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Original article| Volume 65, 104000, September 2022

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Lavender improves fatigue symptoms in multiple sclerosis patients: A double-blind, randomized controlled trial

  • Najmeh Motaghi
    Affiliations
    Neuroscience Research Center, Institute of Neuropharmacology, Kerman university of Medical Sciences, Kerman, Iran

    Department of Traditional Medicine, Faculty of Persian Medicine, Kerman University of Medical Sciences, Kerman, Iran
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  • Haleh Tajadini
    Correspondence
    Corresponding author.
    Affiliations
    Neurology Research Center, Kerman University of Medical Sciences, Kerman, Iran

    Neurology Research Center, Kerman University of Medical Sciences, Kerman, Iran
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  • Kaveh Shafiei
    Affiliations
    Neurology Research Center, Kerman University of Medical Sciences, Kerman, Iran
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  • Fariba Sharififar
    Affiliations
    Herbal and traditional Medicines Research Center, Faculty of Pharmacy, Kerman university of Medical Sciences, Kerman, Iran
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  • Mehdi Ansari
    Affiliations
    Department of Drug and Food Control, Faculty of Pharmacy, Kerman University of Medical Sciences, Kerman, Iran
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  • Hamid Sharifi
    Affiliations
    HIV/STI Surveillance Research Center, and WHO Collaborating Center for HIV Surveillance,  Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran
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  • Zarrin Sarhadynejad
    Affiliations
    Herbal and traditional Medicines Research Center, Faculty of Pharmacy, Kerman university of Medical Sciences, Kerman, Iran

    Department of Pharmacy Medicine, Faculty of Persian Medicine, Kerman University of Medical Sciences, Kerman, Iran
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  • Fateme Tavakoli-Far
    Affiliations
    Faculty of Pharmacy, Ayatollah Amoli Branch, Islamic Azad University, Amol, Iran

    Scientific Association of Indigenous Knowledge, Shiraz University of Medical Sciences, Shiraz, Iran
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  • Hoda Kamali
    Affiliations
    Neurology Research Center, Kerman University of Medical Sciences, Kerman, Iran
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  • Ehsan Amiri-Ardekani
    Correspondence
    Corresponding author.
    Affiliations
    Department of Phytopharmaceuticals (Traditional Pharmacy), Faculty of Pharmacy, Shiraz University of Medical Sciences, Shiraz, Iran

    Student Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran

    Research Center for Traditional Medicine and History of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran
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      Highlights

      • The mean psychosocial subscale scores difference between 2 groups was significant.
      • Differences in cognitive scores between groups were significant (p˂0.001).
      • The mean total score for MFIS was statistically significant between 2 groups.
      • lavender can be an effective intervention in reducing fatigue in RRMS patients.
      • The lavender's neuroprotective and antioxidant effects may explain the findings.

      Abstract

      Background

      Fatigue is one of the most common complications of Multiple Sclerosis (MS) patients. Several pharmacological and non-pharmacological interventions have been recommended to control this complication. Lavender is one of the plants considered by Persian Medicine (PM) and recommended by scholars of past centuries in the treatment of neurological diseases. This study aimed to investigate the efficacy of lavender capsule on improving fatigue symptoms in MS patients.

      Material and methods

      In a double-blind, controlled trial, using a computer block randomization approach, 48 confirmed MS patients with eligibility criteria of being 18 years or older, Modified Fatigue Impact Scale (MFIS) ≥25, relapsing-remitting MS patients, EDSS ≤6, not pregnant, not breastfeeding, and not suffering from other diseases that cause fatigue, were randomized to receive capsules containing 600mg of lavender flowers as the intervention group or capsules containing 600mg cornstarch as the control group. Patients were randomized after completing the MFIS and were asked to take one capsule three times daily for 60 days. The MFIS again checked to assess the impact of two interventions. Analysis of Covariance (ANCOVA) was used to assess the impact of two interventions.

      Results

      24 patients included in each group. The mean (standard deviation) of MFIS was 40.56 (7.63) in the intervention and 41.43 (7.89) in the control groups (p=0.706) before the intervention. However, there was a significant reduction (p0.001˂) in the intervention group, 7.04 (4.91) compared to the control group, 38.17 (9.78) after the intervention.

      Conclusion

      In comparison to cornstarch capsules, consuming the capsules of lavender flowers decreased the MFIS in MS patients.

      Keywords

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