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N-of-1 Randomized Trials of Ultra-Micronized Palmitoylethanolamide in Older Patients with Chronic Pain

Germini F, Coerezza A, Andreinetti L, Nobili A, Rossi PD, Mari D, Guyatt G, Marcucci M. Drugs & Aging, 2017; 34(12):941-952.

Randomised controlled trialHumans

Design
Randomised controlled trial
Subjects
11 older patients enrolled, all women with a mean age of 83. 7 completed.
Dose used in the study
600 mg of ultramicronised palmitoylethanolamide twice a day, against placebo
Duration
Two 3-week treatment phases for each patient, separated by 2-week washouts
What was measured
Pain intensity on an 11-point scale and a back pain function scale, analysed patient by patient

What the authors reported

The authors reported a small, statistically significant effect on pain in favour of palmitoylethanolamide in 2 of the 7 patients, of about 8% of baseline pain, and an effect on function in 1 patient. The only adverse event, diarrhoea, occurred on placebo.

Limits of this study

Seven patients completed. Each patient served as her own control, so the results describe individuals and do not give a group estimate. Effects were small and absent in most patients. The study had no funding, and the authors declared no conflicts.

Source

doi:10.1007/s40266-017-0506-2

Entry checked against the article page at the publisher (Springer) on 2026-09-21. The dose shown is the dose the researchers used. It is not a recommendation. How to read this page.