Articles: neuralgia.
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During the 1960s, it was observed that the tricyclic antidepressant imipramine was effective in the treatment of neuralgia, myalgia, and pain in carcinoma. Similarly, in other studies, clomipramine was also found to have an analgesic effect. The sedative antidepressant amitriptyline has proved effective in migraine prophylaxis, chronic tension headache, and psychogenic musculoskeletal and neuralgic facial pain. ⋯ The remaining tricyclic and the tetracyclic antidepressants have not been sufficiently well evaluated. This is also true of monoamine oxidase inhibitors, of which individual reports to date suggest are probably also effective as analgesics. A scientific investigation into the possible differences in the effectiveness of various antidepressants in specific chronic pain conditions is an important task for the future.
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Letter Case Reports
[Causalgia in patients treated with anticoagulants].
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Acta medica Hungarica · Jan 1989
Review Case ReportsTreatment of chronic pain syndromes with transcutaneous iontophoresis of vinca alkaloids, with special regard to post-herpetic neuralgia.
Successful treatment of 35 post-herpetic neuralgia (PHN) patients by means of transcutaneous iontophoresis of Vincristine is reported. This technique, based on transganglionic regulation--a novel neurobiological principle discovered by Csillik and Knyihár-Csillik-, alleviated pain in both fresh and inveterated PHN cases. Statistical analysis of the results excludes a placebo-like action.
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The Sphenopalatine neuralgia of the ganglion is characterized for a throbbing pain mostly unilateral encircling the orbit and occasionally extended to the neighborhood. A vegetative component hydrorrhea, sneezing crisis and abnormal lacrimation is associated. The ideal therapy, giving excellent results, is the iontophoresis of the ganglion, which technic was published years ago by F. Barceló.