Bauer Martin, Schwameis Richard, Scherzer Thomas, Lang-Zwosta Isabelle, Nishino Kanako, Zeitlinger Markus
Department of Clinical Pharmacology, Medical University of Vienna , Vienna , Austria and.
J Dermatolog Treat. 2015;26(4):367-72. doi: 10.3109/09546634.2014.992384. Epub 2015 Feb 11.
This study aims to explore the efficacy of the topical application of 10% benzocaine for treating pruritus and pain as compared to vehicle ointment.
Twenty male subjects were treated in a randomized double-blind fashion with the investigational medicinal product (IMPD) and vehicle. Immediately after the injection of 100 µg histamine on both arms, subjects received topical treatment and pruritus was subsequently assessed with visual analogue scale (VASpruritus) and Eppendorfer questionnaire. Ultraviolet B radiation (UVB) was administered on the back to induce slight sunburn. Twelve hours after UVB application again the IMPD was applied on the right or left upper back and vehicle on the other side and pain related to sunburn was measured with VASpain and pressure algometry.
A trend towards better reduction of pruritus was shown for benzocaine in VASpruritus. For the VASpain significant differences in group comparison (p = 0.02) were observed. Algometer measurements showed onset of pain reduction in the verum group after 20 min whereas in the vehicle-treated area pain relief occurred only after 60 min after application.
The topically administered ointment containing 10% benzocaine was found superior over vehicle for treating pain, but not pruritus.
本研究旨在探讨与赋形剂软膏相比,局部应用10%苯佐卡因治疗瘙痒和疼痛的疗效。
20名男性受试者以随机双盲方式接受试验用药品(IMPD)和赋形剂治疗。在双臂注射100µg组胺后,受试者立即接受局部治疗,随后用视觉模拟量表(VAS瘙痒)和埃彭多夫问卷评估瘙痒情况。在背部进行紫外线B辐射(UVB)以诱导轻微晒伤。在UVB照射12小时后,再次在右上背部或左上背部涂抹IMPD,另一侧涂抹赋形剂,并用VAS疼痛量表和压力痛觉测定法测量与晒伤相关的疼痛。
在VAS瘙痒量表中,苯佐卡因在减轻瘙痒方面显示出更好的趋势。在组间比较中,VAS疼痛量表观察到显著差异(p = 0.02)。痛觉测定仪测量显示,试验组在20分钟后开始减轻疼痛,而在赋形剂治疗区域,应用后60分钟才出现疼痛缓解。
发现局部应用含10%苯佐卡因的软膏在治疗疼痛方面优于赋形剂,但在治疗瘙痒方面并非如此。