- |||||||||| ketamine / Generic mfg.
Review, Journal: The effects of anaesthetics and sedatives on brain inflammation. (Pubmed Central) - Aug 5, 2021 Conversely, morphine and fentanyl may have proinflammatory effects, causing behavioural changes in patients and changes in cell viability in vitro. Conversely, chronic administration of morphine induces CCL5 chemokine expression in microglial cells that promotes their survival.
- |||||||||| morphine sulphate / Generic mfg.
Clinical, Review, Journal: Pre-emptive and preventive NSAIDs for postoperative pain in adults undergoing all types of surgery. (Pubmed Central) - Aug 5, 2021 Only one study reported clinically significant adverse events from NSAIDs administered before surgery and, therefore, we have very few data to assess the safety of either pre-emptive or preventive NSAIDs. Therefore, future research should aim to adhere to the highest methodology and be adequately powered to assess serious adverse events of NSAIDs and reductions in opioid adverse events.
- |||||||||| morphine sulphate / Generic mfg., tadalafil / Generic mfg.
Preclinical, Journal: Analgesia Additive Interaction between Tadalafil and Morphine in Experimental Animal Model. (Pubmed Central) - Aug 4, 2021 This outcome can be interpreted by the fact that both drugs share common pathways namely, NO-cGMP and opioid receptors. As a conclusion, morphine and tadalafil combination showed an additive effect against acute pain, which is mediated through the central nervous system, thus providing a rationale for combining them in order to decrease morphine dose and thus minimizing its side effect.
- |||||||||| morphine sulphate / Generic mfg., paracetamol / Generic mfg.
Journal: Perioperative Opioid and Non Opioid Prescribing Patterns in AVF/AVG Creation. (Pubmed Central) - Aug 4, 2021 Alternative analgesic agent use was low, suggesting an opportunity for improved pain control and opioid reduction. Dialysis access creation represents an opportunity to improve on opioid prescribing patterns.
- |||||||||| MoxDuo IR (morphine + oxycodone) / QRxPharma, AbbVie, OxiFast (oxycodone immediate release) / Purdue, Shionogi, Mundipharma
Journal: Post-Discharge Opioid Use Following Lower Extremity Bypass Surgery. (Pubmed Central) - Aug 4, 2021 Over 60% of pills were unused, which poses significant societal risk for misuse. Our findings contribute to knowledge of operation-specific opioid use, which may shape practice recommendations and reduce opioid overprescription after vascular surgery.
- |||||||||| morphine sulphate / Generic mfg.
Enrollment closed, Trial completion date, Trial primary completion date: NEUROIMPA - Intraarticular Application of Opioids in Chronic Arthritis of the Knee Joint (clinicaltrials.gov) - Aug 3, 2021 P2/3, N=112, Active, not recruiting, The use of dexmedetomidine as an adjuvant to bupivacaine for caudal anesthesia during pediatric thoracic surgeries induced better and prolonged postoperative analgesia as compared to morphine. Recruiting --> Active, not recruiting | Trial completion date: Jul 2020 --> Dec 2021 | Trial primary completion date: Jul 2020 --> Dec 2021
- |||||||||| morphine sulphate / Generic mfg.
[VIRTUAL] Implementation of a Multimodal Analgesia Protocol in Head and Neck Free Tissue Reconstruction to Reduce Opioid Usage () - Aug 3, 2021 - Abstract #AHNS2021AHNS_515; Phase 1 resulted in a high variability of compliance (63.4%) and MMEs (median: 109.5 mg, IQR: 45-159.5), demonstrating the need for a formal implementation process. Barriers were identified by key stakeholders including the complexity of multiple settings, of the need for standardized analgesia order sets, intentional identification and engagement of nursing leadership able to disseminate information to all relevant nursing staff, and universal buy-in from all stakeholders.
- |||||||||| morphine sulphate / Generic mfg.
Trial completion, Trial completion date, Trial primary completion date: Nalbuphine Versus Morphine for Mucositis Pain in Pediatric Cancer Patients (clinicaltrials.gov) - Aug 2, 2021 P3, N=80, Completed, Since opioids are widely used in the management of pain in HNSCC patients, understating the cellular and molecular events triggered by opioids and opioids antagonists is paramount. Recruiting --> Completed | Trial completion date: Aug 2021 --> Dec 2020 | Trial primary completion date: Jun 2021 --> Dec 2020
- |||||||||| ketorolac / Generic mfg., ibuprofen / Generic mfg.
Journal: Opioid-Sparing Multimodal Analgesia After Selective Dorsal Rhizotomy. (Pubmed Central) - Aug 1, 2021 This MMA protocol may help reduce opioid use after SDR. Improving protocol implementation in a prospective, multisite study will help elucidate further MMA effects on pain, costs, and recovery.
- |||||||||| Eladur (bupivacaine) / Amneal
Clinical, Journal: Evaluation of Fixed Intrathecal Bupivacaine Infusion Doses in the Oncologic Population. (Pubmed Central) - Aug 1, 2021 Given the higher likelihood of adverse effects in catheters at T9-12 and the lumbar spine, we start at 8 mg/day with close follow-up of the patient. Initiating these doses allow our patients to safely reach adequate analgesia faster, with a shorter hospitalization and quicker return to anti-cancer therapy.
- |||||||||| morphine sulphate / Generic mfg.
Clinical, Journal: Initiation of Intrathecal Drug Delivery Dramatically Reduces Systemic Opioid Use in Patients With Advanced Cancer. (Pubmed Central) - Aug 1, 2021 In the largest cohort of patients with advanced cancer and refractory pain treated with IDDS, implantation was associated with a dramatic reduction in systemic opioid use 30 days postoperatively, with a large majority of patients discontinuing systemic opioids. Those patients that continued systemic opioids utilized significantly lower doses as compared to their pre-implant dose.
- |||||||||| morphine sulphate / Generic mfg.
Review, Journal: Post-translational Modifications of Opioid Receptors. (Pubmed Central) - Aug 1, 2021 In this Review, we focus on the opioid receptors, members of GPCR family A, and highlight recent advances in the field that have underscored the importance of PTMs in the functional regulation of these receptors. Since opioid receptor activity plays a central role in the development of tolerance and addiction to morphine and other drugs of abuse, understanding the molecular mechanisms regulating receptor activity is of fundamental importance.
- |||||||||| morphine sulphate / Generic mfg.
Journal: Association between timing of kyphoplasty and opioid prescribing risk after vertebral fracture. (Pubmed Central) - Aug 1, 2021 For patients not naïve to opioids before fracture diagnosis, early kyphoplasty was associated with less persistent elevation of opioid overdose risk. Subsequent trials must compare opioid use by vertebral fracture patients treated via operative (kyphoplasty) and nonoperative (ongoing opioid) strategies before concluding that kyphoplasty lacks value, and early referral for kyphoplasty may be appropriate to avoid missing a window of efficacy.
- |||||||||| morphine sulphate / Generic mfg., etoricoxib / Generic mfg., paracetamol / Generic mfg.
Clinical, Journal: Etoricoxib Can Reduce Post-Operative Morphine Consumption and Pain Score in Patients Undergoing Lumbar Laminectomy Compare to Acetaminophen: A Randomized Trial. (Pubmed Central) - Jul 31, 2021 Patients in the etoricoxib group had lower VAS scores than those in the acetaminophen group at 0, 12, 24, 48 hours, the difference being statistically significant at 48 hours (P < .001). Compared to acetaminophen, etoricoxib can significantly reduce post-operative morphine consumption and improve the pain score at 12, 24, and 48 hours.
- |||||||||| risperidone / Generic mfg.
Journal: Pitfalls and challenges associated with phenoconversion in forensic toxcicology. (Pubmed Central) - Jul 31, 2021 Phenoconversion is as a complex phenomenon that leads to genotype-phenotype mismatch without any genetic abnormality particularly described for cytochromes P450 2D6 and 2C19. Although transient, phenoconversion can have a significant impact on the analysis and interpretation of genotype-focused clinical outcomes correlation and in forensic toxicology conclusions.
- |||||||||| fentanyl citrate / Generic mfg.
Journal: A deadly trend in fentanyl fatalities (England, 1998-2017). (Pubmed Central) - Jul 30, 2021 The increasing availability of both pharmaceutical fentanyls and NPFDs represents a serious risk to public health. Unintentional misuse of these compounds in England is contributing to the exponential increase in fentanyl-associated deaths that is being observed at the global scale.
- |||||||||| morphine sulphate / Generic mfg.
Journal: Lateral Septum Mu Opioid Receptors in Stimulation of Feeding. (Pubmed Central) - Jul 30, 2021 Stimulation of mu opioid receptors using drugs like morphine can increase eating when injected into multiple brain regions including the lateral septum (LS)...Finally, muscimol rapidly elicited feeding, suggesting a role for LS GABA receptors in feeding stimulation. These findings suggest that mu opioid receptors in the LS play complex roles in feeding and that neural inhibition may be a mechanism by which they elicit feeding.
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