Drug intelligence / Profile preview

gabapentin + tramadol

Development stage
Unknown
Lead developer
Southwest Hospital
Modality
Small Molecules
Administration
Oral
01

Overview

gabapentin + tramadol is a combination pharmacological regimen investigated for the conservative management of symptomatic sacral perineurial cysts, also known as Tarlov cysts. This combination therapy utilizes two distinct mechanisms to address chronic neuropathic and nociceptive pain. Gabapentin is a gabapentinoid that binds to the α2δ-1 subunit of voltage-gated calcium channels, leading to a reduction in the release of excitatory neurotransmitters. Tramadol is a centrally acting analgesic that functions as a weak agonist at the μ-opioid receptor and simultaneously inhibits the reuptake of norepinephrine and serotonin, thereby enhancing descending inhibitory pain pathways. The specific use of this combination for Tarlov cysts has been evaluated in clinical trials led by Southwest Hospital in China, comparing its efficacy against surgical interventions like microscopic tamponade.

Other names
gabapentin and tramadol
02

Targets

SERT (Sodium-dependent serotonin transporter)NET (Norepinephrine Transporter)MOR (Mu opioid receptor)CACNA2D1 (Voltage-gated calcium channel subunit alpha2/delta-1)

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