IMR Press / CEOG / Volume 41 / Issue 1 / DOI: 10.12891/ceog16912014

Clinical and Experimental Obstetrics & Gynecology (CEOG) is published by IMR Press from Volume 47 Issue 1 (2020). Previous articles were published by another publisher on a subscription basis, and they are hosted by IMR Press on imrpress.com as a courtesy and upon agreement with S.O.G.

Case Report
Dextroamphetamine sulfate, a very effective drug for pelvic pain relieved severe retroorbital stabbing pain in a woman with keratoconus who failed to respond to bilateral corneal implants
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1 Cooper Medical School of Rowan University, Department of Obstetrics and Gynecology, Division of Reproductive Endocrinology & Infertility, Camden, NJ
2 Cooper Institute for Reproductive Hormonal Disorders, P.C., Marlton, NJ
3 Philadelphia College of Osteopathic Medicine, Department of Obstetrics and Gynecology, Philadelphia, PA (USA)
Clin. Exp. Obstet. Gynecol. 2014, 41(1), 80–82; https://doi.org/10.12891/ceog16912014
Published: 10 February 2014
Abstract

Purpose: To determine if dextroamphetamine sulfate therapy could relieve severe headaches related to keratoconus of the eyes. Materials and Methods: Dextroamphetamine sulfate 20 mg daily was prescribed to a 45-year-old woman who complained of 20 plus years of severe stabbing retrorbital pain who was diagnosed with keratoconus but failed to gain relief from bilateral corneal implants. Results: Dextramphetamine sulfate quickly and very effectively relieved the pain which has remained completely abrogated for over five years. Proof that the improvement was not fortuitous was demonstrated by quick return of symptoms when the drug was temporarily stopped after 2.5 years of relief but quickly dissipated upon resumption of therapy. Conclusions: Headaches are common in women. It is the gynecologist (who is more familiar with the condition of sympathetic neural hyperalgesia edema syndrome because it is the most common cause of pelvic pain) who may be the physician to introduce dextroamphetamine sulfate as a treatment since this condition is unknown by many specialists in other fields.
Keywords
Retro-orbital pain
Keratoconus
Sympathetic hypofunction
Dextroamphetamine sulfate
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