Efficacy and safety of gabapentin and pregabalin in patients with vasomotor symptoms: a systematic review and meta-analysis.

Author: CaiYitong, LiuXijiao, ShanDan, ShenYongchun, ZhangJing, ZouLi

Paper Details 
Original Abstract of the Article :
OBJECTIVE: Vasomotor symptoms are common among postmenopausal women and patients receiving hormone deprivation therapies, and emerging studies are exploring gabapentin's and pregabalin's effects as nonhormonal treatment options. We aimed to assess the efficacy and safety of these 2 drugs. DATA SOUR...See full text at original site
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引用元:
https://doi.org/10.1016/j.ajog.2019.12.011

データ提供:米国国立医学図書館(NLM)

Gabapentin and Pregabalin: Potential Relief for Vasomotor Symptoms

The often-uncomfortable world of vasomotor symptoms, particularly common among postmenopausal women and those undergoing hormone deprivation therapies, is a terrain ripe for exploration. This [systematic review and meta-analysis] aimed to assess the efficacy and safety of gabapentin and pregabalin, two drugs being investigated as non-hormonal treatment options. The review, meticulously conducted by searching 10 databases and meticulously evaluating 19 randomized controlled trials and 2 randomized crossover trials, found that gabapentin effectively reduced hot flash frequency and composite score, compared to placebo. However, the review also identified a higher risk of dizziness and somnolence in the gabapentin group. The study also found that estrogen remained more effective than gabapentin in reducing hot flash frequency.

Gabapentin Shows Promise, but More Research is Needed

The review provides evidence that gabapentin may offer relief from vasomotor symptoms, but it is crucial to note that estrogen remains a more effective treatment option. The [reduction in hot flash frequency and composite score] observed with gabapentin is encouraging, but the higher risk of dizziness and somnolence highlights the need for careful consideration. The review's findings also underscore the need for further research on pregabalin's efficacy and safety in this context.

Weighing Benefits and Risks

If you are experiencing vasomotor symptoms, it is important to discuss your treatment options with your doctor. Gabapentin may be a viable alternative to hormone therapy, but it is essential to understand the potential side effects and to weigh the benefits and risks carefully. Your doctor can help you determine the best course of treatment based on your individual needs and medical history. Remember to listen to your body and to communicate your concerns openly with your healthcare provider.

Dr.Camel's Conclusion

This comprehensive review provides valuable insights into the potential of gabapentin and pregabalin as treatments for vasomotor symptoms. While gabapentin demonstrates promise, further research is needed to fully understand its efficacy and safety profile. As a wise camel, I encourage you to be a proactive participant in your healthcare journey and to discuss your treatment options with your doctor. Open communication and careful consideration of potential benefits and risks are essential for making informed decisions about your health.

Date :
  1. Date Completed 2020-06-30
  2. Date Revised 2020-06-30
Further Info :

Pubmed ID

31870736

DOI: Digital Object Identifier

10.1016/j.ajog.2019.12.011

Related Literature

SNS
PICO Info
in preparation
Languages

English

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