Title
Effect of Nortriptyline in Cortical Representation of Heartburn in Nonerosive Reflux Disease (NERD) Patients
Effect of Nortriptyline in the Cortical Representation of Heartburn in Patients With Nonerosive Reflux Disease
Phase
Phase 3Lead Sponsor
Universidade de Passo FundoStudy Type
InterventionalStatus
Completed No Results PostedIndication/Condition
Gastroesophageal Reflux DiseaseIntervention/Treatment
nortriptyline ...Study Participants
20Patients with nonerosive reflux disease (NERD) are less responsive to standard treatment with proton pump inhibitors. The hypothesis of this study was that nortriptyline in analgesic doses may decrease heartburn perception and its corresponding cortical activity measured by magnetic resonance image. Therefore, the aim of this study was to assess the cortical representation of heartburn in patients with NERD under treatment with nortriptyline and placebo.
Placebo per oral for 21 days, equal to nortriptyline
It will be administered per oral 10 mg a day in the first 7 days and then 25 mg a day in the last 14 days
20 NERD patients will be treated with nortriptyline 10 mg a day in the first 7 days and 25 mg a day in the following 14 days
Inclusion Criteria: more than 17 years old, heartburn at least twice a week, naive to antireflux medications and antidepressive agents Exclusion Criteria: active esophagitis at endoscopy, contraindications to nortriptyline use