A Titrated Morphine Analgesic Regimen Comparing Substance Users and Non-Users with AIDS-Related Pain  Ronald Kaplan, MD, Joseph Slywka, PhD, Susan Slagle,

Slides:



Advertisements
Similar presentations
Management of Phantom Pain with a Textile, Electromagnetically-Acting Stump Liner: A Randomized, Double-Blind, Crossover Study  Uwe Kern, MD, Bernd Altkemper,
Advertisements

The Treatment of Chronic Cancer Pain in a Cancer Hospital in the Netherlands  Rianne de Wit, MS, Frits van Dam, PhD, Ans Vielvoye-Kerkmeer, PhD, Carlien.
Oropharyngeal Mucositis Pain Treatment with Transdermal Buprenorphine in Patients After Allogeneic Stem Cell Transplantation  Samuel Vokurka, MD, PhD 
Factors to Inform Clinicians About the End of Life in Severe Chronic Obstructive Pulmonary Disease  Roberto Benzo, MD, MS, Wendy Siemion, MD, Paul Novotny,
Managing Metastatic Bone Pain: The Role of Bisphosphonates
Clinical Trial Results with OROS® Hydromorphone
Winston C. -V. Parris, MD, Benjamin W. Johnson, MD, Marilyn K
Managing Metastatic Bone Pain: The Role of Bisphosphonates
Wen Jing Chung, MD, MS, Gregory H. Pharo, DO 
Olanzapine for the Prevention of Chemotherapy-Induced Nausea and Vomiting in Patients Receiving Highly or Moderately Emetogenic Chemotherapy: A Randomized,
Effects of High Dose Opioids and Sedatives on Survival in Terminally Ill Cancer Patients  Tatsuya Morita, MD, Junichi Tsunoda, MD, Satoshi Inoue, MD,
An Effective Treatment of Severe Complex Regional Pain Syndrome Type 1 in a Child Using High Doses of Intrathecal Ziconotide  Michael Stanton-Hicks, MD,
The Impact of Chronic Pain on Life in the Household
Optimization of opioid therapy for preventing incident pain associated with bone metastases  Sebastiano Mercadante, MD, Patrizia Villari, MD, Patrizia.
Efficacy and Safety of a Once-Daily Morphine Formulation in Chronic, Moderate-to- Severe Osteoarthritis Pain  Jacques R. Caldwell, MD, Ronald J. Rapoport,
Patient-Controlled Analgesia With Intravenous L-Methadone in a Child With Cancer Pain Refractory to High-Dose Morphine  Rainer Sabatowski, MD, Stefan.
The adequacy of the minimum data set assessment of pain in cognitively impaired nursing home residents  Jiska Cohen-Mansfield, PhD, ABPP  Journal of Pain.
Samy A. Alsirafy, MBBCh, MSc, MD, ABHPM, Dip Pall Med 
Oropharyngeal Mucositis Pain Treatment with Transdermal Buprenorphine in Patients After Allogeneic Stem Cell Transplantation  Samuel Vokurka, MD, PhD 
Bettina N. Nielsen, MSc, Gitte Aagaard, RN, Steen W
NMDA-Receptor Antagonists in Neuropathic Pain
Symptomatic Therapy of Dyspnea with Strong Opioids and Its Effect on Ventilation in Palliative Care Patients  Katri Elina Clemens, MD, PhD, Eberhard Klaschik,
Antiemetic and analgesic-sparing effects of diphenhydramine added to morphine intravenous patient-controlled analgesia  T.-F. Lin, Y.-C. Yeh, Y.-H. Yen,
Eduardo Bruera, MD, Raul Sala, MD, Odette Spruyt, MD, J
Efficacy of transdermal nitroglycerin combined with etodolac for the treatment of chronic post-thoracotomy pain: An open-label prospective clinical trial 
Inpatient Palliative Care and Patient Pain: Pre- and Post-Outcomes
An Open-Label, Multi-Dose Efficacy and Safety Study of Intramuscular Tetrodotoxin in Patients with Severe Cancer-Related Pain  Neil A. Hagen, MD, FRCPC,
Advances in Rheumatology
Factors to Inform Clinicians About the End of Life in Severe Chronic Obstructive Pulmonary Disease  Roberto Benzo, MD, MS, Wendy Siemion, MD, Paul Novotny,
Samuel J Hassenbusch, MD, PhD, Russell K Portenoy, MD 
Transdermal Fentanyl for Chronic Pain in AIDS
Treatment of chronic autoimmune urticaria with omalizumab
Long-Term Safety and Efficacy of Morphine Sulfate and Naltrexone Hydrochloride Extended Release Capsules, a Novel Formulation Containing Morphine and.
Nancy E. Avis, PhD, Beverly Levine, PhD, Sarah A
Characterization of the early pharmacodynamic profile of oral methadone for cancer- related breakthrough pain: a pilot study  Kim Fisher, PhD, Carla Stiles,
Suresh K Joishy, MD, FACP, Declan Walsh, MSc, FACP 
Paul A. Sloan, MD, Dwight E. Moulin, MD, FRCP(C), Helen Hays, MD 
Cancer patients' share in a population's Use of opioids
The Role of Patients' Expectations in the Development of Anticipatory Nausea Related to Chemotherapy for Cancer  Jane T. Hickok, MD, MPH, Joseph A. Roscoe,
The Role of a Low-Dose Ketamine-Midazolam Regimen in the Management of Severe Painful Crisis in Patients With Sickle Cell Disease  Qutaiba A. Tawfic,
Susan C. Miller, PhD, Dan K. Kiely, MPH, MA, Joan M
NMDA-Receptor Antagonists and Opioid Receptor Interactions as Related to Analgesia and Tolerance  Donald D Price, PhD, David J Mayer, PhD, Jianren Mao,
Strategies in Pain Management
Dose-response relationship between opioid use and adverse effects after ambulatory surgery  Sean Z Zhao, PhD, MD, Frances Chung, MD, David B Hanna, MS,
Methadone Analgesia in Cancer Pain Patients on Chronic Methadone Maintenance Therapy  Paolo L Manfredi, MD, Gilbert R Gonzales, Andrea L Cheville, Craig.
Improving Access to Opioid Analgesics for Palliative Care in India
The COX-2 Specific Inhibitor, Valdecoxib, Is An Effective, Opioid-Sparing Analgesic in Patients Undergoing Total Knee Arthroplasty  Lowell W Reynolds,
The Assessment of Cancer Pain in North India
Proglumide as a Morphine Adjunct in Cancer Pain Management
J. Lillesø, N.A. Hammer, J.L. Pedersen, H. Kehlet 
Gertrud Andersen, MD, Lona Christrup, PhD, Per Sjøgren, MD 
Hsiu-Ying Huang, PhD, RN, AOCN, Diana J Wilkie, PhD, RN, FAAN, C
Is the B12/CRP Index More Accurate Than You at Predicting Life Expectancy in Advanced Cancer Patients?  Filipa Tavares, MD  Journal of Pain and Symptom.
The Impact of Combined Use of Opioids, Antipsychotics, and Anxiolytics on Survival in the Hospice Setting  Marin Golčić, MD, Renata Dobrila-Dintinjana,
Evaluating the Quality of Dying and Death
The Impact of Delirium on the Circadian Distribution of Breakthrough Analgesia in Advanced Cancer Patients  Bruno Gagnon, MD, Peter G. Lawlor, MB, Isabelle.
Clinical and Economic Impact of Palliative Care Consultation
A Strategy for Conversion From Subcutaneous to Oral Ketamine in Cancer Pain Patients: Effect of a 1:1 Ratio  Miguel Angel Benítez-Rosario, MD, PhD, Antonio.
Knowledge and Attitudes of Italian Medical Staff Towards the Approach and Treatment of Patients in Pain  Marco Visentin, MD, Leonardo Trentin, MD, Roberto.
Clinical Economics Journal of Pain and Symptom Management
Goal Communication in Palliative Care Decision-Making Consultations
Physical Function in Patients with Cancer
Nathaniel P Katz, MD  Journal of Pain and Symptom Management 
Steady-State Pharmacokinetic Comparison of a New, Extended-Release, Once-Daily Morphine Formulation, Avinza™, and a Twice-Daily Controlled-Release Morphine.
Management of Phantom Pain with a Textile, Electromagnetically-Acting Stump Liner: A Randomized, Double-Blind, Crossover Study  Uwe Kern, MD, Bernd Altkemper,
Assessment of Pain Experiences after Elective Surgery
Economic Evaluation of the Fentanyl Transdermal System for the Treatment of Chronic Moderate to Severe Pain  Deirdre M Neighbors, BA, Timothy J Bell,
Depomedroxyprogesterone Acetate for Hot Flashes
Nausea and Vomiting Remain a Significant Clinical Problem
Supraclavicular reoperation for neurogenic thoracic outlet syndrome
Presentation transcript:

A Titrated Morphine Analgesic Regimen Comparing Substance Users and Non-Users with AIDS-Related Pain  Ronald Kaplan, MD, Joseph Slywka, PhD, Susan Slagle, MPH, Kristen Ries, MD  Journal of Pain and Symptom Management  Volume 19, Issue 4, Pages 265-273 (April 2000) DOI: 10.1016/S0885-3924(00)00117-2

Fig. 1 Mean daily pain intensity for baseline and end of study. *Statistically significant reduction in pain (P ≤ 0.0001). No significant differences were found between DU and NU. Pain intensity: 0 = none, 1 = mild, 2 = moderate, 3 = severe, 4 = overwhelming Journal of Pain and Symptom Management 2000 19, 265-273DOI: (10.1016/S0885-3924(00)00117-2)

Fig. 2 Total daily morphine requirements (intent-to-treat patients). #Significant interaction (P = 0.0004). DU and NU had significant increase in dose (P ≤ 0.0006). DU were significantly higher than NU during the final 3 days (P = 0.0018). *Significant reduction in IRM (P = 0.0100). Significant difference between DU and NU (P = 0.0006). @Significant interaction (P = 0.0055). DU required more morphine both initial (P = 0.0436) and final (P = 0.0004); DU showed significant increase over time (P = 0.040) Journal of Pain and Symptom Management 2000 19, 265-273DOI: (10.1016/S0885-3924(00)00117-2)