Clonazepam for neuropathic pain and fibromyalgia in adults
- PMID: 22592742
- PMCID: PMC6485609
- DOI: 10.1002/14651858.CD009486.pub2
Clonazepam for neuropathic pain and fibromyalgia in adults
Abstract
Background: Antiepileptic drugs have been used in pain management since the 1960s; some have shown efficacy in treating different neuropathic pain conditions. Clonazepam, a benzodiazepine, is an established antiepileptic drug, but its place in the treatment of neuropathic pain is unclear.
Objectives: To assess the analgesic efficacy and adverse effects of the antiepileptic drug clonazepam in neuropathic pain and fibromyalgia.
Search methods: We searched the Cochrane Central Register of Controlled Trials (CENTRAL) (The Cochrane Library 2012, Issue 2). MEDLINE, and EMBASE to 28 February 2012, together with reference lists of retrieved papers and reviews, and ClinicalTrials.gov.
Selection criteria: We planned to include randomised, double-blind studies of eight weeks duration or longer, comparing clonazepam with placebo or another active treatment in chronic neuropathic pain or fibromyalgia.
Data collection and analysis: Two review authors would independently extract data for efficacy and adverse events, and examine issues of study quality.
Main results: We did not identify any studies that satisfied the inclusion criteria.
Authors' conclusions: This review uncovered no evidence of sufficient quality to support the use of clonazepam in chronic neuropathic pain or fibromyalgia.
Conflict of interest statement
SD and RAM have received research support from charities, government, and industry sources at various times. RAM has consulted for various pharmaceutical companies, and received lecture fees from pharmaceutical companies related to analgesics and other healthcare interventions. PW is a full‐time employee of the UK Cochrane Centre, funded by the UK National Institute of Health Research and has no relevant interests to declare. RC has no interests to declare. No company with any interest in clonazepam had any involvement in the production of this review.
Update of
- doi: 10.1002/14651858.CD009486
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