Long-term effect of 3-week intravenous б-lipoic acid administration in symptomatic diabetic polyneutropathy with clinical manifestations


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Abstract

Aim. To estimate the late duration of the effect of 3-week intravenous б-lipoic acid (б-LA) administration.
Subects and methods. The study included patients with symptoms of myodiabetic polyneuropathy. The authors studied trends in neuropathic symptoms by the TSS scale and neuropathic deficit by the NIS-LL scale after 3-week intravenous a-LA (600 mg/day) administration. Control follow-up visits were made at weeks 8 and 30 of the study.
Results. In б-LA-treated patients, the mean TSS score dropped from 9.46±1.01 to 3.29±1.49 after intravenous б-LA administration and continued to decrease to 2.60±1.18 and 4.39±2.01 scores at follow-up weeks 8 and 30, respectively. In the placebo group, these were 9.78±1.23, 6.16±1.95, 6.52±1.61, and 7.36±1.31 scores at weeks 3, 8, and 30, respectively; p < 0.05). In the б-LA group, NIS-LL scores fell from 8.65±3.46 to 6.01±3.12 at therapy week 3, to 6.11±3.36, at week 8, and to 7.68±3.68 at week 30 and in the placebo group, these decreased from 8.35±3.84 to 7.81±3.51, 7.89±3.72, and 8.32±3.49 scores at weeks 3, and 8, respectively; p < 0.05).
Conclusion. Alleviated neuropathic symptoms persisted within 6 months after 3-week intravenous б-LA injection. Reduced neuropathic deficit did within 8 weeks after initiation of б-LA therapy.

About the authors

Aleksandr Sergeevich Ametov

Email: alexander.ametov@gmail.com

M V Novosadova

A N Barinov

R Samigullin

Hans-J'rgen Tritschler

A S Ametov

Russian Medical Academy of Postgraduate Education

Russian Medical Academy of Postgraduate Education

M V Novosadova

Russian Medical Academy of Postgraduate Education

Russian Medical Academy of Postgraduate Education

A N Barinov

Pain Clinic, Marfo-Mariinsk Charity Medical Center

Pain Clinic, Marfo-Mariinsk Charity Medical Center

R Samigullin

Orthonica GmbH

Orthonica GmbH

H -J Tritschler

MEDA Pharma GmbH & Co. KG

MEDA Pharma GmbH & Co. KG

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