Title |
Melatonin analgesia is associated with improvement of the descending endogenous pain-modulating system in fibromyalgia: a phase II, randomized, double-dummy, controlled trial
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Published in |
BMC Pharmacology and Toxicology, July 2014
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DOI | 10.1186/2050-6511-15-40 |
Pubmed ID | |
Authors |
Simone Azevedo de Zanette, Rafael Vercelino, Gabriela Laste, Joanna Ripoll Rozisky, André Schwertner, Caroline Buzzatti Machado, Fernando Xavier, Izabel Cristina Custódio de Souza, Alicia Deitos, Iraci L S Torres, Wolnei Caumo |
Abstract |
Central disinhibition is a mechanism involved in the physiopathology of fibromyalgia. Melatonin can improve sleep quality, pain and pain threshold. We hypothesized that treatment with melatonin alone or in combination with amitriptyline would be superior to amitriptyline alone in modifying the endogenous pain-modulating system (PMS) as quantified by conditional pain modulation (CPM), and this change in CPM could be associated with serum brain-derived neurotrophic factor (BDNF). We also tested whether melatonin improves the clinical symptoms of pain, pain threshold and sleep quality. |
X Demographics
Geographical breakdown
Country | Count | As % |
---|---|---|
Canada | 2 | 11% |
United States | 2 | 11% |
United Kingdom | 1 | 5% |
Japan | 1 | 5% |
Switzerland | 1 | 5% |
Netherlands | 1 | 5% |
Unknown | 11 | 58% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Members of the public | 10 | 53% |
Practitioners (doctors, other healthcare professionals) | 5 | 26% |
Scientists | 4 | 21% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Brazil | 2 | <1% |
Colombia | 1 | <1% |
Spain | 1 | <1% |
Unknown | 217 | 98% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Master | 32 | 14% |
Student > Doctoral Student | 22 | 10% |
Student > Ph. D. Student | 21 | 10% |
Researcher | 20 | 9% |
Student > Bachelor | 18 | 8% |
Other | 48 | 22% |
Unknown | 60 | 27% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 64 | 29% |
Nursing and Health Professions | 23 | 10% |
Pharmacology, Toxicology and Pharmaceutical Science | 15 | 7% |
Agricultural and Biological Sciences | 13 | 6% |
Neuroscience | 11 | 5% |
Other | 23 | 10% |
Unknown | 72 | 33% |