.

11. Gross A, Miller J, D'Sylva J, et al. Manipulation or mobilisation for neck pain. Cochrane Database Syst Rev. 2010;(1):CD004249. doi: 10.1002/14651858.CD004249.pub3.

12. Bogduk N. The neck and headaches. Neurol Clin N Am. 2004;22(1):151–71. doi: 10.1016/S0733-8619(03)00100-2.

13. Narouze S. Occipital neuralgia diagnosis and treatment: the role of ultrasound. Headache. 2016;56(4):801–7. doi: 10.1111/head.12790.

14. Newman S, Steed L, Mulligan K. Selfmanagement interventions for chronic illness. Lancet. 2004;364(9444):1523–37. doi: 10.1016/S0140-6736(04)17277-2

15. Cote P, Yu H, Shearer HM, Randhawa K, Wong JJ, Mior S, Ameis A, Carroll LJ, Nordin M, Varatharajan S, Sutton D, Southerst D, Jacobs C, Stupar M, Taylor-Vaisey A, Gross DP, Brison RJ, Paulden M, Ammendolia C, Cassidy JD, Loisel P, Marshall S, Bohay RN, Stapleton J, Lacerte M. Non-pharmacological Management of Persistent Headaches Associated with neck pain: a clinical practice guideline from the Ontario protocol for traffic injury management (OPTIMa) collaboration. Eur J Pain 2019; 23(6): 1051-1070. doi: https://doi.org/10.1002/ejp.1374.

16. Lopez-Soto PJ, Bretones-Garcia JM, Arroyo-Garcia V, Garcia-Ruiz M, SanchezOssorio E, Rodriguez-Borrego MA. Occipital Neuralgia: a noninvasive therapeutic approach. Rev Lat Am Enfermagem. 2018 ;26:e3067. doi: 10.1590/1518-8345.2621.3067.

17. Haas M, Bronfort G, Evans R, Schulz C, Vavrek D, Takaki L, et al. Dose-response and efficacy of spinal manipulation for care of cervicogenic headache: a dual-center randomized controlled trial. Spine J. 2018;18(10):1741-54. doi: 10.1016/j.spinee.2018.02.019.

18. Dougherty C. Occipital Neuralgia. Curr Pain Headache Rep. 2014;18(5):411. doi: 10.1007/s11916-014-0411-x.


Review

For citations:


Dadasheva M.N., Nurullina G.I., Gorenkov R.V. Cervicocranialgia: rationale for and evaluation of the clinical efficiency of therapy with the Russian generics of dexketoprofen and tolperisone. Neurology, Neuropsychiatry, Psychosomatics. 2019;11(4):94-99. (In Russ.) https://doi.org/10.14412/2074-2711-2019-4-94-99

Views: 511


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.


ISSN 2074-2711 (Print)
ISSN 2310-1342 (Online)