Analysis of the Cost versus Value Associated with the Use of 5 % Lidocaine Topical Patch in Chronic Pain through Patients’ Satisfaction

Abstract

Summayah M A Fallatah

Background Chronic pain is one of the most complex and prevalent health issues that involves peripheral and central mechanisms, justifying the need of multimodal analgesia. Since the use of oral medications most of the times is limited by side effects, drugs interaction and patient compliance, topical agents could provide an alternative or additional therapy. Topical capsaicin, and lidocaine patch has been studied in the literature in managing neuropathic pain conditions, however these topical agents might represent an additional healthcare cost, hence their use must be justified. The aim of this study was to assess the cost effectiveness versus the value of the use of the topical 5% Lidocaine Patch (LP) medicated plaster in chronic pain patients (CPP) through patients’ satisfaction.

Methods In this descriptive cross-sectional survey-based design a convenience sampling technique was used from the outpatient chronic pain clinic for patients with localized pain. The patients were instructed to apply the (LP) directly to intact skin to cover the most painful area for up to 12 hours within a 24-hour period.

Results 61.9% of the patients were satisfied with the use of the LP, 64.4% of the patients experienced pain relief within less than 2 hours. Only 6.7% experienced side effects, which included itching and only one patient experienced redness with burning. 64.7% of the patients reported that they will continue the use of the LP, 56.3% reported that they will recommend the use of the LP to others.

Conclusion We concluded that the use of the 5% lidocaine topical patch is a cost-effective pain management option in chronic pain patients through patients’ centered approach.

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