Effect of a second generation alpha2delta ligand, pregabalin on visceral sensation: a randomised controlled pilot study.

Research output: Contribution to journalArticle

  • External authors:
  • LA Houghton
  • C Fell
  • I Jones
  • DP Sudworth
  • JD. Gale

Abstract

BACKGROUND: Visceral hypersensitivity is an important pathophysiological factor in irritable bowel syndrome (IBS). Pre-clinical studies suggest that the alpha(2)delta ligand pregabalin reduces both visceral allodynia and hyperalgesia, but is inactive on basal sensitivity. AIM: To assess the effect of pregabalin on the perception of rectal distension in hypersensitive IBS patients. METHODS: Twenty-six patients with Rome-II-defined IBS (aged 18-46 years, 7 male) were included in a randomized, double-blind, placebo-controlled, parallel-group study in which they received either 3 weeks oral pregabalin (titrated: 50 mg tid days 1-3, 100 mg tid days 4-7, 150 mg tid days 8-11; fixed 200 mg tid days 12-21 +/-4) or placebo control. Rectal sensitivity was assessed using a barostat technique, in which sensory thresholds were determined using the ascending method of limits, followed by tracking both before and after treatment. Only patients with a pain threshold of

Bibliographical metadata

Original languageEnglish
Pages (from-to)1218-1225
Number of pages8
JournalGut
Volume56
Issue number9
DOIs
Publication statusPublished - Sep 2007