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Effects of the glial modulator palmitoylethanolamide on chronic pain intensity and brain function

Alshelh Z, Mills EP, Kosanovic D, Di Pietro F, Macey PM, Vickers ER, Henderson LA. Journal of Pain Research, 2019; 12:2427-2439.

Open-label, no control groupHumans

Design
Open-label, no control group
Subjects
22 adults with chronic nerve-related facial pain, in Australia
Dose used in the study
300 mg capsules, at an individual dose of 600 to 900 mg three times a day
Duration
6 weeks
What was measured
Pain intensity on a visual analogue scale, and slow oscillating activity in the brain's facial pain pathway on MRI

What the authors reported

The authors reported that pain fell in 16 of the 22 participants, and by more than 20% in 11. In those 11, pain fell by an average of 62%. In the others it rose by an average of 20%. Brain oscillation activity fell in one part of the pain pathway in both groups, and in the thalamus only in those whose pain improved. No side effects were reported.

Limits of this study

A phase 1 open-label trial with no placebo, which the authors name as a limit. Half of the participants did not reach a 20% fall in pain. The doses were higher than in most trials. It was funded by the Australian National Health and Medical Research Council and a memorial fund, and the authors declared no conflicts.

Source

doi:10.2147/JPR.S209657

Entry checked against the full text at the publisher (Dove Medical Press) on 2026-09-21. The dose shown is the dose the researchers used. It is not a recommendation. How to read this page.