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Acetyl-L-Carnitine in the Treatment of Peripheral Neuropathic Pain: A Systematic Review and Meta-Analysis of Randomized Controlled Trials

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  • Sheyu Li
  • Qianrui Li
  • Yun Li
  • Ling Li
  • Haoming Tian
  • Xin Sun

Abstract

Objective: Acetyl-L-carnitine (ALC), a constructive molecule in fatty acid metabolism, is an agent potentially effective for treating peripheral neuropathic pain (PNP). Its effect, however, remains uncertain. We aimed to access the efficacy and safety of ALC for the treatment of patients with PNP. Methods: We searched MEDLINE (1996–2014), EMBase (1974–2014), and CENTRAL (May 2014) up to June 27, 2014 for randomized controlled trials (RCTs) comparing ALC with placebo or other active medications in diabetic and non-diabetic PNP patients that reported the change of pain using visual analogue scale (VAS). Mean difference (MD) and 95% confidence interval (CI) were used for pooling continuous data. Results: Four RCTs comparing ALC with placebo and reporting in three articles (n = 523) were included. Compared with placebo, ALC significantly reduced VAS scores of PNP patients (MD of VAS, 1.20; 95% CI, 0.68-1.72, P

Suggested Citation

  • Sheyu Li & Qianrui Li & Yun Li & Ling Li & Haoming Tian & Xin Sun, 2015. "Acetyl-L-Carnitine in the Treatment of Peripheral Neuropathic Pain: A Systematic Review and Meta-Analysis of Randomized Controlled Trials," PLOS ONE, Public Library of Science, vol. 10(3), pages 1-10, March.
  • Handle: RePEc:plo:pone00:0119479
    DOI: 10.1371/journal.pone.0119479
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    1. Ying-Chao Han & Zhu-Qing Liu & Shan-Jin Wang & Li-Jun Li & Jun Tan, 2014. "Is Anterior Cervical Discectomy and Fusion Superior to Corpectomy and Fusion for Treatment of Multilevel Cervical Spondylotic Myelopathy? A Systemic Review and Meta-Analysis," PLOS ONE, Public Library of Science, vol. 9(1), pages 1-12, January.
    2. Zheng Liu & Qi Fei & Bingqiang Wang & Pengfei Lv & Cheng Chi & Yong Yang & Fan Zhao & Jisheng Lin & Zhao Ma, 2014. "A Meta-Analysis of Unilateral versus Bilateral Pedicle Screw Fixation in Minimally Invasive Lumbar Interbody Fusion," PLOS ONE, Public Library of Science, vol. 9(11), pages 1-8, November.
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