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Palmitoylethanolamide in the Treatment of Failed Back Surgery Syndrome

Antonella Paladini, Giustino Varrassi, Giuseppe Bentivegna, Sandro Carletti, Alba Piroli, Stefano Coaccioli. Pain Res Treat. 2017;2017:1486010.

Observational studyHumansWith tapentadol and pregabalin

This study tested palmitoylethanolamide together with tapentadol and pregabalin. Its results cannot be assigned to palmitoylethanolamide alone. More combination studies.

Design
Observational study
Subjects
35 patients with failed back surgery syndrome
Dose used in the study
Ultramicronised PEA (um-PEA, Normast), added on top of tapentadol and pregabalin after one month of standard treatment
Duration
3 months total, with um-PEA added for the final 2 months
What was measured
Pain intensity by Visual Analogue Scale (VAS) at baseline and 1, 2 and 3 months

What the authors reported

Tapentadol and pregabalin alone reduced VAS pain from 5.7±0.12 to 4.3±0.11 after 1 month (p<0.0001) but gave little subjective relief. Adding um-PEA produced further falls in VAS to 2.7±0.09 at month 2 and 1.7±0.11 at month 3 (p<0.0001), with no reported side effects.

Limits of this study

A small, uncontrolled observational study with no placebo arm, so the added benefit cannot be separated from time or expectation effects. Funding and conflicts not stated in the abstract.

Source

PubMed 28875041 · doi:10.1155/2017/1486010

Entry checked against the abstract on PubMed on 2026-09-22. The dose shown is the dose the researchers used. It is not a recommendation. How to read this page.