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Original Contributions |

Pentazocine as an Analgesic: Title and subTitle BreakClinical Evaluation

Leo J. Cass, MD; Willem S. Frederik, MD, PhD; Jose V. Teodoro, MD
[+] Author Affiliations

Read before the annual meeting of the Committee on Drug Addiction and Narcotics of the National Research Council, Ann Arbor, Mich, Feb 16, 1963.


Boston

Dr. Cass is with the Harvard University Health Services and chief of medicine at Brooks Hospital, Brookline, Mass. Dr. Frederik is lecturer at Harvard School of Public Health and biostatistician of Harvard University Health Services. Dr. Teodore is with Harvard University Health Services and staff member at Long Island Hospital, Boston.


JAMA. 1964;188(2):112-115. doi:10.1001/jama.1964.03060280014003
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Pentazocine, a morphine antagonist derived from the benzomorphan nucleus, was studied by means of a double-blind clinical investigation in 16 patients having chronic pain. In a 40 mg dose pentazocine approaches the analgesic effectiveness of 20 mg of morphine sulfate and produces basically the same side effects except for a slight increase in the incidence and severity of drowsiness. At 20 mg dosage pentazocine produces a lower incidence of side effects than morphine sulfate 20 mg while still maintaining a fairly high level of pain relief over at least two hours. The discovery of analgesic activity in this drug is important since it is a morphine antagonist and has not yet been found to produce or support tolerance or dependence.

REFERENCES

Farnsworth, D.L.:  Pain and the Individual , New Eng J Med 254:559-562 ( (March 22) ) 1956;.
Telford, J.; Papadopoulos, C.N.; and Keats, A.S.:  Studies of Analgesic Drugs: VII. Morphine Antagonists as Analgesics , J Pharmacol Exp Ther 133:106, 1961;.
Keats, A.S., and Telford, J.:  Nalorphine, Potent Analgesic in Man , J Pharmacol Exp Ther 117:190, 1956;.
Lasagna, L., and Beecher, H.K.:  Analgesic Effectiveness of Nalorphine and Nalorphine-Morphine Combination in Man , J Pharmacol Exp Ther 112:356, 1954;.
Cass, L.J., and Frederik, W.S.:  Recent Advances in Analgesic Medications , Curr Ther Res 5:81-86 ( (Feb) ) 1963;.
Harris, L.S., and Pierson, A.K.:  Some Narcotic Antagonists in Benzomorphan Series , Science 137:541, 1962;.

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Farnsworth, D.L.:  Pain and the Individual , New Eng J Med 254:559-562 ( (March 22) ) 1956;.
Telford, J.; Papadopoulos, C.N.; and Keats, A.S.:  Studies of Analgesic Drugs: VII. Morphine Antagonists as Analgesics , J Pharmacol Exp Ther 133:106, 1961;.
Keats, A.S., and Telford, J.:  Nalorphine, Potent Analgesic in Man , J Pharmacol Exp Ther 117:190, 1956;.
Lasagna, L., and Beecher, H.K.:  Analgesic Effectiveness of Nalorphine and Nalorphine-Morphine Combination in Man , J Pharmacol Exp Ther 112:356, 1954;.
Cass, L.J., and Frederik, W.S.:  Recent Advances in Analgesic Medications , Curr Ther Res 5:81-86 ( (Feb) ) 1963;.
Harris, L.S., and Pierson, A.K.:  Some Narcotic Antagonists in Benzomorphan Series , Science 137:541, 1962;.
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