Safety and tolerance of methylnaltrexone in healthy humans: a randomized, placebo-controlled, intravenous, ascending-dose, pharmacokinetic study.

Author: FossJ F, MossJ, MurphyM, O'ConnorM F, RoizenM F, YuanC S

Paper Details 
Original Abstract of the Article :
N-methylnaltrexone bromide (methylnaltrexone) is a quaternary opioid antagonist with a limited ability to cross the blood-brain barrier. In animal models it reverses at peripheral receptors such side effects of opioids as decreased gastrointestinal motility, emesis, and cough suppression without aff...See full text at original site
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引用元:
https://doi.org/10.1177/009127009703700105

データ提供:米国国立医学図書館(NLM)

Methylnaltrexone: A New Oasis in the Desert of Opioid Side Effects

Opioids, while effective in managing pain, often come with a host of undesirable side effects, such as constipation, nausea, and respiratory depression, often limiting their use and casting a shadow over the lives of those seeking pain relief. This study investigates the safety and tolerance of methylnaltrexone, a quaternary opioid antagonist with limited ability to cross the blood-brain barrier, in healthy human volunteers. The researchers conducted a randomized, placebo-controlled, intravenous, ascending-dose pharmacokinetic study to assess the safety and tolerance of methylnaltrexone over a range of doses. The results demonstrated that methylnaltrexone is well tolerated at doses up to 0.32 mg/kg, with the dose-limiting adverse effect being orthostatic hypotension. This study provides valuable insights into the safety profile of methylnaltrexone, paving the way for its potential use in preventing and treating opioid-induced side effects.

Navigating the Desert of Opioid Side Effects

The study findings offer a beacon of hope for those seeking to manage opioid-induced side effects. Methylnaltrexone's ability to antagonize opioid receptors in the periphery, without significantly affecting central nervous system receptors, holds promise for mitigating the debilitating side effects of opioids, potentially allowing for more effective pain management with reduced adverse effects. This research encourages further exploration of methylnaltrexone's potential role in improving the safety and efficacy of opioid therapy.

Finding the Oasis of Opioid Management

The desert of opioid management can be a challenging landscape, often marked by a delicate balance between achieving pain relief and mitigating the potential side effects. This research offers a glimmer of hope, highlighting the potential of methylnaltrexone to provide relief from opioid-induced side effects, potentially improving the overall experience for patients seeking pain management. With continued research and clinical development, we can hope to create a more comfortable and manageable landscape for those navigating the desert of opioid therapy.

Dr.Camel's Conclusion

This research highlights the potential of methylnaltrexone to alleviate the burden of opioid-induced side effects, offering a new oasis in the desert of opioid management. The findings underscore the importance of exploring novel approaches to mitigate the adverse effects of medications while maximizing their therapeutic benefits. With continued research and clinical development, we can hope to create a more comfortable and effective landscape for those seeking pain relief, ultimately enhancing their overall well-being.

Date :
  1. Date Completed 1997-05-01
  2. Date Revised 2019-08-26
Further Info :

Pubmed ID

9048269

DOI: Digital Object Identifier

10.1177/009127009703700105

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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