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Codeine and Propoxyphene in Postepisiotomy Pain: Title and subTitle BreakA Two-Dose Evaluation FREE

Charles M. Gruber, Jr, MD, DSc
[+] Author Affiliations

Reprint requests to Lilly Laboratory for Clinical Research, William N. Wishard Memorial Hospital, 1001 W 10th St, Indianapolis, IN 46202 (Dr Gruber).


JAMA. 1977;237(25):2734-2735. doi:10.1001/jama.1977.03270520044020
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In a double-blind control study, oral doses of placebo, propoxyphene napsylate (50 or 100 mg), or codeine sulfate (30 or 60 mg) were administered to 46 postepisiotomy patients, grouped by severity of pain reported at first-dose drug administration. Eight hourly observations by a trained observer provided estimates of analgesia. The analgesia scores for placebo treatments were significantly lower than for the lesser doses of either drug (P <.05) as well as for the greater doses (P <.01). At both dose levels, the analgesia scores for both drugs were almost identical. Analgesia with the higher doses was greater than with the lower, but not to a statistically significant extent. The difference in patient responses increased following the second dose. No serious adverse reactions occurred; the elicited and volunteered reports of minor side effects were similar for all five treatments.

(JAMA 237:2734-2735, 1977)

REFERENCES

Gruber CM Jr, Miller CL, Finneran J, et al:  The effectiveness of d-propoxyphene hydrochloride and codeine phosphate as determined by two methods of clinical testing for relief of chronic pain . J Pharmacol Exp Ther 118:280-285, 1956;.
Gruber CM Jr:  Codeine phosphate, propoxyphene hydrochloride, and placebo . JAMA 164:966-969, 1957;.
Moertel CG, Ahmann DL, Taylor WF, et al:  A comparative evaluation of marketed analgesic drugs . N Engl J Med 286:813-815, 1972;.
Moertel CG, Ahmann DL, Taylor WF, et al:  Relief of pain by oral medications: a controlled evaluation of analgesic combinations . JAMA 229:55-59, 1974;.
Houde RW, Wallenstein SL, Beaver WT: Clinical Measurement of Pain, Analgesics: Medicinal Chemistry . Destevens G (ed). New York, Academic Press, 1972;, vol 5, pp 75-122.
Gruber CM Jr, Baptisti A Jr:  Estimating the acceptability of morphine and noracymethadol in postpartum patients . Clin Pharmacol Ther 4:172-181, 1963;.
Cooper SA, Beaver WT:  A model to evaluate mild analgesics in oral surgery outpatients . Clin Pharmacol Ther 20:241-250, 1976;.
Waife SO, Gruber CM Jr, Rodda BE, et al:  Problems and solutions to single-dose testing of analgesics: comparison of propoxyphene, codeine, and fenoprofen . Int J Clin Pharmacol 12:301-304, 1975;.

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Gruber CM Jr, Miller CL, Finneran J, et al:  The effectiveness of d-propoxyphene hydrochloride and codeine phosphate as determined by two methods of clinical testing for relief of chronic pain . J Pharmacol Exp Ther 118:280-285, 1956;.
Gruber CM Jr:  Codeine phosphate, propoxyphene hydrochloride, and placebo . JAMA 164:966-969, 1957;.
Moertel CG, Ahmann DL, Taylor WF, et al:  A comparative evaluation of marketed analgesic drugs . N Engl J Med 286:813-815, 1972;.
Moertel CG, Ahmann DL, Taylor WF, et al:  Relief of pain by oral medications: a controlled evaluation of analgesic combinations . JAMA 229:55-59, 1974;.
Houde RW, Wallenstein SL, Beaver WT: Clinical Measurement of Pain, Analgesics: Medicinal Chemistry . Destevens G (ed). New York, Academic Press, 1972;, vol 5, pp 75-122.
Gruber CM Jr, Baptisti A Jr:  Estimating the acceptability of morphine and noracymethadol in postpartum patients . Clin Pharmacol Ther 4:172-181, 1963;.
Cooper SA, Beaver WT:  A model to evaluate mild analgesics in oral surgery outpatients . Clin Pharmacol Ther 20:241-250, 1976;.
Waife SO, Gruber CM Jr, Rodda BE, et al:  Problems and solutions to single-dose testing of analgesics: comparison of propoxyphene, codeine, and fenoprofen . Int J Clin Pharmacol 12:301-304, 1975;.
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