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Palmitoylethanolamide in the Treatment of Chronic Pain: A Systematic Review and Meta-Analysis of Double-Blind Randomized Controlled Trials

Lang-Illievich K, Klivinyi C, Lasser C, Brenna CTA, Szilagyi IS, Bornemann-Cimenti H. Nutrients, 2023; 15(6):1350.

Meta-analysisHumans

Design
Meta-analysis
Subjects
11 double-blind randomised trials, 774 participants (383 on palmitoylethanolamide, 391 on a comparator)
Dose used in the study
The included trials used 300 mg to 1,200 mg a day
Duration
From 10 days to 12 months. Most trials ran 8 to 12 weeks.
What was measured
Pain intensity scores. Quality of life, function and adverse events as secondary outcomes.

What the authors reported

Pain scores improved with a pooled standardised mean difference of 1.68 in favour of palmitoylethanolamide (95% CI 1.05 to 2.31), though heterogeneity was high (I² = 93%). No major side effects were attributed to palmitoylethanolamide in any included trial, the authors state.

Limits of this study

The included trials differed widely in the condition studied, the dose and the duration, and the I² value reflects that. All but one trial had fewer than 100 participants. The authors noted that a statistical difference may not equal a clinically meaningful one. Two included trials were company funded and two received product from a manufacturer.

Source

doi:10.3390/nu15061350

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