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Minerva Ginecologica 2015 October;67(5):465-73


language: Italian

Use of alpha-lipoic acid and omega-3 in postpartum pain treatment

Costantino D. 1, Guaraldi C. 2, Costantino M. 3, Bounous V. E. 4

1 Centro Salute Donna, Ferrara, Italia; 2 Unità Operativa Complessa Ostetricia e Ginecologia, Ospedale di Valdagno, Vicenza, Italia; 3 Dipartimento di Chimica e Tecnologia Farmaceutica, Università degli Studi di Ferrara, Ferrara, Italia; 4 Dipartimeno di Scienze Chirurgiche, Università degli Studi di Torino, Torino, Italia


Postpartum pain is a frequent condition that negatively affects women’s quality of life, interferring with everyday life. Analgesic drugs and surgery are often contraindicated in pregnancy and during breast feeding. This review of the literature aims to evaluate the rational of the association of lipoic acid and omega-3 employ in the management of postpartum pain. Lipoic acid is a cofactor essential in mitochondrial metabolism with antioxidant and anti-inflammatory activity. Lipoic acid has been shown to be effective in neuropatic pain treatment in patients with sciatica, carpal tunnel syndrome and diabetic neuropathy. Omega-3 are known for their anti-inflammatory and neurotrophic activity. The peripheral and central activity of both substances allows to act on neuroinflammation mechanisms thus reducing cronicization of pain and also determining a potential improvement of women’s emotional status. The preliminary data here presented confirm the positive effect of this association on the treatment of postpartum perineal pain. The supplementation of lipoic acid in association with omega-3 seems effective and safe for the treatment of chronic postpartum pain, allowing a pathogenetic approach to neuroinflammation, thus reducing the consumption of analgesic drugs, often contraindicated during breast-feeding.

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