VERSATIS® MEET-THE-EXPERT-SESSION AT 8TH EFIC CONGRESS: PAIN IN EUROPE VIII, FLORENCE, ITALY, 9TH -12TH OCTOBER 2013 WHY COMPROMISE WHEN LONG-TERM TREATMENT FOR CHRONIC PHN PAIN IS AVAILABLE? Dr. Rodrigue Deleens, Centre Hospitalier Robert Bisson / Lisieux, France Member of the French Society for the Study and Treatment of Pain Chairman of CLUD (Committee against Pain), Centre Hospitalier R. Bisson, Lisieux Member of “Douleurs sans frontiers Targeted Topical Treatment with proven efficacy in PHN • Proven Efficacy • Excellent Tolerability • Easy to use Significant reductions in the number of concomitant treatment for PHN, p<0.001 5 4 3 2 1 0 n=273 ≥70 years (n=184) Start of plaster treatment Last follow-up Average pain relief scores (+SD) during the 48 months of treatment and at the final visit Average pain relief (Mean +SD) Versatis® 5% lidocaine medicated plaster Compassionate use program (CUP) in France2 Mean number of concomitant treatmenst Post-herpetic Neuralgia • Chronic post-herpetic neuralgia (PHN) is a common, debilitating condition after herpes zoster with a major impact on patients’ quality of life. • Patients are often elderly, multimorbid and poly-medicated • Considered pain treatments should therefore ensure sustained efficacy and excellent long-term tolerability. 6 complete 5 a lot 4 moderate 3 slight 2 none 1 0 6 12 n= 90 18 24 30 36 42 48 Final Visit Duration of treatment (months) 81 69 56 43 38 27 76 worse Up to 4 years‘ clinical data confirms sustained long-term effect of Versatis®1 Long-term treatment of PHN with Versatis® • Up to 4-years clinical data confirm the long-term benefit of topical 5% lidocaine medicated plaster (Versatis®) 1. • Versatis® shows a sustained pain relief without development of tolerance and it has a favourable safety and tolerability profile, allowing long-term use in PHN patients. • Due to its topical administration, patients experience minimal risk of drug-drug interactions, supporting patient compliance to prescribed therapy. • A retrospective, observational study in France under a compassionate use programme (CUP) assessed the value of the 5% lidocaine medicated plaster in patients with previous inadequate or not tolerated treatment with antidepressants and/or antiepileptics. Grünenthal GmbH · 52099 Aachen Germany · www.grunenthal.com • Treatment with the 5% lidocaine medicated plaster permitted a significant reduction in concomitant treatments potentially being the reason for the improved tolerability and thus enhancing quality of life 2. CONCLUSION : Versatis® is the only treatment in PHN patients with data that prove efficacy and safety on a long-term basis. It is a therapeutic alternative for PHN patients. Dr. Rodrigue Deleens: “A long-term treatment needs to be efficacious and safe. My patients are very satisfied with Versatis® because of its excellent tolerability on long-term basis.” 1 Sabatowski R et al. Safety and efficacy outcomes of long-term treatment up to 4 years with 5% lidocaine medicated plaster in patients with post-herpetic neuralgia.Curr Med Res Opin 2012; 28:1-10. 2 Clere F et al. 5 % Lidocaine medicated plaster in elderly patients with postherpetic neuralgia. Drugs Aging 2011;28(9): 693-702 3 Attal N et al. EFNS guidelines on pharmacological treatment of neuropathic pain. Eur J Neurology (2006)13: 1153-1169 / Eur J Neurol 2010. 4 Finnerup et al. The evidence for pharmacological treatment of neuropathic pain. Pain. 2010 Sep;150(3):573-81. 5 Dworkin et al. Recommendations for the Pharmacological Management of Neuropathic Pain : An Overview and Literature Update. Mayo Clin Proc. 2010 ; 85(3)(suppl) : S3-S14 WORKS WHERE IT HURTS
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