Evidence map›Paper›PMID 41594787›Full record

ReviewBrain sciences2025

Centrally Acting Skeletal Muscle Relaxants Sharing Molecular Targets with Drugs for Neuropathic Pain Management.

Judit Mária Kirchlechner-Farkas, David Arpad Karadi, Imre Boldizsár, Nariman Essmat, Anna Rita Galambos, Zoltán Patrik Lincmajer, Sarah Kadhim Abbood, Kornél Király, Éva Szökő, Tamás Tábi and 1 more

Abstract readReview
In one paragraph

Review in Brain sciences, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Judit Mária Kirchlechner-FarkasDepartment of Pharmacology and Pharmacotherapy, Faculty of Medicine, Semmelweis University, Nagyvárad tér 4, H-1085 Budapest, Hungary.
David Arpad KaradiDepartment of Anesthesiology and Intensive Therapy, Semmelweis University, Üllöi út 78b, H-1082 Budapest, Hungary.
Imre BoldizsárDepartment of Pharmacology and Pharmacotherapy, Faculty of Medicine, Semmelweis University, Nagyvárad tér 4, H-1085 Budapest, Hungary.
Nariman EssmatDepartment of Pharmacology and Toxicology, Faculty of Pharmacy, Zagazig University, Zagazig 44519, Egypt.ORCID 0000-0003-3440-6263
Anna Rita GalambosDepartment of Pharmacology and Pharmacotherapy, Faculty of Medicine, Semmelweis University, Nagyvárad tér 4, H-1085 Budapest, Hungary.
Zoltán Patrik LincmajerCenter for Pharmacology and Drug Research & Development, Semmelweis University, Ülloi út 26., H-1085 Budapest, Hungary.
Sarah Kadhim AbboodDepartment of Pharmacology and Pharmacotherapy, Faculty of Medicine, Semmelweis University, Nagyvárad tér 4, H-1085 Budapest, Hungary.ORCID 0000-0001-5305-8730
Kornél KirályDepartment of Pharmacology and Pharmacotherapy, Faculty of Medicine, Semmelweis University, Nagyvárad tér 4, H-1085 Budapest, Hungary.
Éva SzökőCenter for Pharmacology and Drug Research & Development, Semmelweis University, Ülloi út 26., H-1085 Budapest, Hungary.ORCID 0000-0003-1464-6403
Tamás TábiCenter for Pharmacology and Drug Research & Development, Semmelweis University, Ülloi út 26., H-1085 Budapest, Hungary.ORCID 0000-0001-5343-0205
Mahmoud Al-KhrasaniDepartment of Pharmacology and Pharmacotherapy, Faculty of Medicine, Semmelweis University, Nagyvárad tér 4, H-1085 Budapest, Hungary.ORCID 0000-0001-8488-3266

Funding

Competitiveness and Excellence Cooperations" project provided by the National Research, Development, and Innovation Fund of Hungary, Hungary 2018-1.3.1-VKE-2018-00030Higher Education Institutional Excellence Programme of the Ministry of Human Capacities in Hungary, within the framework of the Neurology Thematic Programme of Semmelweis University TKP 2021 EGA-25
6 · The paper itself

Abstract

Treatment of neuropathic pain (NP) remains a challenge in clinical practice because the current treatment approaches produce satisfactory pain alleviation in only 30% of patients. This necessitates developing novel drugs or repurposing existing medications intended to manage other diseases. When the repurposing intendance is chosen, similarity in the pharmacological properties should be hosted by the candidate drugs. Herein, this review sheds light on the mechanisms of certain centrally acting skeletal muscle relaxants (CMRs), specifically tolperisone. So far, data indicate that tolperisone displays voltage-gated sodium channel (VGSC) blocking properties with modulatory effect on voltage-gated calcium channels (VGCCs). These properties have led to recent preclinical research initiatives testing tolperisone in NP, resulting in positive outcomes. Furthermore, the review highlights the currently available VGSC blockers and proposes a strategy based on combining them with VGCC blockers that have been proven for the treatment of NP. This proposal is supported by the fact that tolperisone, in combination with pregabalin, has recently been shown to acutely halt NP.

Indexed as

centrally acting skeletal muscle relaxantsneuropathic painVGCCsVGSCs

Identifiers

PMID41594787
PMCPMC12838608

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.