Opioid-Related Respiratory Depression in Non-Cancer Patients, as Reported in the Japanese Adverse Drug Event Report Database
CONCLUSIONS: Our findings suggest that elderly CNCP patients should be closely monitored after the start of opioid treatment, especially during the first week and, if possible, for 1 month, even if starting doses are within ranges recommended by the manufacturer and guidelines.PMID:38246615 | DOI:10.1272/jnms.JNMS.2023_90-612 (Source: Journal of Nippon Medical School)
Source: Journal of Nippon Medical School - January 21, 2024 Category: Universities & Medical Training Authors: Hideki Sugawara Mayako Uchida Shinya Suzuki Yukio Suga Yoshihiro Uesawa Takayuki Nakagawa Hisamitsu Takase Source Type: research

Patterns of opioid use in New Zealand older adults, 2007-2018
CONCLUSIONS: The incidence and prevalence of opioid dispensing increased in New Zealand older adults over time. Monitoring the trends of opioid use in older adults is critical to enable clinicians and policymakers to deliver early interventions to prevent future opioid-related adverse events.PMID:38244213 | DOI:10.1111/ajag.13278 (Source: Australasian Journal on Ageing)
Source: Australasian Journal on Ageing - January 20, 2024 Category: Geriatrics Authors: Hoda Fahmy Amy Hai Yan Chan Gary Cheung Andrew Tomlin Kebede Beyene Source Type: research

Ameliorative Potential of Pumpkin Seed Oil ( < em > Cucurbita pepo < /em > L.) Against Tramadol-Induced Oxidative Stress
CONCLUSION: The dose-dependent delivery of CPSO was able to restore not only the activity but also the concentrations of the altered markers.PMID:38234695 | PMC:PMC10793191 | DOI:10.1177/15593258241226913 (Source: Dose Response)
Source: Dose Response - January 18, 2024 Category: Drugs & Pharmacology Authors: Ezebuilo U Ekpono Ejike D Eze Afodun M Adam Udu A Ibiam Orji U Obasi Josiah E Ifie Ejike U Ekpono Esther U Alum Sana Noreen Chinaza G Awuchi Patrick M Aja Source Type: research

Refinement of the motorised laminectomy-assisted rat spinal cord injury model by analgesic treatment
This study aimed to probe into the effects of some commonly used regimens with NSAIDs and opioids on well-being of the rats as well as on the functional outcome of the model. This eight-week study used forty-two female Wistar rats (Crl: WI), randomly and equally divided into 6 treatment groups, viz. I) tramadol (5mg/kg) and buprenorphine (0.05mg/kg); II) carprofen (5mg/kg) and buprenorphine (0.05m g/kg); III) carprofen (5mg/kg); IV) meloxicam (1mg/kg) and buprenorphine (0.05mg/kg); V) meloxicam (1mg/kg); and VI) no analgesia (0.5 ml sterile saline). Buprenorphine was administered twice daily whereas other treatments were g...
Source: PLoS One - January 16, 2024 Category: Biomedical Science Authors: Harikrishnan Vijayakumar Sreelatha Source Type: research

Pain management after total hip arthroplasty: comparative study of analgesic efficacy and tolerability between oral tramadol/dexketoprofen and injectable paracetamol + tramadol
CONCLUSIONS: After THA, oral TRAM/DKP provides faster and greater pain relief when compared to intravenous PARA+TRAM with limited consumption of RM and favourable tolerability profile. Our study expands the use of TRAM/DKP in the setting of major orthopaedic surgeries.CLINICAL TRIAL REGISTRATION: clinicaltrials.gov (NCT04178109).PMID:38204364 | DOI:10.1177/11207000231219797 (Source: Hip International)
Source: Hip International - January 11, 2024 Category: Orthopaedics Authors: George A Macheras Dimitrios Tzefronis Chrysoula Argyrou Elena Nikolakopoulou Alejandro G álvez Miravete Thefilos S Karachalios Source Type: research

Co-crystal of tramadol-celecoxib (CTC) for acute moderate-to-severe pain
CONCLUSIONS: Results from phase 3 trials suggest that the modified physicochemical properties of tramadol and celecoxib in CTC translate into an improved clinical benefit-risk profile, including fewer opioid-related adverse effects due to lower overall opioid dosing.PMID:38205948 | DOI:10.1080/03007995.2023.2276118 (Source: Current Medical Research and Opinion)
Source: Current Medical Research and Opinion - January 11, 2024 Category: Research Authors: Richard Langford Cesar Margarit Adelaida Morte Jes ús Cebrecos Mariano Sust Esther Ortiz Jos é María Giménez-Arnau Oscar de Leon-Casasola Source Type: research

Simultaneous determination of 14 analgesics in postoperative analgesic solution by HPLC –DAD and LC–MS/MS
A green, efficient, sensitive and accurate detection method by HPLC –DAD and LC–MS/MS was developed and validated for the quantification of morphine, hydromorphone, oxycodone, ketamine tramadol, dezocine, ropiv... (Source: Chemistry Central Journal)
Source: Chemistry Central Journal - January 10, 2024 Category: Chemistry Authors: Manman Yao, Baoxia Fang, Jinguo Yang, Sicen Wang and Fuchao Chen Tags: Research Source Type: research

Comparison of the analgesic efficacy of the ultrasound-guided transversalis fascia plane block and erector spinae plane block in patients undergoing open inguinal hernia repair under spinal anesthesia
CONCLUSIONS: The TFPB leads to lower tramadol requirements in the first 24 h postoperatively than the ESPB in patients undergoing OIHR.PMID:38185619 | DOI:10.4097/kja.23404 (Source: Korean Journal of Anesthesiology)
Source: Korean Journal of Anesthesiology - January 7, 2024 Category: Anesthesiology Authors: Hale Kefeli Çelik Serkan Tulgar Ömer Faruk Bük Kadem Ko ç Murat Ünal Caner Gen ç Mustafa S üren Source Type: research

Co-crystal of Tramadol-Celecoxib Versus Tramadol or Placebo for Acute Moderate-to-Severe Pain After Oral Surgery: Randomized, Double-Blind, Phase 3 Trial (STARDOM1)
ConclusionsCTC demonstrated superior pain relief compared with tramadol or placebo, as well as an improved benefit/risk profile versus tramadol.Trial registrationClinicalTrials.gov identifier, NCT02982161; EudraCT number, 2016-000592-24. (Source: Advances in Therapy)
Source: Advances in Therapy - January 6, 2024 Category: Drugs & Pharmacology Source Type: research

Risk Factors for Opioid Misuse, Abuse, and Dependence Among Pain Clinic Patients: A Cross-Sectional Study at King Khalid University Hospital during 2020
CONCLUSIONS Younger patients, opioid use >90 days, and tramadol are associated with a higher risk of opioid misuse. However, further studies on a larger scale and in various settings are needed to provide evidence accurately reflecting the general population, as this study focused on the population of pain clinic attendees.PMID:38173221 | DOI:10.12659/MSM.943218 (Source: Medical Science Monitor)
Source: Medical Science Monitor - January 4, 2024 Category: Research Authors: Nurah M Alamro Fares Aldokhayel Mohammed Alotaibi Khalid Alkhani Laith M Almazyad Khalid Alkwai Naif Almutawa Abdullah Aldhuwaihy Fatma Khamis Al Dammas Source Type: research

Phase III study of bilayer sustained-release tramadol tablets in patients with cancer pain: a double-blind parallel-group, non-inferiority study with immediate-release tramadol capsules as an active comparator
ConclusionTwice-daily administration of bilayer tramadol tablets was as effective as four-times-daily administration of IR capsules regarding the improvement in pain VAS, with comparable safety outcomes.Clinical trial registrationJapicCTI-184143/jRCT2080224082 (October 5, 2018). (Source: Supportive Care in Cancer)
Source: Supportive Care in Cancer - December 29, 2023 Category: Cancer & Oncology Source Type: research

Prevalence, pattern and determinants of substance abuse among youths in a rural community of Osun State, Southwest Nigeria
Conclusion: Respondents in the current study had good knowledge, predominantly negative attitude but a relatively high burdenof substance abuse. There is urgent need for policy makers to upscale fights against the menace of substance abuse among rural Nigerian youths. (Source: African Health Sciences)
Source: African Health Sciences - December 27, 2023 Category: African Health Authors: Idowu Ajibola , Aremu Ayodele Olatayo , Akanbi Ibukun Mary , Eseigbe Gloria , Adewale Victoria , Awubite Loliya , Adebayo Olumide , Arisa Daniella , Adetona Blessing , Olaniyan Ayomikun , Olafisoye Ebunoluwa , Olorunshola Oluwaseyi , Eyitayo Jesulayomi , Source Type: research

Synthesis and characterization of gellan gum-based hydrogels for drug delivery applications
In this study, gellan gum (Gel) derivatives were allowed to interact via aqueous Diels-Alder chemistry without the need for initiators, producing a crosslinked hydrogel network that exhibited good potential as a drug carrier using tramadol as a drug model. Hydrogel conjugation was achieved by the synthesis of a maleimide and furan-functionalized Gel, and the pre- and post-gelation chemical structure of the resulting hydrogel precursors was fully investigated. Potential uses of the developed hydrogel in the pharmaceutical industry were also evaluated by looking at its gelation duration, temperature, morphologies, swelling, ...
Source: International Journal of Biological Macromolecules - December 23, 2023 Category: Biochemistry Authors: Hussam Y Alharbi Rua B Alnoman Majed S Aljohani Menier Al-Anazia M Monier Source Type: research

Comparative evaluation of the local anesthetic action of Tramadol Hydrochloride (T-HCL) with adrenaline versus Lidocaine Hydrochloride (L-HCL) with adrenaline for maxillary exodontia: A Randomized Control Trial
Tramadol Hydrochloride (T-HCl) has demonstrated to have a local anesthetic (LA) effect similar to lidocaine Hydrochloride (L-HCl) when administered locally for minor oral surgical procedures. (Source: Journal of Oral and Maxillofacial Surgery)
Source: Journal of Oral and Maxillofacial Surgery - December 22, 2023 Category: ENT & OMF Authors: Yashwanth Raju K.R, Parimala Sagar, Kavitha Prasad, Prathibha Shridhar, K. Ranganath Source Type: research