Amitriptyline for pain control in scleritis may help to avoid excessive steroid use in selected cases: a case report

INTRODUCTION: Pain in scleritis may be difficult to control with conventional immuno-suppressive regimes. Amitriptyline may be an effective option in those circumstances. CASE PRESENTATION: A 41-year-old woman presented with scleritis and eye pain that was refractory to treatment with steroid and im...

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Detalles Bibliográficos
Autores principales: Ohn, Mya Thida, Gupta, Deepak, Burton, Ben J
Formato: Texto
Lenguaje:English
Publicado: Cases Network Ltd 2009
Materias:
Case report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2769411/
https://www.ncbi.nlm.nih.gov/pubmed/19918461
http://dx.doi.org/10.4076/1757-1626-2-8148
Descripción
Sumario:INTRODUCTION: Pain in scleritis may be difficult to control with conventional immuno-suppressive regimes. Amitriptyline may be an effective option in those circumstances. CASE PRESENTATION: A 41-year-old woman presented with scleritis and eye pain that was refractory to treatment with steroid and immunosuppressive agents. Effective pain relief and reduction of steroid dose was only achieved after starting amitriptyline. CONCLUSION: Amitriptyline may be an effective option for pain control in case with scleritis which might otherwise require unnecessarily large doses of immunosuppression.

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