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Papers of the Week


2022


J Pain Res


15

No Detectable Phenytoin Plasma Levels After Topical Phenytoin Cream Application in Chronic Pain: Inferences for Mechanisms of Action.

Authors

Kopsky DJ, Keppel Hesselink JM, Russell AL, Vrancken A F
J Pain Res. 2022; 15:377-383.
PMID: 35173477.

Abstract

Topical phenytoin can act as an analgesic in chronic pain, but it is unclear if topical phenytoin gives rise to systemic side effects. Therefore, the aim of this study is: 1) to evaluate safety in chronic pain patients who used topical phenytoin up to 30% applied daily on intact skin and mucous membrane, through determining phenytoin plasma levels; and 2) to elaborate on the analgesic mechanism of action.