Fogel Lab

Indiana University Indianapolis

INTERNAL MEDICINE/MEDICINE

Indianapolis · United States

NIH-funded
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NIH R01 · 2024

Safety, tolerability, and dose limiting toxicity of lacosamide in patients with painful chronic pancreatitis

ABSTRACT: Background: Chronic abdominal pain is the hallmark symptom of chronic pancreatitis (CP), with 50-80% of patients seeking medical attention for pain control. While several management options are potentially available, outcomes are often disappointing, and opioids remain a mainstay of therapy. Opioid-induced hyperalgesia (OIH) may occur, a phenomenon resulting in dose escalation, and appears to be due in part to the effect of opioids on pain- associated voltage-gated sodium channels. Lacosamide blocks and stabilizes these channels and may inhibit the effects of OIH. This may result in improved pain control with a decrease in opioid use. In pre-clinical and clinical trials with…

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