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A Decades-Long Journey of Palmitoylethanolamide (PEA) for Chronic Neuropathic Pain Management: A Comprehensive Narrative Review

Varrassi G, Rekatsina M, Leoni MLG, Cascella M, Finco G, Sardo S, Corno C, Tiso D, Schweiger V, Fornasari DMM, Paladini A. Pain and Therapy, 2025; 14(1):81-101.

ReviewHumans

Design
Review
Subjects
51 studies published from 2010 to 2024
What was measured
Does palmitoylethanolamide help chronic nerve-related pain: a narrative review covering diabetic neuropathy, post-herpetic neuralgia, chemotherapy-related neuropathy and osteoarthritis pain.

What the authors reported

The authors describe anti-inflammatory and pain-related effects through PPAR-alpha and the endocannabinoid system, and describe the safety and tolerability record as favourable. They say further work is needed on dose regimens, interactions with other drugs and long-term use, and call for more well-structured trials.

Limits of this study

A narrative review, so studies were not selected or weighed by a fixed method. It discusses newer formulations favourably, and the author list overlaps with authors of trials of those formulations. The funding and conflict statements were not visible on the page checked.

Source

doi:10.1007/s40122-024-00685-4

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