The pharmacology of palmitoylethanolamide and first data on the therapeutic efficacy of some of its new formulations

Br J Pharmacol. 2017 Jun;174(11):1349-1365. doi: 10.1111/bph.13580. Epub 2016 Sep 29.

Abstract

Palmitoylethanolamide (PEA) has emerged as a potential nutraceutical, because this compound is naturally produced in many plant and animal food sources, as well as in cells and tissues of mammals, and endowed with important neuroprotective, anti-inflammatory and analgesic actions. Several efforts have been made to identify the molecular mechanism of action of PEA and explain its multiple effects both in the central and the peripheral nervous system. Here, we provide an overview of the pharmacology, efficacy and safety of PEA in neurodegenerative disorders, pain perception and inflammatory diseases. The current knowledge of new formulations of PEA with smaller particle size (i.e. micronized and ultra-micronized) when given alone or in combination with antioxidant flavonoids (i.e. luteolin) and stilbenes (i.e. polydatin) is also reviewed.

Linked articles: This article is part of a themed section on Principles of Pharmacological Research of Nutraceuticals. To view the other articles in this section visit http://onlinelibrary.wiley.com/doi/10.1111/bph.v174.11/issuetoc.

Publication types

  • Review

MeSH terms

  • Amides
  • Analgesics / administration & dosage
  • Analgesics / adverse effects
  • Analgesics / pharmacology
  • Animals
  • Anti-Inflammatory Agents / administration & dosage
  • Anti-Inflammatory Agents / adverse effects
  • Anti-Inflammatory Agents / pharmacology
  • Chemistry, Pharmaceutical / methods
  • Dietary Supplements*
  • Ethanolamines / administration & dosage
  • Ethanolamines / adverse effects
  • Ethanolamines / pharmacology*
  • Humans
  • Inflammation / diet therapy
  • Neurodegenerative Diseases / diet therapy
  • Neuroprotective Agents / administration & dosage
  • Neuroprotective Agents / adverse effects
  • Neuroprotective Agents / pharmacology
  • Palmitic Acids / administration & dosage
  • Palmitic Acids / adverse effects
  • Palmitic Acids / pharmacology*
  • Particle Size

Substances

  • Amides
  • Analgesics
  • Anti-Inflammatory Agents
  • Ethanolamines
  • Neuroprotective Agents
  • Palmitic Acids
  • palmidrol