medigraphic.com
SPANISH

Revista Cubana de Medicina Física y Rehabilitación

ISSN 2078-7162 (Print)
  • Contents
  • View Archive
  • Information
    • General Information        
    • Directory
  • Publish
    • Instructions for authors        
  • medigraphic.com
    • Home
    • Journals index            
    • Register / Login
  • Mi perfil

2020, Number 2

Next >>

Rev Cub de Med Fis y Rehab 2020; 12 (2)

Thiocolchicoside, diclofenac and B complex in treating non-traumatic spinal pain

Guayasamín LIN, Corletto MSI, González RJL, Carrillo AJN, Herrera DME, Puerto RGX, Sánchez CY, Campoverde AJF
Full text How to cite this article

Language: Spanish
References: 13
Page: 1-15
PDF size: 586.22 Kb.


Key words:

thiocolchicoside, diclofenac, B vitamins, non-traumatic spinal pain.

ABSTRACT

Introduction: Non-traumatic spinal pain is usually mixed with added muscle contracture.
Objective: To evaluate the efficacy and tolerability of diclofenac, complex B and muscle relaxant thiocolchicoside, in treating non-traumatic spine pain.
Methods: A double-blind, controlled, multicenter, randomized study was arried out in two groups. Thiocolchicoside, diclofenac and vitamins B were applied to group 1 and diclofenac and vitamins B to group 2. The dose was 1 tablet every 12 hours during 48 hours.
Assessments: Evolution of pain, degree of pain relief, contracture and functionality, fingertips to floor distance, overall doctor and patient satisfaction, need for continuity of treatment and adverse reactions.
Results: 148 patients were analyzed: 74 in group 1 and 74 in group 2. The decrease and degree of pain relief, reduction of contracture and overall patient and researcher satisfaction were statistically significant in favor of group 1. Assessment of functionality and mobility in low back pain were better in group 1 with no statistically significant difference. At 48 hours, 93.2% of group 1 and 79.2% of group 2 stopped treatment for sufficient pain relief. Adverse reactions were minimal in both groups.
Conclusions: Treatment with thiocolchicoside, diclofenac and vitamins B is more effective and quicker to achieve an analgesic effect than with diclofenac and B complex. The validity of adding a muscle relaxant in a treatment using anti-inflammatory and B vitamins is demonstrated.


REFERENCES

  1. Mibielli MA, Geller M, Cohen JC, Goldberg SG, Cohen MT, Nunes CP, et al. Diclofenac plus B vitamins versus diclofenac monotherapy in lumbago: the Dolor study. Curr Med Res Opin. 2009 Nov [acceso: 18/07/2019]; 25 (11):2589-99. doi: http://dx.doi.org/10.3111/13696990903246911

  2. Van Tulder M, Becker A, Bekkering T, Breen A, Del Real MT, Hutchinson A, et al. Chaper 3: European Guidelines for the management of acute non-specific low back pain in primary care. Eur Spine J. 2006 Mar [acceso: 18/07/2019]; Suppl 2: S169-91. doi: http://dx.doi.org/10.1007/s00586-006-1071-2

  3. WHO Expert Committee on Specifications for Pharmaceutical Preparations; WHO Technical Report Series, No. 929, 2005; Annex 5; Guidelines for registration of fixed-dose combination medicinal products; Thirty-ninth Report; World Health Organization WHO; Geneva. 2005 [acceso: 18/07/2019]. Disponible en: https://apps.who.int/medicinedocs/documents/s19979en/s19979en.pdf

  4. Tüzün F, Unalan H, Oner N, Ozgüzel H , Kirazli Y , Içağasioğlu A, et al. Multicenter, randomized, double-blinded, placebo-controlled trial of thiocolchicoside in acute low back pain. Joint Bone Spine. 2003 Sep [acceso: 18/07/2019]; 70(5):356-61 Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/14563464

  5. Jambroers JM. Review of the toxicology, pharmacodynamics and pharmacokinetics of thiocolchicoside, a GABA-agonist muscle relaxant with anti-inflammatory and analgesic actions. Acta Ther. 1987 [acceso: 18/07/2019]; 13(3):221-50. Disponible en: https://eurekamag.com/research/006/339/006339373.php

  6. McNamara VF, Vinik AI, Barrentine L, De Vol EB. Effectiveness of Metanx Prescription Medical Food on Small Nerve Fibers and Monofilament Sensation in Patients with Diabetic Peripheral Polyneuropathy; J Diabetes Mellitus. 2016 May [acceso: 18/07/2019]; 06(02)166-74. doi: http://dx.doi.org/10.4236/jdm.2016.62018

  7. Trippe BS, Barrentine LW, Curole MV, Tipa E. Nutritional management of patients with diabetic peripheral neuropathy with L-methylfolate-methylcobalamin-pyridoxal-5-phosphate: results of a real-world patient experience trial. Curr Med Res Opin. 2016 [acceso: 18/07/2019]; 32(2):219-27. doi: http://dx.doi.org/10.1185/03007995.2015.1103215

  8. Ponce-Monter HA, Ortiz MI, Garza-Hernández AF, Monroy-Maya R, Soto-Ríos L, Carrillo-Alarcón G, et al. Effect of diclofenac with B vitamins on the treatment of acute pain originated by lower-limb fracture and surgery. Pain Res Treat. 2012 [acceso: 18/07/2019]; 104782. doi: http://dx.doi.org/10.1155/2012/104782

  9. Magaña-Villa MC, Rocha-González HI, Fernández del Valle-Laisequilla C, Granados-Soto V, Rodríguez-Silverio J, Flores-Murrieta FJ, et al. B-vitamin mixture improves the analgesic effect of diclofenac in patients with osteoarthritis: a double blind study, Drug Res (Stuttg). 2013 Jun [acceso: 18/07/2019]; 63(6):289-92. doi: http://dx.doi.org/10.1055/s-0033-1334963

  10. Geller M, Mibielli MA, Pereira Nunes C, Souza Da Fonseca A, Wrobel S, Oliveira L. Comparison of the action of diclofenac alone versus diclofenac plus B vitamins on mobility in patients with low back pain. J Drug Assess. 2016 Mar [acceso: 18/07/2019]; 5(1):1-3. doi: http://dx.doi.org/10.3109/21556660.2016.1163263

  11. Garza AF, Monroy-Maya R, Soto-Ríos M, Reyes-García G, Carillo-Alarcón L, Ponce-Monter H, et al. A pilot study of the effect of diclofenac with B vitamins for the treatment of acute pain following lower-limb fracture and surgery. Proc West Pharmacol Soc. 2008 [acceso: 18/07/2019]; 51:70-2. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/19544682

  12. Rodríguez‐Silverio J, Aguilar‐Carrasco JC, Reyes‐García G, Medina-Santillán R, Flores-Murrieta F. Antinociceptive and antiinflammatory effects of ketoprofen are potentiated by a vitamin B mixture in the rat. Drug Dev Res. 2005 Abr [acceso: 18/07/2019]; 64(1):66-70. Doi: https://doi.org/10.1002/ddr.10420

  13. Guayasamín I, Pacheco O, Moreno J, Ballesteros C, Vacas J, Mantilla E, et al. Estudio controlado, doble ciego, randomizado, multicéntrico, para evaluar la eficacia de la combinación fija tiocolchicósido más diclofenaco potásico en contracturas. Rev Cubana de Farm. 2015 [acceso: 18/07/2019]; 49(2):271-90. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0034-75152015000200008




2020     |     www.medigraphic.com

Mi perfil

C?MO CITAR (Vancouver)

Rev Cub de Med Fis y Rehab. 2020;12