Abstract
In a double-blind, randomized, controlled study, the effectiveness of treatment with a combination of Benfotiamine (an Allithiamine, a lipid-soluble derivative of vitamin B1 with high bioavailability) plus vitamin B6/B12 on objective parameters of neuropathy was studied over a period of 12 weeks on 24 diabetic patients with diabetic polyneuropathy. The results showed a significant improvement (p = 0.006) of nerve conduction velocity in the peroneal nerve and a statistical trend toward improvement of the vibration perception threshold. Long-term observation of 9 patients with verum over a period of 9 months support the results. Therapy-specific adverse effects were not seen. The results of this double-blind investigation, of the long-term observation and of the reports in the literature support the contention that the neurotropic benfotiamine-vitamin B combination represents a starting point in the treatment of diabetic polyneuropathy.
Publication types
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Clinical Trial
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Randomized Controlled Trial
MeSH terms
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Administration, Oral
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Aged
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Capsules
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Diabetic Neuropathies / drug therapy*
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Diabetic Neuropathies / physiopathology
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Double-Blind Method
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Drug Combinations
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Female
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Glycated Hemoglobin / drug effects
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Glycated Hemoglobin / metabolism
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Humans
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Male
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Median Nerve / physiology
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Middle Aged
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Neural Conduction / drug effects
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Neural Conduction / physiology
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Perception / drug effects
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Perception / physiology
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Peroneal Nerve / physiology
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Pyridoxine / administration & dosage
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Pyridoxine / pharmacology
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Pyridoxine / therapeutic use*
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Sensory Thresholds / drug effects
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Sensory Thresholds / physiology
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Thiamine / administration & dosage
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Thiamine / analogs & derivatives*
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Thiamine / pharmacology
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Thiamine / therapeutic use
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Time Factors
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Vibration
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Vitamin B 12 / administration & dosage
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Vitamin B 12 / pharmacology
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Vitamin B 12 / therapeutic use*
Substances
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Capsules
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Drug Combinations
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Glycated Hemoglobin A
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Pyridoxine
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Vitamin B 12
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Thiamine
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benphothiamine