title: [Therapy in neurology. Part 9: Therapy of causally untreatable pain conditions].
abstract: Chronic pain syndromes can be treated well by a combination of low or medium doses of clomipramin (Anafranil), 50 mg as intravenous infusion in saline or dextrose solution for 8 or 10 days, in combination with a neuroleptic psychopharmacon, i.e. levopromazin (Neurocil), in a doses between 30 and 120 mg. If sedation is too strong in the beginning of this combined therapy, the dose of the neuroleptic agent has to be lowered. Therapy must be followed by oral administration of clomipramin and should not be terminated before 2 or 3 months. It can be repeated--if necessary--after a year or 6--8 months.
mesh_terms: D014150:Antipsychotic Agents / Q000627:therapeutic use; D002997:Clomipramine / Q000627:therapeutic use; D004305:Dose-Response Relationship, Drug; D004558:Electric Stimulation; D006801:Humans; D009437:Neuralgia / Q000209:etiology / Q000628:therapy*
chemical_list: D014150:Antipsychotic Agents; D002997:Clomipramine
vernacular_title: Die Therapie in der Neurologie. Folge 9: Therapie kausal nicht zu behandelnder Schmerzzustände.