Clinical review for general practice

ISSN (Print) 2713-2552
ISSN (Online) 2782-5671
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FULLSCREEN > Archive > 2021 > Vol 2, №9 (2021) > Fixed combination drug therapy as an opportunity to improve the efficacy and safety of the conventional back pain treatment

Fixed combination drug therapy as an opportunity to improve the efficacy and safety of the conventional back pain treatment

Vitaly V. Kovalchuk

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Abstract

According to statistics, 70–90% of the population suffer from back pain, however, despite the enormous efforts to find ways of improving the efficacy and safety of therapy for patients with dorsalgia, and the diversity of therapeutic options, numerous challenges and issues related to the pain syndrome therapy have not been addressed. The nonsteroidal anti-inflammatory drugs (NSAIDs), having both anti-inflammatory and analgesic effects, are conventionally and most commonly used to treat back pain. However, the use of these medications is associated with the development of a rather broad range of adverse effects. The paper considers the opportunity of using the drug combination therapy with the inclusion of medications, capable of improving the NSAID efficacy and reduce the adverse reactions to NSAIDs. The results of studying the efficacy of the B vitamin combination and the combination of B vitamins with NSAID in treatment of patients with dorsalgia are reviewed.
Keywords: dorsalgia, back pain, B vitamins, nonsteroidal anti-inflammatory drugs.

About the Author

Vitaly V. Kovalchuk 1

1 N.A. Semashko St.-Petersburg city Hospital, St. Petersburg, Russia

References

1.Левин О.С. Диагностика и лечение неврологических проявлений остеохондроза позвоночника. Consilium Medicum 2004; 6 (8): 547–55. [Levin O.S. Diagnostika i lechenie nevrologicheskikh proyavlenii osteokhondroza pozvonochnika. Consilium Medicum 2004; 6 (8): 547–55 (in Russian)]. 
2. Ковальчук В.В., Ефимов М.А. Сравнительная характеристика эффективности и переносимости кратких курсов терапии различными нестероидными противовоспалительными препаратами при лечении пациентов с дорсалгиями. Журнал неврологии и психиатрии им. С.С. Корсакова 2010; 110 (1): 55–8. [Koval'chuk V.V., Efimov M.A. Sravnitel'naya kharakteristika effektivnosti i perenosimosti kratkikh kursov terapii razlichnymi nesteroidnymi protivovospalitel'nymi preparatami pri lechenii patsientov s dorsalgiyami. Zhurnal nevrologii i psikhiatrii im. S.S. Korsakova 2010; 110 (1): 55–8 (in Russian)]. 
3. Третьякова Е.А., Каракулова Ю.В. Клинико-биохимическое исследование механизмов формирования хронических болей в нижней части спины. Журнал неврологии и психиатрии им. С.С. Корсакова 2011; 111 (9): 58–61. [Tret'yakova E.A., Karakulova Yu.V. Klinikobiokhimicheskoe issledovanie mekhanizmov formirovaniya khronicheskikh bolei v nizhnei chasti spiny. Zhurnal nevrologii i psikhiatrii im. S.S. Korsakova 2011; 111 (9): 58–61 (in Russian)]. 
4. Гордеев С.А., Турбина Л.Г., Зусьман А.А. Современный подход к лечению тригеминальной невралгии. Лечащий врач 2011; 5: 5–10[Gordeev S.A., Turbina L.G., Zus'man A.A. Sovremennyi podkhod k lecheniyu trigeminal'noi nevralgii. Lechashchii vrach 2011; 5: 5–10 (in Russian)]. 
5. Brüggemann G, Koehler CO, Koch EM. Results of double-blind study of diclofenac + vitamin B1, B6, B12 versus diclofenac in patients with acute pain of the lumbar vertebrae. A multicenter study. Klin Wochenschr 1990; 68 (2): 116–20.
6. Kuhlwein A, Meyer HJ, Koehler CO. Reduced diclofenac administration by B vitamins: results of a randomized double-blind study with reduced daily doses of diclofenac (75 mg diclofenac versus 75 mg diclofenac plus B vitamins) in acute lumbar vertebral syndromes. Klin Wochenschr 1990; 68 (2): 107–15. 
7. Jurna I. Analgesic and analgesia-potentiating action of B vitamins. Schmerz 1998; 12 (2): 136–41. 
8. Камчатнов П.Р., Умарова Х.Я., Чугунов А.В. Применение препарата Нейробион в неврологической практике. Журнал неврологии и психиатрии им. С.С. Корсакова 2015; 115 (9-1): 60–4. [Kamchatnov P.R., Umarova Kh.Ya., Chugunov A.V. Primenenie preparata Neirobion v nevrologicheskoi praktike. Zhurnal nevrologii i psikhiatrii im. S.S. Korsakova 2015; 115 (9-1): 60–4 (in Russian)]. 
9. Singaram M, Krishnakumararaja V, Balasubramaniam S et al. Sensory nerve paresthesia following third molar surgery: effectiveness of an evidence based protocol. SRMJ Res Dent Sci 2014; 5 (1): 6–10. 
10. Камчатнов П.Р. Применение витаминов группы B в неврологической клинике. Журнал неврологии и психиатрии им. С.С. Корсакова 2014; 114 (9): 105–11. [Kamchatnov P.R. Primenenie vitaminov gruppy B v nevrologicheskoi klinike. Zhurnal nevrologii i psikhiatrii im. S.S. Korsakova 2014; 114 (9): 105–11 (in Russian)]. 
11. Scott J, Huskisson EC. Graphic representation of pain. Pain 1976; 2 (2): 175–84. 
12. Адашинская Г.А., Мейзеров Е.Е., Фадеев А.А. и др. Экспертная система оценки боли, созданная на основе «Многомерного вербально-цветового болевого теста». Материалы конгресса «Традиционная медицина 2007». М., 2007. С. 502–7. [Adashinskaya G.A., Meizerov E.E., Fadeev A.A. i dr. Ekspertnaya sistema otsenki boli, sozdannaya na osnove «Mnogomernogo verbal'no-tsvetovogo bolevogo testa». Materialy kongressa «Traditsionnaya meditsina 2007». M., 2007. S. 502–7 (in Russian)]. 
13. Waddell G. The back pain revolution. 2nd ed. Edinburg: Churchill Livingstone, 2004.

For citation:Kovalchuk V.V. Fixed combination drug therapy as an opportunity to improve the efficacy and safety of the conventional back pain treatment. Clinical review for general practice. 2021; 9: 9: 44–49. DOI: 10.47407/kr2021.2.9.00108


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