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Efficacy and safety of duloxetine in chronic musculoskeletal pain: a systematic review and meta-analysis.


ABSTRACT:

Background

Chronic musculoskeletal pain (CMP) is a complex condition that is mainly treated with analgesic drugs. However, antidepressant intervention is also an important factor in the treatment of CMP. Duloxetine is an effective treatment option for patients with CMP as its antidepressant effect. The purpose of this article is to evaluate the efficacy and safety of duloxetine in treating CMP.

Databases and data treatment

We searched PubMed, Web of Science, Embase, Cochrane Library from inception to May, 2022. Randomized controlled trials (RCTs) evaluating the efficacy and safety of duloxetine versus placebo in patients with CMP were included. We identified 13 articles and studied a population of 4201 participants in 4 countries.

Results

This meta-analysis showed that the duloxetine has statistically significant compared with the placebo control, benefits on 24-hour average pain, living quality, physical function, and global impressions and there was no difference in the incidence of serious adverse event. In general, duloxetine can improve mood and pain level at the same time.

Conclusions

This review shows a significant contribution of duloxetine to CMP symptom relief. This meta-analysis improved that duloxetine can significantly reduce the pain level of patients, improve depressive symptoms and global impression, and has no obvious serious adverse reactions. However, additional studies are required to confirm the relationship between psychological diseases and chronic pain and explore their internal links.

SUBMITTER: Ma X 

PROVIDER: S-EPMC10193733 | biostudies-literature | 2023 May

REPOSITORIES: biostudies-literature

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Publications

Efficacy and safety of duloxetine in chronic musculoskeletal pain: a systematic review and meta-analysis.

Ma Xuezhi X   Zhou Shijie S   Sun Wenyuan W   Sun Jie J   Li Guangguang G   Wang Lining L   Guo Yang Y  

BMC musculoskeletal disorders 20230518 1


<h4>Background</h4>Chronic musculoskeletal pain (CMP) is a complex condition that is mainly treated with analgesic drugs. However, antidepressant intervention is also an important factor in the treatment of CMP. Duloxetine is an effective treatment option for patients with CMP as its antidepressant effect. The purpose of this article is to evaluate the efficacy and safety of duloxetine in treating CMP.<h4>Databases and data treatment</h4>We searched PubMed, Web of Science, Embase, Cochrane Libra  ...[more]

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