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Moderate mono or bilateral CTS, according with classification of Padua et al20 and contemporary presence of typical CTS symptoms (positive Phalen maneuvers and Tinel sign and paresthesia in the median nerve region).
Diabetes
Neuromuscular disease
Hepatic impairment (MELD Score > 9)
Moderate to severe renal impairment (creatinine clearance < 90 ml/min)
Known psychiatric disorders
Allergy or contraindication
Pregnancy
Breastfeeding
Concomitant use of other neuroprotective drugs or nutraceutical substances