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Title: Reduction of central poststroke pain with the selective serotonin reuptake inhibitor fluvoxamine. Author: Shimodozono M, Kawahira K, Kamishita T, Ogata A, Tohgo S, Tanaka N. Journal: Int J Neurosci; 2002 Oct; 112(10):1173-81. PubMed ID: 12587520. Abstract: To investigate the effect of the selective serotonin reuptake inhibitor (SSRI) fluvoxamine on central poststroke pain (CPSP), fluvoxamine (25 to 125 mg daily) was given to 31 patients. Although 3 patients dropped out within 1 week, 28 patients who received fluvoxamine for 2 to 4 weeks showed a significant reduction in the visual analog scale (VAS) for pain from 7.7 +/- 2.2 to 6.0 +/- 3.4 (p < .01). This improvement in VAS was significant in patients within less than 1 year after stroke, but not in those with a duration of more than 1 year. Zung's Self-rating Depression Scale (SDS) was also significantly improved after treatment, but there was no significant correlation between the changes in VAS and SDS. Although this is not a double-blind, placebo-controlled trial, these results suggest that fluvoxarnine is useful for the control of CPSP regardless of depression when used relatively early after stroke.[Abstract] [Full Text] [Related] [New Search]