Comparison of efficacy of duloxetine with amitriptyline in terms of reduction in frequency of pain in the patients of diabetic neuropathy.

  • Asif Javeed ABWA Medical College, Faisalabad.
  • Muhammad Absar Alam Independent Medical College/Hospital, Faisalabad.
  • Atif Maqsood Aziz Fatima Medical and Dental College/Hospital, Faisalabad.
  • Amna Azher Madina Teaching Hospital, The University of Faisalabad.
  • Muhammad Arif Punjab Medical College (FMU), Allied Hospital, Faisalabad.
  • Anoosh Qayyum The University of Lahore, Lahore.
Keywords: Amitriptyline, Efficacy, Duloxetine, Diabetic Neuropathy, Management

Abstract

Objectives: To compare the efficacy of Duloxetine with Amitriptyline in Terms of Reduction in Frequency of Pain in The Management of Patients of Diabetic Neuropathy. Study Design: Randomized Control Trial. Setting: Medical OPD of ABWA Medical College Hospital Faisalabad. Period: Six Months from 01-01-2019 to 30-06-2019. Material & Methods: A total of 200 cases (100 in each group) between the age 20-65 years of any gender, ≥ 5 years history of diabetes, symptoms of peripheral neuropathy for at least six months, having HbA1c >7.5% were included. Two groups were formed Group A was given 60mg Duloxetine each day and Group B was given 75mg amitriptyline in a single dose. After 3 weeks, an additional three weeks supply of medication was dispensed and patient were scheduled to return at week 6 for the final evaluation that recorded by me in terms of reduction in pain score and also assessed for 50% reduction in pain score from base line that was labeled as reduced. Results: 62%(n=62) in Group-A and 35%(n=35) in Group-B were treated effectively, which shows a significant difference between the two groups. Conclusion: The duloxetine was more effective than amitriptyline in terms of reduction of pain in diabetic neuropathy.

Author Biographies

Asif Javeed, ABWA Medical College, Faisalabad.

MBBS, FCPS (Medicine)

Senior Registrar Medicine

Muhammad Absar Alam, Independent Medical College/Hospital, Faisalabad.

MBBS, MRCP (UK)

Assistant Professor Medicine

Atif Maqsood, Aziz Fatima Medical and Dental College/Hospital, Faisalabad.

MBBS, MRCP (UK)

Assistant Professor Medicine

Amna Azher, Madina Teaching Hospital, The University of Faisalabad.

MBBS, MRCP

Senior Registrar Medicine

Muhammad Arif, Punjab Medical College (FMU), Allied Hospital, Faisalabad.

MBBS FCPS

Assistant Professor Medicine

Anoosh Qayyum, The University of Lahore, Lahore.

MBBS

Demonstrator

Published
2020-09-10