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ANALGESIA |
From Endo Pharmaceuticals, Inc., Chadds Ford, Pennsylvania (Dr. Gammaitoni, Dr. Galer, Dr. Caruso, Dr. Ma, Dr. Schlagheck); Jean Brown Associates, St. George, Utah (Dr. Bulloch); and Magidom Discovery, LLC, Westport, Connecticut (Dr. Lacouture).
This randomized, controlled trial compared the analgesic efficacy and
safety of the new oxycodone 10-mg/acetaminophen 325-mg formulation
(Percocet®) for the treatment of acute pain following oral surgery with
double the dose of oxycodone alone (controlled-release [CR] oxycodone 20 mg
[OxyContin®]). A total of 150 male and female patients with
2 full or
partial bone-impacted mandibular molars, at least moderate persistent pain,
and moderate trauma received a single dose of combination agent, CR oxycodone,
or placebo following oral surgery and rated pain intensity and pain relief
over the next 6 hours. The intent-to-treat population comprised 141 patients
(55 on combination agent, 56 on oxycodone, and 30 on placebo). Combination
agent and CR oxycodone were significantly superior to placebo for all efficacy
measures. Combination agent was statistically superior to CR oxycodone in four
of five outcome measures of pain intensity and pain relief (PPID, PPAR, SPID,
and SPRID). It also provided a faster onset and 24% reduction in the number of
patients reporting treatment-related adverse events compared with twice the
dose of opioid alone. This new formulation offers the combination of two
analgesic drugs with complementary mechanisms of action, which results in
enhanced analgesia, an "opioid-sparing" effect, and an improved
side effect and safety profile.
This article has been cited by other articles:
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A. Kogan, B. Medalion, E. Raanani, E. Sharoni, A. Stamler, N. Pak, B. A. Vidne, and L. A. Eidelman Early oral analgesia after fast-track cardiac anesthesia: [L'analgesie orale precoce apres la technique acceleree d'anesthesie cardiaque] Can J Anesth, April 1, 2007; 54(4): 254 - 261. [Abstract] [Full Text] [PDF] |
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A. M. Levine and R. K. Burdick Controlled-Release Oxycodone J. Am. Acad. Ortho. Surg., January 1, 2005; 13(1): 1 - 4. [Full Text] [PDF] |
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