It is caused by the compression and traction of the median nerve at the level of the carpal tunnel. Mean values in the Boston Carpal Tunnel Questionnaire significantly decreased in both groups.Ĭonclusion: Nucleo CMP Forte™ in combination with ES contributes to a more pronounced regression of patients' complaints, clinical manifestations, severity, and neurophysiological indicators in mild-to-moderate CTS.Ĭarpal Tunnel Syndrome (CTS) is a complex disorder with sensitive, motor, and autonomic symptoms. Positive Tinel test was revealed in 52.4% of patients after the first and 76.2% after the second stage in the exploratory group, versus 43.8% in the control group. Results: In the exploratory group, the complete restoration of pain sensitivity was achieved by 17.1% of patients and the narrowing of the existing zone of hypesthesia by 74.3%. The combination treatment included two stages: Nucleo CMP Forte™ and ES for ten days (stage one), and Nucleo CMP Forte™ as monotherapy (stage two) for ten days. Patients were randomized to receive the exploratory treatment (Nucleo CMP Forte™ and ES) or single ES treatment for ten days. Methods: This open-label, randomized, controlled study involved 60 patients with CTS at the Azerbaijan Medical University (Baku, Azerbaijan) and Research Institute of Medical Rehabilitation between 20 years. The objective of the study was to evaluate the effectiveness of a novel product containing uridine and cytidine monophosphate (Nucleo CMP Forte™) in combination with ES for the treatment of CTS. To date, none of the studies have determined the optimal combination of pyrimidine nucleotides and electrical stimulation (ES) in CTS patients. According to the WHO, 817 clinical studies are currently conducted in Lebanon.Introduction: Carpal Tunnel Syndrome (CTS) is the most common and best well-known cause of peripheral nerve compression. Lebanon has 14 CROs, and is ranked as one of the largest countries in the world in clinical studies. Ixempra, a medicinal product withdrawn in Europe is imported to lebanonĪ vaccine made in India, removed from WHO list of prequalified vaccines, is submitted for registration in Lebanon Some Non-Marketed medicines are still imported The Minister of Public Health, has decided to suspend the commercialization of AB Slim (Ab Care Medical Herbs), which contains sibutramine, sildenafil and phenolphthalein The price of the most expensive medicine available in Lebanon is 30434557 LLĪt least 1309 medicinal products are more expensive in Lebanon than in the countries of originĭaktavira, a generic of Daklinza, is registered in Lebanon but has no public priceģ52 medicinal products have been declared as non-marketed or withdrawnĦ4.72% of lebanese pharmacists are femaleĤ86 medicines were submitted to the Ministry of Health for a marketing authorization, and 514 medicines were registered to date In Lebanon, 88 generic medicinal products are more expensive than their OriginatorsĪ medicinal product refused in Europe is marketed in LebanonĪt least 332 medicinal products are available on the Lebanese market and are not available in the country of origin 769 Pharmacists work as Medical Representative, of which 39 work as Senior Medical RepresentativeĢ16 non Pharmacists work as Medical Representative, and 54 work as Senior Medical Representative
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