Use of 5% lidocaine medicated plasters for the treatment of pain in routine hospital practice: patient reported pain, functioning and satisfaction

Abstract Objective: 5% lidocaine medicated plasters are a topical option in the treatment of peripheral neuropathic pain, as monotherapy or as an adjunct to systemic medication. This study sought to determine the impact of lidocaine plaster use on self-reported pain, functioning and patient satisfac...

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Bibliographic Details
Published in:Current medical research and opinion 2014-08, Vol.30 (8), p.1573-1578
Main Authors: Khot, S., Morgan, C. Ll, Kadambande, S., Poole, C. D.
Format: Article
Language:English
Subjects:
5% lidocaine medicated plaster
Administration, Cutaneous
Anesthetics, Local - therapeutic use
Biological and medical sciences
Cranial nerves. Spinal roots. Peripheral nerves. Autonomic nervous system. Gustation. Olfaction
Dosage Forms
Health Care Surveys
Hospitals, Teaching
Humans
Lidocaine - therapeutic use
Local anesthesia
Medical sciences
Nervous system (semeiology, syndromes)
Nervous system involvement in other diseases. Miscellaneous
Neuralgia - drug therapy
Neuralgia - physiopathology
Neuralgia - psychology
Neurology
Neuropathic pain
Pain - drug therapy
Pain Measurement
Patient Satisfaction - statistics & numerical data
Pharmacology. Drug treatments
Questionnaire
Recovery of Function
Self Report
Treatment Outcome
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Summary:Abstract Objective: 5% lidocaine medicated plasters are a topical option in the treatment of peripheral neuropathic pain, as monotherapy or as an adjunct to systemic medication. This study sought to determine the impact of lidocaine plaster use on self-reported pain, functioning and patient satisfaction within a large teaching hospital. Research design and methods: Patients were selected from the pain and rheumatology outpatient departments in Cardiff, Wales (2008-9). Postal surveys were sent to patients prescribed lidocaine plaster asking whether patients currently used the plaster and, if not, reason for discontinuation. Patients were asked to record pain score before and after therapy initiation, percentage pain relief, duration of effectiveness and impact on functioning. Main outcome measures: Pain scores, pain relief and levels of functioning before and after treatment. Results: A total of 850 surveys were dispatched; 408 (48.0%) responses received; 197 (48.3%) patients were current users at survey completion. Median pain score prior to plaster use was 8 (IQR 7-9). One month after initiation, median pain score was 6 (4-8, p 
ISSN:0300-7995
1473-4877
DOI:10.1185/03007995.2014.915212