Alpha Lipoic Acid Neuropathy Meta-Analysis Evidence Table

Structured evidence table for Alpha Lipoic Acid Neuropathy Meta-Analysis, generated from 2 reusable source documents in the Migaku knowledge base.

topicclaimevidence levelcitationsource
Alpha Lipoic Acid Neuropathy Meta-AnalysisA fixed-dose combination of low-dose pregabalin and thioctic acid is non-inferior to high-dose pregabalin for analgesic efficacy and demonstrates an improved safety profile.4Zárate E (2026)Combination therapy with pregabalin and thioctic acid offers safer pain control in diabetic neuropathy: a multicenter, double-blind, non-inferiority trial.
Alpha Lipoic Acid Neuropathy Meta-AnalysisHigh-dose pregabalin is effective for painful diabetic peripheral neuropathy, but dose-dependent adverse effects limit its use.4Zárate E (2026)Combination therapy with pregabalin and thioctic acid offers safer pain control in diabetic neuropathy: a multicenter, double-blind, non-inferiority trial.
Alpha Lipoic Acid Neuropathy Meta-AnalysisThioctic acid (alpha-lipoic acid), a mitochondrial antioxidant with neuromodulatory properties, may improve tolerability without reducing efficacy when combined with lower doses of pregabalin.4Zárate E (2026)Combination therapy with pregabalin and thioctic acid offers safer pain control in diabetic neuropathy: a multicenter, double-blind, non-inferiority trial.
Alpha Lipoic Acid Neuropathy Meta-AnalysisConclusion Roflumilast may offer superior glycemic and oxidative stress control benefits, though neuropathy symptoms control was comparable to ALA.4Elsharab A (2025)Efficacy and Safety of Roflumilast versus Alpha-Lipoic Acid in Type 2 Diabetes with Neuropathy: A Comparative Clinical Study.
Alpha Lipoic Acid Neuropathy Meta-AnalysisAim We aimed to evaluate the efficacy and safety of roflumilast compared to alpha-lipoic acid (ALA) in type 2 diabetic patients with diabetic neuropathy.4Elsharab A (2025)Efficacy and Safety of Roflumilast versus Alpha-Lipoic Acid in Type 2 Diabetes with Neuropathy: A Comparative Clinical Study.
Alpha Lipoic Acid Neuropathy Meta-AnalysisMethods In this randomized controlled parallel study, 58 type 2 diabetic patients with diabetic neuropathy were randomly allocated into (Roflumilast group; n=29), which received 500 mcg/day of oral roflumilast and (ALA group; n=29), which received 600 mg/day of oral ALA.4Elsharab A (2025)Efficacy and Safety of Roflumilast versus Alpha-Lipoic Acid in Type 2 Diabetes with Neuropathy: A Comparative Clinical Study.

Source documents

  1. Combination therapy with pregabalin and thioctic acid offers safer pain control in diabetic neuropathy: a multicenter, double-blind, non-inferiority trial.
  2. Efficacy and Safety of Roflumilast versus Alpha-Lipoic Acid in Type 2 Diabetes with Neuropathy: A Comparative Clinical Study.