PMID- 32163529 OWN - NLM STAT- MEDLINE DCOM- 20200629 LR - 20200629 IS - 1699-3993 (Print) IS - 1699-3993 (Linking) VI - 56 IP - 2 DP - 2020 Feb TI - Mirogabalin besylate in the treatment of neuropathic pain. PG - 135-149 LID - 10.1358/dot.2020.56.2.3100504 [doi] AB - Neuropathic pain (NeP) is a global cause of suffering and debilitation leading to significant morbidity and reduced quality of life. New treatments are needed to address the growing prevalence of NeP and its impact on sleep, mood and functionality. Mirogabalin besylate (mirogabalin, Tarlige) is a gabapentinoid therapy developed by Daiichi Sankyo which is approved in Japan for the treatment of postherpetic neuralgia and painful diabetic peripheral neuropathy. Mirogabalin has a potent pain-modulating effect with a unique high affinity and prolonged dissociation rate for the a2delta-1 subunit of voltage-gated calcium (Ca2+) channels (VGCCs) on the dorsal root ganglion resulting in more sustained analgesia compared with traditional gabapentinoids. Additionally, mirogabalin has a superior adverse events (AEs) profile due to a rapid dissociation from the a2delta-2 subunit of VGCCs potentially implicated in central nervous system-specific AEs. The most common AEs for mirogabalin are dizziness (approximately 8-16%), somnolence (approximately 6-24%) and headache (approximately 6-14%), with a lower incidence of constipation, nausea, diarrhea, vomiting, edema, fatigue and weight gain. Postmarketing studies are required to evaluate its analgesic durability and efficacy when combined with other antineuropathic agents such as tricyclics, duloxetine and tramadol/tapentadol. CI - Copyright 2020 Clarivate Analytics. FAU - Burgess, J AU - Burgess J AD - Diabetes and Endocrinology Research, Department of Eye and Vision Sciences, Institute of Ageing and Chronic Disease and the Pain Research Institute, University of Liverpool and Liverpool University Hospital NHS Foundation Trust, Liverpool, UK. FAU - Javed, S AU - Javed S AD - Institute of Cardiovascular Sciences, University of Manchester, Manchester, UK. FAU - Frank, B AU - Frank B AD - The Walton Centre, Department of Pain Medicine, Liverpool, UK. FAU - Malik, R A AU - Malik RA AD - Institute of Cardiovascular Sciences, University of Manchester, Manchester, UK; Weill Cornell Medicine-Qatar, Research Division, Qatar Foundation, Education City, Doha, Qatar. FAU - Alam, U AU - Alam U AD - Division of Endocrinology, Diabetes and Gastroenterology, University of Manchester, Manchester, UK. uazman.alam@liverpool.ac.uk, uazman.alam@manchester.ac.uk. LA - eng PT - Journal Article PT - Review PL - Spain TA - Drugs Today (Barc) JT - Drugs of today (Barcelona, Spain : 1998) JID - 101160518 RN - 0 (Analgesics) RN - 0 (Bridged Bicyclo Compounds) RN - S7LK2KDM5U (mirogabalin) SB - IM MH - Analgesics/*therapeutic use MH - Bridged Bicyclo Compounds/*therapeutic use MH - Humans MH - Neuralgia/*drug therapy OTO - NOTNLM OT - Analgesic drugs OT - Mirogabalin besylate OT - Neuropathic pain OT - Painful diabetic peripheral neuropathy OT - Postherpetic neuralgia OT - Tarlige OT - Voltage-gated calcium channel ligands EDAT- 2020/03/13 06:00 MHDA- 2020/07/01 06:00 CRDT- 2020/03/13 06:00 PHST- 2020/03/13 06:00 [entrez] PHST- 2020/03/13 06:00 [pubmed] PHST- 2020/07/01 06:00 [medline] AID - 3100504 [pii] AID - 10.1358/dot.2020.56.2.3100504 [doi] PST - ppublish SO - Drugs Today (Barc). 2020 Feb;56(2):135-149. doi: 10.1358/dot.2020.56.2.3100504.