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Efficacy of a Combination of N-Palmitoylethanolamide, Beta-Caryophyllene, Carnosic Acid, and Myrrh Extract on Chronic Neuropathic Pain: A Preclinical Study

Fotio Y, Aboufares El Alaoui A, Borruto AM, Acciarini S, Giordano A, Ciccocioppo R. Front Pharmacol. 2019 Jun 27;10:711.

Laboratory studyOther animalsWith beta-caryophyllene, carnosic acid and myrrh extract (a commercial combination product, Noxiall)

This study tested palmitoylethanolamide together with beta-caryophyllene, carnosic acid and myrrh extract (a commercial combination product, Noxiall). Its results cannot be assigned to palmitoylethanolamide alone. More combination studies.

Design
Laboratory study
Subjects
Mice with chronic constriction injury (CCI) of the sciatic nerve, a neuropathic pain model
Dose used in the study
Noxiall (PEA, beta-caryophyllene, carnosic acid, myrrh extract), compared with gabapentin or pregabalin, and combined with sub-effective pregabalin doses
Duration
Not stated in the abstract
What was measured
Mechanical allodynia and thermal hyperalgesia after sciatic nerve injury

What the authors reported

This laboratory study found:

  • CCI increased mechanical allodynia and thermal hyperalgesia.
  • Noxiall, gabapentin and pregabalin each reduced mechanical allodynia, with Noxiall's effect similar in size to gabapentin or pregabalin.
  • Combining sub-effective doses of Noxiall and pregabalin gave a significant reduction in pain, suggesting an additive effect.
  • Noxiall also reduced thermal hyperalgesia.

Limits of this study

A mouse model of nerve injury pain; it cannot show effect in people. Funding and conflicts not stated in the abstract.

Source

PubMed 31316381 · doi:10.3389/fphar.2019.00711

Entry checked against the abstract on PubMed on 2026-09-22. The dose shown is the dose the researchers used. It is not a recommendation. How to read this page.