Researchers at the University of Bath suggest that the shift to online consultations is helping patients with chronic pain access vital support during the pandemic. The study highlights the potential benefits of telemedicine in delivering services for patients suffering from conditions such as arthritis, fibromyalgia, and persistent he...
A study of 1,201 patients found that pre-surgery use of opioids, sedatives, or antidepressants increased complications after colorectal surgery. Regular opioid users faced higher risks of infections, respiratory failure, and mortality.
A new study from the University of Eastern Finland found that antiepileptic drug use is associated with a significantly higher risk of death among people with Alzheimer's disease. The increased mortality risk was observed even after controlling for comorbidities and other factors.
The review found that low-dose aspirin significantly lowers cardiovascular disease risk by 17% and increases the risk of gastrointestinal bleeding and intracranial bleeding. The benefits should be weighted against the risks in formal decision analyses to guide aspirin use.
A recent study by cardiologists at the University of Alberta found that combining a blood-thinning drug rivaroxaban with aspirin daily reduces major adverse events and mortality rates in patients with chronic coronary disease who have had an angioplasty. The treatment was found to be significantly better than aspirin alone in preventin...
A new study analyzed four years' worth of data from two million patients and found that those having dental procedures on Fridays or before holidays were more likely to fill opioid prescriptions. Non-opioid painkillers are equally effective at controlling pain with lower risks.
Over half of mums-to-be at risk of pre-eclampsia are not receiving preventive aspirin treatment, says consultant obstetrician. Making aspirin available from local pharmacies could help ward off the condition, says Dr Joanna Girling.
A review paper from McGill University found that pain research remains overwhelmingly biased towards male rodents, leading to ineffective treatments for female chronic pain sufferers. The study suggests that most current analgesics will largely work in men rather than women, highlighting a critical blind spot in pain research.
Researchers found heating poppy seeds at 392 F for 40 minutes degraded most opiates. Baking seeds in muffins didn't significantly change opiate concentrations due to uneven internal and external temperatures.
Researchers at UNM demonstrated that legal cannabis hemp oil reduced mechanical pain sensitivity by 10-fold in mice with chronic post-operative neuropathic pain. The study's findings suggest that hemp oil can be an effective treatment for chronic pain, offering a natural and relatively safe alternative to conventional drugs.
This study compared early postoperative pain in patients undergoing bilateral scheduled staged TKA, finding no significant differences between the first and second surgeries. The frequency and number of analgesic requests were also similar, but showed a positive correlation at 24 hours after the second surgery.
Researchers at Duke University found a single brain area, the CeAga neurons, which can profoundly control pain by turning off dozens of other pain-promotion centers. By activating this center, they can alleviate pain behaviors in mice, suggesting potential future treatments for chronic pain.
A new type of specially designed footwear has been shown to significantly reduce the pain associated with knee osteoarthritis. The biomechanical footwear was found to be effective in reducing pain scores, and may also have potential benefits for people with hip or back pain.
A recent trial demonstrated that an intensified antithrombotic regimen comprising rivaroxaban and aspirin reduces major adverse limb events by 46% compared to aspirin alone. The review highlights the need for better evidence on antithrombotic treatment in peripheral vascular interventions.
Researchers discovered that inhibiting heat shock protein 90 in the spinal cord enhances opioid efficacy and decreases side effects. Hsp90 inhibitors could enable dose-reduction strategies for patients while maintaining pain relief.
A new treatment for chronic pain has been developed by researchers at the University of Copenhagen, tested in mice and published in EMBO Molecular Medicine. The targeted peptide Tat-P4-(C5)2 achieves complete pain relief without side effects.
A new study found that pharmacies in Appalachian Kentucky are limiting buprenorphine dispensing due to concerns about DEA caps, distrust of pharmaceutical companies, and stigma against people who use drugs. This limits access to effective treatment for opioid use disorder, which affects fewer than two in ten individuals.
A study published in Pediatrics found racial disparities in pain management among children presenting to emergency departments with long-bone fractures. Minority children were more likely to receive analgesics, but less likely to receive opioids and optimal pain reduction.
A new study found that almost 4 out of 5 patients with moderate pain intensity considered it tolerable, and 30-40% of those with severe pain also described it as tolerable. This suggests an alternative to traditional 0-10 rating scales could help doctors better understand patient needs.
Regular aspirin use is linked to reduced risk of bowel, oesophageal, stomach, and pancreatic cancers. Aspirin doses between 75-500mg/day are associated with increased cancer risk reduction.
Daily marijuana users with severe pain reported worsening health over the past year, despite frequent cannabis use. The study found no association between marijuana use and changes in health status among those with low levels of pain.
A new study reveals how Big Dynorphin binds to the ASIC receptor, causing pain signals. The discovery could lead to a new type of painkiller medicine, potentially reducing the risk of opioid-related adverse effects.
A study led by King's College London researchers analyzed existing studies on coronavirus strains to determine the safety of pain medications, steroids, and other drugs for patients with COVID-19. The study found that non-steroidal anti-inflammatory drugs like ibuprofen are not evidence against their use in treating COVID-19.
A subgroup of high-risk patients with complex heart disease who took ticagrelor alone had fewer episodes of bleeding and no increase in heart attacks or stroke. Ticagrelor monotherapy significantly reduced clinically relevant bleeding without increasing the risk of additional heart attacks, strokes or death.
People with symptomatic PAD who took rivaroxaban with aspirin after revascularization had a significant reduction in the composite primary endpoint, including acute limb ischemia, major amputation, heart attack, ischemic stroke or cardiovascular death. Rivaroxaban also showed no excess in severe bleeding events.
A study of patients with diabetes found that taking ticagrelor alone reduced clinically relevant bleeding compared to combining it with aspirin, without increasing the risk of additional heart attacks, strokes, or death. The results were consistent across all types of diabetes patients.
A subgroup analysis from VOYAGER PAD found that adding clopidogrel to rivaroxaban and aspirin after lower extremity revascularization procedures did not provide any added clinical benefit for patients with peripheral artery disease. Instead, it increased the risk of bleeding events.
A randomized trial found that ticagrelor alone reduced major bleeding risk and no increased heart attacks, strokes, or other adverse events compared to dual therapy. The study suggests ticagrelor monotherapy as an optimal strategy for reducing bleeding risk in ACS patients treated with stents.
A large study published in Neurology found that taking a low-dose aspirin daily does not reduce the risk of thinking and memory problems caused by mild cognitive impairment or probable Alzheimer's disease. The study involved 19,114 participants and was supported by various funding sources.
A pair of new studies indicate parents are more reluctant to have opioids prescribed for their children than doctors, citing fears of addiction and side-effects. Pediatricians emphasize the importance of treating children's pain while acknowledging the unknown risks of opioid treatment.
Researchers have developed highly selective ligands to label opioid receptors, shedding light on their behavior in living cells. The study reveals that most opioid receptors exist as individual entities, but a small proportion forms pairs, which may contribute to the receptor's function.
A recent analysis found that low-dose aspirin significantly reduces the risk of liver cancer and mortality from liver disease in high-risk adults. Over an 8-year follow-up, 4.0% of patients who took low-dose aspirin developed liver cancer, compared to 8.3% of nonusers.
A new study from the University of California, Davis found that ibuprofen causes significant changes in liver enzymes in laboratory mice. The research highlights marked differences in how males and females metabolize the drug, with potential implications for human health.
A study found that patients who take less opioid pain medication before discharge have lower usage during the four weeks following. Quantifying pre-discharge opioid intake may inform better pain management practices.
A randomized clinical trial found that gabapentin, commonly used for nerve pain, was effective in reducing symptoms of alcohol use disorder. The study suggests that this medication may be beneficial for millions of Americans struggling with problem drinking and a history of withdrawal symptoms.
Researchers at UArizona College of Medicine identified prolactin as a key factor in women's pain sensitivity. The study suggests new therapies targeting the prolactin system could greatly benefit women suffering from functional pain syndromes, such as migraines and fibromyalgia.
Researchers at Charité - Universitätsmedizin Berlin have developed new painkillers that target tissue acidity to reduce the risk of addiction. By fine-tuning the acid dissociation constant (pKa) of opioid molecules, these new drugs can selectively activate opioid receptors in injured tissue, preventing severe side effects.
A new framework for managing chronic pain in older adults emphasizes the importance of combining pharmacologic strategies with nondrug therapies. The 'start low, go slow' approach suggests beginning with low-risk, noninvasive options that involve patients in their own care, while judiciously using higher-risk treatments as needed.
Trials show that Gefapixant can ease the often distressing symptoms of chronic cough with minimal side effects. A dose of 50mg reduced coughing by 67% and another study showed that as little as 30mg was effective in reducing cough frequency.
A study found that over 50% of ED patients with dental-related conditions received antibiotic prescriptions, while 40% received opioid prescriptions. The American Dental Association emphasizes the importance of addressing these issues through education and policy changes.
Researchers at McGill University have discovered a protein called TACAN that plays a crucial role in sensing mechanical pain. The study provides hope for the development of powerful new analgesic drugs to treat chronic pain conditions.
A secondary analysis of the AUGUSTUS trial confirms that apixaban is safer than warfarin in patients with prior stroke or blood clot, while also reducing the risk of bleeding, hospitalization, and death. The study found that a strategy of apixaban plus a P2Y12 inhibitor without aspirin has the most favorable outcomes.
Researchers have identified calcitonin gene-related peptide (CGRP) as a link between traumatic brain injuries and post-concussion headaches. A preclinical study found that administering an anti-CGRP treatment before or after injury significantly reduced pain responses and prevented reactivated headaches.
Researchers have developed a novel formulation that reduces the toxicity of crotoxin, a toxin from rattlesnake venom, and enhances its analgesic effect. In an animal model of neuropathic pain, the formulation demonstrated promising results, with longer-lasting analgesic effects compared to traditional treatments.
Research suggests that taking acetaminophen with a tendency to forgive can reduce social pain by influencing pain signaling in the brain. Forgiveness also lessens feelings of stress and anger following experiences of social exclusion. The combination may provide an antidote to the emotional and physical pains of rejection.
A 'smart' bandage developed by UConn engineers can precisely deliver different medications to chronic wounds, promoting healing and reducing morbidity. The wirelessly-controlled bandage is equipped with miniature needles that can penetrate deeper layers of the wound bed with minimal pain and inflammation.
A UK patient database analysis found tramadol increases hip fracture risk by up to 1.5 new cases per 1000 person-years, compared to other pain medications. The study highlights the need for tramadol's fracture risk to be considered in clinical practice and treatment guidelines.
A study analyzing over 50,000 VA patients found that increasing opioid prescription doses does not improve chronic pain management. Despite higher doses, patients' pain scores showed minimal changes, indicating that clinicians should exercise caution when escalating opioid doses.
Researchers reviewed benefits and risks of over-the-counter and prescription pain relievers, including NSAIDs, aspirin, ibuprofen, naproxen, and acetaminophen. The study suggests that healthcare providers and patients should make individual clinical judgements based on the entire risk factor profile to minimize harm.
A new study suggests that roughly half of opioid prescriptions written by dentists in the US exceed federal guidelines for pain management. Dental procedures like extractions can lead to significant pain, and researchers found that some dentists are overprescribing opioids as a result.
A survey of over 2,700 kratom users found the substance has a lower rate of harm than prescription opioids for treating pain, anxiety, and depression. While self-reporting surveys are not always reliable, the results suggest kratom may have medical applications to explore as an alternative to opioid use.
Researchers found that contaminant concentrations increased during warmer months, with higher risk to fish during spawning stages. The study also discovered that nonpoint sources, such as agricultural runoff, were the primary contributor to contaminant levels in high-flow periods.
APRNs now have full prescriptive authority for opioids in 14 states and autonomous practice in another 10 states. New laws also improve access to care through state prescription drug monitoring programs.
A large clinical trial has found that low-dose aspirin daily from early pregnancy to 36 weeks may lower the risk for preterm birth among first-time mothers by 11%. The study involved over 11,000 women in several low- and middle-income countries and showed a significant reduction in preterm delivery before 37 weeks.
A Houston Methodist study found that using long-acting local anesthetics and scheduled non-narcotic pain medication reduced opioid prescriptions from 87% to 10% after surgery. The program successfully managed pain after surgery using over-the-counter pain medication, decreasing the chance of patients becoming addicted to narcotics.
A study led by McGill University found that anti-inflammatory medications are most effective when taken during the active periods of our biological clocks, promoting post-operative healing and recovery. This discovery suggests a new approach to treating pain and inflammation following surgery.
A new study found that less than 2% of people at risk for an opioid overdose received naloxone, a life-saving drug. The study suggests that there are significant gaps in naloxone prescribing, particularly among high-risk groups such as those who have survived previous overdoses or have a history of opioid use disorder.
City of Hope scientists have found that aspirin appears to reduce tumor growth and inhibit recurrence of colorectal cancer. The right dosage of aspirin is being identified to act as a prophylactic without triggering dangerous side effects.
Researchers are developing a non-invasive device that uses transcranial direct current stimulation to desensitize areas tied to knee pain in the brain. Participants wear a cap powered by three AAA batteries and undergo 15, 20-minute sessions over three weeks.
A new study by Portland State University researchers found racial and ethnic disparities in pain treatment by emergency responders, with Hispanic and Asian patients receiving lower quality care. The study analyzed 25,732 health records and found that odds of pain assessment were 21-31% lower for these groups compared to white patients.