Effectiveness of low-dose pregabalin in three patients with Lewy body disease and central neuropathic pain

Psychogeriatrics. 2017 Mar;17(2):115-119. doi: 10.1111/psyg.12192. Epub 2016 Jan 27.

Abstract

Many patients with Lewy body disease complain of pain, and their pain may be associated with this disease. Recently, pain has become a focus of attention in Parkinson's disease, but there is little information regarding pain in patients who have dementia with Lewy bodies. We used pregabalin to treat three Lewy body disease patients with chronic pain that may have been related to degeneration of central neurons. All three patients responded well to pregabalin at 25-50 mg/day. To our knowledge, there have been no previous reports of pregabalin showing efficacy for central neuropathic pain in Parkinson's disease or Lewy body disease.

Keywords: Lewy body disease; Parkinson's disease; central pain; dementia with Lewy bodies; neuropathic pain; pregabalin.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Analgesics / administration & dosage*
  • Analgesics / therapeutic use
  • Dose-Response Relationship, Drug
  • Drug Administration Schedule
  • Female
  • Humans
  • Lewy Body Disease / diagnosis
  • Lewy Body Disease / drug therapy*
  • Male
  • Neuralgia / diagnosis
  • Neuralgia / drug therapy*
  • Pregabalin / administration & dosage*
  • Pregabalin / therapeutic use
  • Treatment Outcome

Substances

  • Analgesics
  • Pregabalin