• Yinluo Li, Xingzhen Long, Fengrong Luo, Jiarui Zhang, Shaoqin Sun, Pengqiang Du, Hongtao Yang, Qi Chen, Changcheng Sheng, and Xue Bai.
• Department of Pharmacy, Guizhou Provincial People's Hospital, Guiyang 550002, China.
• Clin J Pain. 2024 Apr 23.

Objectivehis study aimed to systematically evaluate the clinical efficacy of gabapentin and pregabalin in the treatment of acute herpes zoster neuralgia, including pain control and the occurrence of adverse effects.MethodA systematic computerized search was conducted in October 2023 in PubMed, Embase, Web of Science, Cochrane Library, VIP, CNKI, and Wanfang databases. Data from randomized controlled trials comparing gabapentin analogs for the treatment of acute herpes zoster neuralgia were searched. Endpoints were visual analog scores (VAS) and adverse effects at 1, 2, and 4 weeks. Data from studies that met the inclusion criteria were extracted for meta-analysis and sensitivity analysis using Revman 5.4 and Stata16.ResultsThe study included 292 patients from 6 RCTs. Of these, 118 were in the gabapentin-treated group, 37 were in the pregabalin-treated group, and 137 were in the placebo-controlled group. The gabapentin group showed superior pain reduction compared to the placebo group (P<0.05), but adverse events were more frequent.ConclusionGabapentin can effectively reduce acute herpes zoster neuralgia in patients. Pregabalin requires additional randomized controlled trials to supplement the analysis.Prospero RegistrationCRD42023446643.Copyright © 2024 Wolters Kluwer Health, Inc. All rights reserved.

12 keywords...

hide…