Experiment 1324655

Details

PropertyValue
Pharmacology
Administration routeEXTERNAL
OrganismCitrullus colocynthis (CUCURBITACEAE)
CitationHEYDARI,M: HOMAYOUNI,K: HASHEMPUR,MH: SHAMS,M:. (2016). TOPICAL CITRULLUS COLOCYNTHIS (BITTER APPLE) EXTRACT OIL IN PAINFUL DIABETIC NEUROPATHY: A DOUBLE-BLIND RANDOMIZED PLACEBO-CONTROLLED CLINICAL TRIAL. 8(2)
Amount utilized
Compound isolated
DiseaseA TWO-ARM DOUBLE-BLIND RANDOMIZED PLACEBO-CONTROLLED CLINICAL TRIAL USING A PARALLEL DESIGN. SIXTY PATIENTS WITH PAINFUL DIABETIC PERIPHERAL NEUROPATHY (PDPN) WERE RANDOMLY ALLOCATED TO RECEIVE EITHER A TOPICAL FORMULATION OF C. COLOCYNTHIS OR PLACEBO (1:1 ALLOCATION RATIO) FOR 3 MONTHS. PATIENTS WERE EVALUATED BEFORE AND AFTER THE INTERVENTION USING THE NEUROPATHIC PAIN SCALE, ELECTRODIAGNOSTIC FINDINGS, WORLD HEALTH ORGANIZATION BIOMEDICAL RESEARCH AND EDUCATION FOUNDATION (BREF) QUALITY OF LIFE (WHOQOL-BREF) SCORES, AND REPORTED ADVERSE EVENTS. THERE WAS A SIGNIFICANTLY GREATER DECREASE IN MEAN PAIN SCORE AFTER 3 MONTHS IN THE C. COLOCYNTHIS (−3.89; 95% CONFIDENCE INTERVAL [CI] −3.19, −4.60) THAN PLACEBO (−2.28; 95% CI −1.66, −2.90) GROUP (P < 0.001). MEAN CHANGES IN NERVE CONDUCTION VELOCITY OF THE TIBIAL NERVE, DISTAL LATENCY OF THE SUPERFICIAL PERONEAL NERVE AND SURAL NERVE, AND SENSORY AMPLITUDE OF THE SURAL NERVE WERE SIGNIFICANTLY HIGHER IN THE INTERVENTION THAN PLACEBO GROUP (P < 0.001) IN FAVOUR OF THE INTERVENTION. IN THE DIFFERENT DOMAINS OF WHOQOL-BREF, THERE WAS A SIGNIFICANT IMPROVEMENT ONLY FOR THE MEAN SCORE IN THE PHYSICAL DOMAIN. CONCLUSIONS APPLICATION OF A TOPICAL FORMULATION OF C. COLOCYNTHIS FRUIT EXTRACT CAN DECREASE PAIN IN PATIENTS WITH PDPN. IT ALSO MAY HAVE SOME UNCERTAIN EFFECTS ON NERVE FUNCTION AND THE PHYSICAL DOMAIN OF QUALITY OF LIFE, WHICH REQUIRE FURTHER INVESTIGATION IN STUDIES WITH LARGER SAMPLE SIZES AND OF LONGER DURATION.
Dose amount2 ML
Number1
Qualitative resultACTIVE
AnimalHUMAN ADULT
Per unitDAY
Dose expressionDOSE
ExtractDECOCTION