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Brain neurotransmitter receptor antagonist found to prevent opioid addiction in mice

A UCLA Health study discovered that suvorexant, an insomnia medication, blocks brain receptors for hypocretin and prevents opioid addiction in mice. The drug maintains behavioral alertness at lower doses than those inducing sleep. Further studies are needed to determine its effectiveness in humans with opioid use disorder.

Palliative care beneficial to manage symptoms, improve quality of life for people with CVD

A new American Heart Association scientific statement highlights the benefits of palliative care in managing symptoms and improving quality of life for people with cardiovascular disease. Palliative care complements standard cardiovascular care by reducing physical symptoms, emotional distress, and assisting patients in making decision...

SourceAmerican Heart Association·JournalCirculation·DateJul 1, 2024

Repeated thoracic paravertebral blocking to alleviate pain symptoms in 66-years-old man with post-herpetic neuralgia: A case report

A case report describes the successful use of thoracic paravertebral blocking to manage severe chronic pain associated with post-herpetic neuralgia. The procedure, involving repeated injections of levobupivacaine and dexamethasone, resulted in significant pain subsidence and reduced medication needs.

SourceBentham Science Publishers·JournalThe Open Anesthesia Journal·DateMay 31, 2024

Breakthrough in complex pain management

Researchers at NeuRA and UniSA found that early detection and comprehensive treatment can lead to significant recovery for most people with Complex Regional Pain Syndrome (CRPS) within 12-18 months. The study reviews the latest advances in CRPS epidemiology, pathophysiology, diagnosis, and treatment.

SourceUniversity of South Australia·JournalThe Lancet Neurology·TypeSystematic review·DateApr 30, 2024

Aspirin vs placebo as adjuvant therapy for breast cancer

A randomized clinical trial of 3,020 patients with high-risk nonmetastatic breast cancer found daily aspirin therapy had no effect on breast cancer recurrence or survival in early follow-up. Aspirin should not be recommended as an adjuvant breast cancer treatment despite its potential benefits and wide availability

SourceJAMA Network·JournalJAMA·DateApr 29, 2024

Dietary treatment more effective than medicines in IBS

A study published in The Lancet Gastroenterology & Hepatology found that dietary adjustments, such as a low FODMAP diet and low-carbohydrate diets, resulted in significantly reduced IBS symptoms for over seven out of ten patients. In contrast, medication-based treatment showed fewer symptom improvements.

SourceUniversity of Gothenburg·JournalThe Lancet Gastroenterology & Hepatology·TypeRandomized controlled/clinical trial·DateApr 18, 2024

Fast folding for synthetic peptides and microproteins

Researchers at Xi'an Jiaotong-Liverpool University developed a new method that enables the efficient production of cysteine-rich peptides and microproteins in their naturally folded 3D structure. The approach uses organic solvents to mimic nature's oxidative folding process, resulting in speeds of over 100,000 times faster than aqueous...

SourceXi'an Jiaotong-Liverpool University·JournalAngewandte Chemie·TypeExperimental study·DateMar 21, 2024

Choosing over the counter drugs for COVID 19? It’s complicated

Researchers from Florida Atlantic University suggest that selecting an OTC medication for mild COVID-19 symptoms should be based on the entire benefit-to-risk profile of the patient. They caution against using traditional NSAIDs like ibuprofen and naproxen due to their similar but greater side effect profiles compared to aspirin.

SourceFlorida Atlantic University·JournalThe American Journal of Medicine·TypeCommentary/editorial·DateMar 19, 2024

New guideline details acute pain management strategies for adolescent, adult dental patients

The American Dental Association has released a new clinical practice guideline recommending the use of nonsteroidal anti-inflammatory drugs (NSAIDs) alone or with acetaminophen to manage short-term dental pain in adolescents and adults. The guideline also provides recommendations for prescribing opioid medications, emphasizing caution ...

SourceAmerican Dental Association·JournalThe Journal of the American Dental Association·DateFeb 5, 2024

Higher acetaminophen intake in pregnancy linked to attention deficits in young children

A new study links increased acetaminophen use during pregnancy, particularly in the second trimester, to noticeable increases in attention and behavior problems in 2-, 3- and 4-year-olds. The study found modest but notable increases in attention-related issues and ADHD-type behaviors with increasing acetaminophen use.

SourceUniversity of Illinois at Urbana-Champaign, News Bureau·JournalNeurotoxicology and Teratology·TypeObservational study·DateJan 16, 2024

Study: Acetaminophen use during pregnancy linked to language delays in children

A new study found that increasing acetaminophen use during pregnancy is associated with language delays in early childhood, including smaller vocabulary scores and shorter mean length of utterance. The study suggests that fetal brain development is critical during the second and third trimesters.

SourceUniversity of Illinois at Urbana-Champaign, News Bureau·JournalPediatric Research·TypeCase study·DateJan 3, 2024

How effective are opioid medications for cancer pain?

A recent review of opioid medicines for cancer pain found surprisingly large gaps in evidence regarding their true benefits. Non-steroidal anti-inflammatory drugs (NSAIDs) may be at least as effective as some opioids for background cancer pain, offering potential alternatives to reduce dependence and waning analgesia over time.

SourceUniversity of Sydney·JournalCA A Cancer Journal for Clinicians·TypeSystematic review·DateDec 18, 2023

Three articles in the Journal of Pharmaceutical Analysis uncover previously unknown drug and disease mechanisms

Researchers have identified promising treatment candidates for morphine tolerance and cancer, as well as a biomarker for kidney injury. A monoclonal antibody targeting the mu-opioid receptor has been shown to alleviate morphine tolerance and physical dependence, while inducing excessive mitochondrial fission in tumor cells. Additionall...

SourceCactus Communications·JournalJournal of Pharmaceutical Analysis·TypeExperimental study·DateDec 14, 2023

Opioid limits didn’t change surgery patients’ experience, study shows

A new study published in JAMA Health Forum shows that implementing a five-day limit on opioid prescriptions for surgery patients did not lead to increased pain levels or decreased satisfaction. However, the amount of opioid pills patients received dropped significantly after the limit went into effect.

SourceMichigan Medicine - University of Michigan·JournalJAMA Health Forum·TypeData/statistical analysis·DateOct 13, 2023

New guideline details dental pain management strategies for pediatric patients

The American Dental Association has released a new clinical practice guideline recommending the use of acetaminophen and/or non-steroidal anti-inflammatory drugs (NSAIDs) as first-line treatments for managing short-term dental pain in children under 12. The guideline has been endorsed by the American Dental Association.

SourceAmerican Dental Association·JournalThe Journal of the American Dental Association·DateAug 25, 2023

Timing is key

Researchers have deciphered a biochemical mechanism explaining how cortisone preparations mediate inflammation-resolving effects in human immune cells. Cortisone influences enzymes involved in the formation of inflammation-resolving messenger substances, inducing resolvins early but impairing function later.

SourceFriedrich-Schiller-Universitaet Jena·JournalProceedings of the National Academy of Sciences·TypeExperimental study·DateAug 22, 2023

Experts: Chronic pain patients who take opioids need better care & coverage

Chronic pain patients who take opioids need access to gold-standard multi-modal pain care, including physical therapy, cognitive behavioral therapy, and integrative medicine techniques. The experts recommend restructuring insurance models, enhancing provider education, and addressing racial inequities in care.

SourceMichigan Medicine - University of Michigan·JournalJournal of Pain Research·TypeSystematic review·DateAug 14, 2023

Management of acetaminophen poisoning in the US and Canada

The study provides a comprehensive framework for diagnosing and treating acetaminophen poisoning, emphasizing the importance of early detection and aggressive management. Key findings include the need for prompt assessment and treatment with activated charcoal and N-acetylcysteine, as well as the role of monitoring liver function tests.

SourceJAMA Network·JournalJAMA Network Open·DateAug 8, 2023

Opioids, methadone and babies

A new study published in JAMA Network Open shows that methadone use following surgery in infants can increase hospital stay and delay recovery. Babies who required methadone needed to stay in the hospital an average of 21 days longer after surgery, as well as more days on ventilators and IV nutrition.

SourceChildren's Hospital Los Angeles·JournalJAMA Network Open·TypeObservational study·DateAug 8, 2023

Gene therapy treats chronic pain by dialing down sodium

Researchers at NYU College of Dentistry developed a gene therapy that regulates sodium ion channel activity to alleviate chronic pain. By targeting the specific region where CRMP2 binds to NaV1.7, they were able to reduce sodium influx and quiet down neurons, providing relief from pain in cell and animal studies.

SourceNew York University·JournalProceedings of the National Academy of Sciences·DateJul 27, 2023