Association of pain relief with drug side effects in postherpetic neuralgia: a single-dose study of clonidine, codeine, ibuprofen, and placebo.

Author: CulnaneM, DubnerR, GracelyR H, MaxM B, SchaferS C

Paper Details 
Original Abstract of the Article :
In a randomized, double-blind crossover study, 40 patients with postherpetic neuralgia were given single oral doses of clonidine, 0.2 mg, codeine, 120 mg, ibuprofen, 800 mg, or inert placebo. Pain relief and side effects were recorded for 6 hours. Patients reported significantly more relief after cl...See full text at original site
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引用元:
https://doi.org/10.1038/clpt.1988.44

データ提供:米国国立医学図書館(NLM)

Pain Relief and Side Effects: A Balancing Act in Postherpetic Neuralgia

Postherpetic neuralgia, a painful condition often felt as a burning sensation, can feel like a relentless desert heat. This study explores the effectiveness of various medications for pain relief, emphasizing the complex relationship between pain reduction and side effects. The research, conducted as a [randomized, double-blind crossover study] on 40 patients, evaluated the effects of clonidine, codeine, ibuprofen, and a placebo. The study discovered that clonidine significantly reduced pain compared to the other treatments, while codeine and ibuprofen were ineffective. However, clonidine and codeine also resulted in more frequent side effects like sedation and dizziness. The study suggests that even mild side effects might contribute to pain relief, highlighting the intricate relationship between pain perception and the body's response to medication.

Side Effects: A Potential Ally in Pain Management

This study challenges the traditional view of side effects as merely negative consequences. It suggests that even mild side effects might contribute to pain relief, perhaps by altering the patient's perception of the medication's potency. This concept is akin to the desert's shifting sands, where what seems like a disadvantage can sometimes lead to a different, unexpected outcome.

The Power of Suggestion

The study's findings hint at the potential influence of the placebo effect in pain management. The mere perception of receiving a powerful medication, even with accompanying side effects, might contribute to a sense of relief. This reminds us that the mind and body are deeply interconnected, and our perceptions can shape our experience of pain.

Dr.Camel's Conclusion

This study, like a desert oasis offering respite from the heat, sheds light on the complex interplay between pain relief and side effects in postherpetic neuralgia. It challenges our traditional understanding of side effects and highlights the potential for both positive and negative consequences. The study's findings encourage further investigation into the role of the placebo effect in pain management and the delicate balance between medication efficacy and patient perception.

Date :
  1. Date Completed 1988-05-19
  2. Date Revised 2022-03-31
Further Info :

Pubmed ID

3281774

DOI: Digital Object Identifier

10.1038/clpt.1988.44

SNS
PICO Info
in preparation
Languages

English

Positive IndicatorAn AI analysis index that serves as a benchmark for how positive the results of the study are. Note that it is a benchmark and requires careful interpretation and consideration of different perspectives.

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