An Insight into Potential Pharmacotherapeutic Agents for Painful Diabetic Neuropathy

Diabetes is the 4th most common disease affecting the world’s population. It is accompanied by many complications that deteriorate the quality of life. Painful diabetic neuropathy (PDN) is one of the debilitating consequences of diabetes that effects one-third of diabetic patients. Unfortunately, th...

Full description

Saved in:
Bibliographic Details
Main Authors: Zunaira Qureshi, Murtaza Najabat Ali, Minahil Khalid
Format: Article
Language:English
Published: Wiley 2022-01-01
Series:Journal of Diabetes Research
Online Access:http://dx.doi.org/10.1155/2022/9989272
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832568447597281280
author Zunaira Qureshi
Murtaza Najabat Ali
Minahil Khalid
author_facet Zunaira Qureshi
Murtaza Najabat Ali
Minahil Khalid
author_sort Zunaira Qureshi
collection DOAJ
description Diabetes is the 4th most common disease affecting the world’s population. It is accompanied by many complications that deteriorate the quality of life. Painful diabetic neuropathy (PDN) is one of the debilitating consequences of diabetes that effects one-third of diabetic patients. Unfortunately, there is no internationally recommended drug that directly hinders the pathological mechanisms that result in painful diabetic neuropathy. Clinical studies have shown that anticonvulsant and antidepressant therapies have proven fruitful in management of pain associated with PDN. Currently, the FDA approved medications for painful diabetic neuropathies include duloxetine, pregabalin, tapentadol extended release, and capsaicin (for foot PDN only). The FDA has also approved the use of spinal cord stimulation system for the treatment of diabetic neuropathy pain. The drugs recommended by other regulatory bodies include gabapentin, amitriptyline, dextromethorphan, tramadol, venlafaxine, sodium valproate, and 5 % lidocaine patch. These drugs are only partially effective and have adverse effects associated with their use. Treating painful symptoms in diabetic patient can be frustrating not only for the patients but also for health care workers, so additional clinical trials for novel and conventional treatments are required to devise more effective treatment for PDN with minimal side effects. This review gives an insight on the pathways involved in the pathogenesis of PDN and the potential pharmacotherapeutic agents. This will be followed by an overview on the FDA-approved drugs for PDN and commercially available topical analgesic and their effects on painful diabetic neuropathies.
format Article
id doaj-art-9d7d6a062aa244a6a8421d36f225d876
institution Kabale University
issn 2314-6753
language English
publishDate 2022-01-01
publisher Wiley
record_format Article
series Journal of Diabetes Research
spelling doaj-art-9d7d6a062aa244a6a8421d36f225d8762025-02-03T00:59:08ZengWileyJournal of Diabetes Research2314-67532022-01-01202210.1155/2022/9989272An Insight into Potential Pharmacotherapeutic Agents for Painful Diabetic NeuropathyZunaira Qureshi0Murtaza Najabat Ali1Minahil Khalid2Department of Biomedical Engineering and SciencesDepartment of Biomedical Engineering and SciencesDepartment of Biomedical Engineering and SciencesDiabetes is the 4th most common disease affecting the world’s population. It is accompanied by many complications that deteriorate the quality of life. Painful diabetic neuropathy (PDN) is one of the debilitating consequences of diabetes that effects one-third of diabetic patients. Unfortunately, there is no internationally recommended drug that directly hinders the pathological mechanisms that result in painful diabetic neuropathy. Clinical studies have shown that anticonvulsant and antidepressant therapies have proven fruitful in management of pain associated with PDN. Currently, the FDA approved medications for painful diabetic neuropathies include duloxetine, pregabalin, tapentadol extended release, and capsaicin (for foot PDN only). The FDA has also approved the use of spinal cord stimulation system for the treatment of diabetic neuropathy pain. The drugs recommended by other regulatory bodies include gabapentin, amitriptyline, dextromethorphan, tramadol, venlafaxine, sodium valproate, and 5 % lidocaine patch. These drugs are only partially effective and have adverse effects associated with their use. Treating painful symptoms in diabetic patient can be frustrating not only for the patients but also for health care workers, so additional clinical trials for novel and conventional treatments are required to devise more effective treatment for PDN with minimal side effects. This review gives an insight on the pathways involved in the pathogenesis of PDN and the potential pharmacotherapeutic agents. This will be followed by an overview on the FDA-approved drugs for PDN and commercially available topical analgesic and their effects on painful diabetic neuropathies.http://dx.doi.org/10.1155/2022/9989272
spellingShingle Zunaira Qureshi
Murtaza Najabat Ali
Minahil Khalid
An Insight into Potential Pharmacotherapeutic Agents for Painful Diabetic Neuropathy
Journal of Diabetes Research
title An Insight into Potential Pharmacotherapeutic Agents for Painful Diabetic Neuropathy
title_full An Insight into Potential Pharmacotherapeutic Agents for Painful Diabetic Neuropathy
title_fullStr An Insight into Potential Pharmacotherapeutic Agents for Painful Diabetic Neuropathy
title_full_unstemmed An Insight into Potential Pharmacotherapeutic Agents for Painful Diabetic Neuropathy
title_short An Insight into Potential Pharmacotherapeutic Agents for Painful Diabetic Neuropathy
title_sort insight into potential pharmacotherapeutic agents for painful diabetic neuropathy
url http://dx.doi.org/10.1155/2022/9989272
work_keys_str_mv AT zunairaqureshi aninsightintopotentialpharmacotherapeuticagentsforpainfuldiabeticneuropathy
AT murtazanajabatali aninsightintopotentialpharmacotherapeuticagentsforpainfuldiabeticneuropathy
AT minahilkhalid aninsightintopotentialpharmacotherapeuticagentsforpainfuldiabeticneuropathy
AT zunairaqureshi insightintopotentialpharmacotherapeuticagentsforpainfuldiabeticneuropathy
AT murtazanajabatali insightintopotentialpharmacotherapeuticagentsforpainfuldiabeticneuropathy
AT minahilkhalid insightintopotentialpharmacotherapeuticagentsforpainfuldiabeticneuropathy