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    -adrenergic agonist, is an extremely potent analgesic agent.1 However, adverse effects, such as sedation and hypotension, limit its clinical use.2 Given these undesirable centrally mediated side effects, it may be advantageous to apply clonidine topically, to the site of pain origin. With topical treatment, one may achieve analgesic efficacy due to high drug concentration at the site of pain origin while avoiding high blood drug concentration and thus centrally mediated side effects.3,4 Because αadrenoceptors are located not only in the central nervous system but also on dorsal root ganglion (DRG) cells,5,6 topical clonidine may produce antinociception and/or antihypersensitivity. Several previous studies have shown the antinociception/antihypersensitivity from peripherally administrated clonidine, including topical clonidine given tail immersion in an animal model of nociceptive pain,3 intraarticular clonidine in an animal inflammatory pain model,7 perineural clonidine in an animal neuropathic pain model, 8,9 intraarticular clonidine in humans undergoing knee arthroscopy,10 and topical clonidine delivered a patch in patients with sympathetically maintained pain.11 To date, however, the antinociceptive and/or antihypersensitivity effects of clonidine topically given in cream has not been studied in animals or humans, except one pilot study in patients with oral neuropathic pain or neuralgia.12 -adrenoceptor agonists may be effective in relieving hypersensitivity states associated with neuropathic pain, postoperative pain, and inflammatory pain. Currently, however, no systematic data are available regarding the antihypersensitivity effects of clonidine cream in these hypersensitivity states. In addition, to our knowledge, no study has been conducted to compare the antihypersensitivity effects of topical clonidine among these pathophysiologic pain conditions. The current comparative study was designed to determine whether clonidine cream can reduce hypersensitivity in the rat models of neuropathic pain, postoperative pain, and inflammatory pain. After approval from the Institutional Animal Care and Use Committee, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan, male Sprague-Dawley rats weighing 250–300 g were studied. Clonidine Drug Uses, Dosage & Side Effects - diflucan while pregnant Study of Clonidine Hydrochloride Topical Gel, 0.1% in the Treatment. Clonidine topical gel - BioDelivery Sciences International - AdisInsight
     
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