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Journal: N-substituted tetrahydro-beta-carboline as mu-opioid receptors ligands: in silico study; molecular docking, ADMET and molecular dynamics approach. (Pubmed Central) - May 3, 2023 The results showed that N-substituted tetrahydro-beta-carbolines with and without C6-methoxy group substitutions (THBC/6MTHBC) analogues of A1/B1 and A9/B9 have relatively acceptable affinity and within pocket-stability toward MOR compared to the reference compounds of morphine (agonist) and naloxone (antagonist)...In conclusion, the designed THBC analogues represent a good starting point for designing opioid receptor ligands other than morphinan scaffold, that have good synthetic accessibility which promotes feasible structural manipulation to tailor pharmacological effects with minimal side effects. Workflow rational in the discovery of potential Mu Opioid Receptor ligands.
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Review, Journal: The Role of Opioid Receptors in Cancer. (Pubmed Central) - May 3, 2023 Workflow rational in the discovery of potential Mu Opioid Receptor ligands. Opioids such as morphine mediate clinically relevant effects primarily through the
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Observational data, Retrospective data, Journal, Real-world evidence, Real-world: Real-World Observational Evaluation of Common Interventions to Reduce Emergency Department Prescribing of Opioid Medications. (Pubmed Central) - May 1, 2023 EHR-implemented solutions such as EPCS, pop-up alerts, and pill defaults had varying but significant effects on reducing ED opioid prescribing. Policy makers and quality improvement leaders might achieve sustainable improvements in opioid stewardship while balancing clinician alert fatigue through policy efforts promoting implementation of EPCS and default dispense quantities.
- |||||||||| morphine sulphate / Generic mfg., dexmedetomidine / Generic mfg.
Trial completion date, Trial primary completion date: Opioid-Sparing Multimodal Analgesia Versus Opioid Analgesia for Postoperative Pain After Elective Craniotomy (clinicaltrials.gov) - May 1, 2023 P=N/A, N=60, Completed, Mean parent/metabolite ratios (i.e., citalopram/norcitalopram, tramadol/O-desmethyltramadol, venlafaxine/O-desmethylvenlafaxine, and methadone/EDDP) remained relatively stable throughout the entire sampling campaign (RSD% below 25?% for all ratios, except for methadone/EDDP) and therefore were not affected by this population change. Trial completion date: Oct 2022 --> Jan 2023 | Trial primary completion date: Sep 2022 --> Dec 2022
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Journal: Optogenetic stimulation in the medial prefrontal cortex modulates stimulus valence from rewarding and aversive to neutral states. (Pubmed Central) - Apr 28, 2023 This study addressed this issue and examined whether optogenetic ChR2 photostimulation in the cingulate, prelimbic, and infralimbic cortices of the mPFC regulated the valence of saccharin solution consumption from the rewarding property, the aversive property induced by morphine's conditioning, and the neutral states via saccharin extinction processes after morphine's conditioning...Notably, the change of valence was temporary alternation during light-on related to the light-off periods. However, the findings may provide insights in the development of novel treatments for addictive symptoms.
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Journal: The trend of opioid prescriptions among cancer patients in a tertiary hospital: A multimethod quantitative study. (Pubmed Central) - Apr 28, 2023 Oral morphine equivalents (OME) were calculated using the standard conversion factors and the OME trend during the study period was assessed by a generalized additive model...Opioid use in cancer patients in this study is lower than the average global usage. Promoting opioid prescriptions for pain management through medical education can help doctors overcome opiophobia.
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Opiate use after total hip arthroplasty for metastatic bone disease. () - Apr 26, 2023 - Abstract #ASCO2023ASCO_6907; After THA in the setting of MBD, patients exhibit decreased postoperative opioid use. > MME, morphine milligram equivalent; IQR, interquartile range; *negative value in IQR denotes greater opioid use compared to preoperative opioid use; statistically significant p value is bolded.
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Journal: Association of Patient-Reported Anxiety and Pain After Alveolar Bone Grafting. (Pubmed Central) - Apr 20, 2023 We identified an association for patient-reported anxiety and perioperative opioid use and pain in a CLP cohort undergoing ABG. Future considerations in preoperative patient and family consultation may be indicated in patients self-reporting higher anxiety in an effort to minimize perioperative opioid usage.
- |||||||||| methadone / Generic mfg.
Trial completion date, Trial primary completion date, Surgery: METASPINE: Methadone for Spinal Fusion Surgery. (clinicaltrials.gov) - Apr 18, 2023 P4, N=150, Recruiting, This might be of great importance to diminish the rate of other serious disadvantages related to opioids. Trial completion date: Nov 2023 --> May 2024 | Trial primary completion date: Jul 2023 --> Feb 2024
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