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Chronic post mastectomy pain syndrome (PMPS) is a chronic post-surgical neuropathic pain following breast cancer surgeries and lasting more than three months after surgeries. Pregabalin is originally used as an antiepileptic drug and identified as treatment for neuropathic pain .There are several recent reviews have revealed that it reduces post-operative opioid consumption and improves pain scores after breast surgeries. Duloxetine is a serotonin and norepinephrine reuptake inhibitor. Its mechanism of action is related to the potentiation of serotonergic and noradrenergic activity in the descending inhibitory pain pathways of the central nervous system and used for treatment of neuropathic pain conditions as painful diabetic neuropathy, neuropathic pain of lung cancer and chemotherapy induced sensory neuropathy
Patients with of 3 months of chronic neuropathic pain after breast surgery (either modified radical mastectomy or conservative breast surgery) combined with axillary dissection is considered as post mastectomy pain syndrome which is defined as pain involving the anterior aspect of the chest, axilla, and/or upper arm with the classical features of neuropathic pain including numbness, tingling, burning, shooting, stinging, or stabbing pains, and hyperesthesia.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| ( Group Duloxetine ) | Active Comparator | • Dosing and administration (Group A) Duloxetine 30 mg /day oral intake at bed time |
|
| (Group Pregablin ) | Active Comparator | control group Pregablin 150mg /day( 75 mg /12 hours ) oral intake. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Duloxetine | Drug | duloxetine |
| |
| Pregablin |
| Measure | Description | Time Frame |
|---|---|---|
| visual analogue score | visual analogue score with least pain score is 0 and worst pain is 10 | baseline till 12 weeks of treatment |
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Inclusion Criteria:
Exclusion Criteria:
Adult female patients underwent breast cancer surgeries presented with post mastectomy pain syndrome
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Mohamed Abdel Wadod, MD | Contact | +201006645981 | m_wadod@yahoo.com | |
| Wala yousef, Md | Contact | +201007798466 | wala_70s@hotmail.com |
| Name | Affiliation | Role |
|---|---|---|
| Mohamed Abdel Wadod, MD | National Cancer Institute, Cairo University, Egypt | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Nataional Cancer Instituite | Recruiting | Cairo | Egypt |
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| ID | Term |
|---|---|
| D000068736 | Duloxetine Hydrochloride |
| ID | Term |
|---|---|
| D013876 | Thiophenes |
| D013457 | Sulfur Compounds |
| D009930 | Organic Chemicals |
| D006573 | Heterocyclic Compounds, 1-Ring |
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2 equal groups ( Group A) :receive duloxetine for 12 weeks and (Group B) control group receive pregabalin for 12 weeks .
• Dosing and administration Group A) Duloxetine 30 mg /day at bed time and (Group B) control group Pregablin 150mg /day( 75 mg /12 hours
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Randomization is done using computer generated sequence. Concealment will be achieved by opaque envelope.
| Drug |
Pregablin |
|
| D006571 |
| Heterocyclic Compounds |