Page last updated: 2024-10-22

acetaminophen and Breakthrough Pain

acetaminophen has been researched along with Breakthrough Pain in 12 studies

Acetaminophen: Analgesic antipyretic derivative of acetanilide. It has weak anti-inflammatory properties and is used as a common analgesic, but may cause liver, blood cell, and kidney damage.
paracetamol : A member of the class of phenols that is 4-aminophenol in which one of the hydrogens attached to the amino group has been replaced by an acetyl group.

Breakthrough Pain: Acute pain that comes on rapidly despite the use of pain medication.

Research Excerpts

ExcerptRelevanceReference
"The first-line use of ibuprofen rather than acetaminophen for postpartum pain did not lengthen the duration of severe-range hypertension in women with preeclampsia with severe features."9.27Effect of ibuprofen vs acetaminophen on postpartum hypertension in preeclampsia with severe features: a double-masked, randomized controlled trial. ( Blue, NR; Drake-Lavelle, S; Holbrook, BD; Katukuri, VR; Leeman, L; Mozurkewich, EL; Murray-Krezan, C; Weinberg, D, 2018)
"Patients with bone-cancer pain, already on opioids, obtain clinically important, additional pain-control, with regular oxycodone/paracetamol dosing."9.16Efficacy of oxycodone/paracetamol for patients with bone-cancer pain: a multicenter, randomized, double-blinded, placebo-controlled trial. ( Fang, WX; Li, F; Sima, L; Wu, XM, 2012)
" The patient was weaned from oxycodone ER 30 mg every 12 h and oxycodone/acetaminophen 10/325 mg 3x/day for breakthrough pain utilizing an unconventional approach."8.31Successful buprenorphine transition while overlapping with a full opioid agonist to treat chronic pain: a case report. ( Patel, KV; Sahni, S; Taylor, LF, 2023)
"To reduce postoperative pain by using additional analgesic agent in between the usual parenteral analgesia that is used in the postoperative period in surgical patients."6.87Effectiveness of acetaminophen in control of breakthrough pain: Randomized controlled trial. ( Bangash, AA; Durrani, Z, 2018)
"The first-line use of ibuprofen rather than acetaminophen for postpartum pain did not lengthen the duration of severe-range hypertension in women with preeclampsia with severe features."5.27Effect of ibuprofen vs acetaminophen on postpartum hypertension in preeclampsia with severe features: a double-masked, randomized controlled trial. ( Blue, NR; Drake-Lavelle, S; Holbrook, BD; Katukuri, VR; Leeman, L; Mozurkewich, EL; Murray-Krezan, C; Weinberg, D, 2018)
"Patients with bone-cancer pain, already on opioids, obtain clinically important, additional pain-control, with regular oxycodone/paracetamol dosing."5.16Efficacy of oxycodone/paracetamol for patients with bone-cancer pain: a multicenter, randomized, double-blinded, placebo-controlled trial. ( Fang, WX; Li, F; Sima, L; Wu, XM, 2012)
" The patient was weaned from oxycodone ER 30 mg every 12 h and oxycodone/acetaminophen 10/325 mg 3x/day for breakthrough pain utilizing an unconventional approach."4.31Successful buprenorphine transition while overlapping with a full opioid agonist to treat chronic pain: a case report. ( Patel, KV; Sahni, S; Taylor, LF, 2023)
" The protocol utilized oral celecoxib and scheduled oral acetaminophen for pain control, with opioids used only as needed for breakthrough pain."3.91Multimodal Postoperative Pain Control Is Effective and Reduces Opioid Use After Laparoscopic Roux-en-Y Gastric Bypass. ( Dove, J; Fluck, M; Gabrielsen, JD; Gionfriddo, MR; Horsley, RD; McField, DAP; Medico, C; Parker, DM; Petrick, AT; Vogels, ED, 2019)
" Patients were advised to use acetaminophen and ibuprofen, and were provided with a small "rescue" opioid prescription for breakthrough pain."3.91Patient Satisfaction and Pain Control Using an Opioid-Sparing Postoperative Pathway. ( Brummett, C; Englesbe, M; Hallway, A; Howard, R; Lee, J; Palazzolo, W; Vu, J; Waljee, J, 2019)
" Group 1 was consisted of 353 patients whose basal cancer pain of intensity 4-7 NRS was treated weak opiates (basal analgetic- fixed combination of tramadol/paracetamol (37."3.85Characteristics and Treatment of Breakthrought Pain (BTcP) in Palliative Care. ( Husic, S; Imamovic, S; Matic, S; Sukalo, A, 2017)
"To reduce postoperative pain by using additional analgesic agent in between the usual parenteral analgesia that is used in the postoperative period in surgical patients."2.87Effectiveness of acetaminophen in control of breakthrough pain: Randomized controlled trial. ( Bangash, AA; Durrani, Z, 2018)
"The rate of pregnant women with an opioid use disorder has risen drastically in the past 20 years, paralleling that in the general population."2.66Opioid Use and Misuse in Pregnancy. ( Landau, R; Shatil, B, 2020)
"Pain is a hallmark of this condition and can be extremely difficult to control."1.56Pain management in patients with end-stage renal disease and calciphylaxis- a survey of clinical practices among physicians. ( Chinnadurai, R; Lowney, AC; Miller, M; Sinha, S, 2020)

Research

Studies (12)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's0 (0.00)18.2507
2000's0 (0.00)29.6817
2010's7 (58.33)24.3611
2020's5 (41.67)2.80

Authors

AuthorsStudies
Patel, KV1
Sahni, S1
Taylor, LF1
Evans, T1
Nicholas, TA1
Sutton, AV1
Wysong, A1
Chinnadurai, R1
Sinha, S1
Lowney, AC1
Miller, M1
Shatil, B1
Landau, R1
Yang, H1
Lee, HH1
Martin-Tuite, P1
Chappidi, M1
Bowman, M1
Hamouche, F1
Ahn, J1
Stoller, M1
Braehler, M1
Chi, T1
Husic, S1
Imamovic, S1
Matic, S1
Sukalo, A1
Blue, NR1
Murray-Krezan, C1
Drake-Lavelle, S1
Weinberg, D1
Holbrook, BD1
Katukuri, VR1
Leeman, L1
Mozurkewich, EL1
Bangash, AA1
Durrani, Z1
Horsley, RD1
Vogels, ED1
McField, DAP1
Parker, DM1
Medico, C1
Dove, J1
Fluck, M1
Gabrielsen, JD1
Gionfriddo, MR1
Petrick, AT1
Wilson, SH1
Wolf, BJ1
Robinson, SM1
Nelson, C1
Hebbar, L1
Hallway, A1
Vu, J1
Lee, J1
Palazzolo, W1
Waljee, J1
Brummett, C1
Englesbe, M1
Howard, R1
Sima, L1
Fang, WX1
Wu, XM1
Li, F1

Clinical Trials (6)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Randomized Trial of Bupivacaine as Adjuvant for Post-operative Pain in Mohs Micrographic Surgery[NCT04362566]Phase 4174 participants (Actual)Interventional2020-07-30Completed
Intravenous Versus Oral Acetaminophen for Postoperative Pain Control After Cesarean Delivery[NCT02487303]148 participants (Actual)Interventional2015-03-17Completed
A Prospective Pilot Study of a Non-Narcotic Post-Operative Course After Colectomy[NCT05200806]Phase 425 participants (Anticipated)Interventional2022-02-07Recruiting
Assessing Perceived Quality of Care With Differing Pain Management Protocols After Outpatient Otolaryngology Procedures[NCT04976387]Phase 3150 participants (Actual)Interventional2021-07-02Completed
STandard Versus No Opioid Prescription After Prolapse and Anti-INcontinence Surgery: A Randomized Controlled, Non-inferiority Trial[NCT04491617]148 participants (Actual)Interventional2020-08-27Completed
Using Difference-in-Differences to Evaluate the Effect of a Statewide Quality Improvement Program on New Persistent Opioid Use After Surgery[NCT04805229]30,000 participants (Actual)Observational2013-01-01Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Cumulative Postoperative Opiate Consumption

Cumulative opiate consumption (IV morphine equivalents) (NCT02487303)
Timeframe: 24 hours

Interventionmg (Mean)
Acetaminophen Intravenous2.9
Acetaminophen Oral3.8
No Acetaminophen5.7

Time Discharge

Time patient meets discharge criteria will be recorded (NCT02487303)
Timeframe: 24 hours postoperative

Interventionhours (Mean)
Acetaminophen Intravenous48.4
Acetaminophen Oral48.6
No Acetaminophen50.5

Time to First Opiate Rescue

Time to first opiate pain medicine requested by patient (NCT02487303)
Timeframe: 48 hours

Interventionhours (Mean)
Acetaminophen Intravenous25.3
Acetaminophen Oral24.0
No Acetaminophen21.3

VAS (Visual Analog Scale)

"Visual Analog Scale (VAS) pain assessment with ambulation. The visual analog scale (VAS) is a validated, subjective measure for acute and chronic pain. Scores are recorded by making a handwritten mark on a 10-cm line that represents a continuum between no pain and worst pain. For pain intensity, the scale is most commonly anchored by no pain (score of 0) and pain as bad as it could be or worst imaginable pain (score of 100 [100-mm scale]) ." (NCT02487303)
Timeframe: 24 hours

Interventionunits on a scale (Mean)
Acetaminophen Intravenous37.8
Acetaminophen Oral44.3
No Acetaminophen50.8

Reviews

1 review available for acetaminophen and Breakthrough Pain

ArticleYear
Opioid Use and Misuse in Pregnancy.
    Clinics in perinatology, 2020, Volume: 47, Issue:4

    Topics: Acetaminophen; Analgesics, Non-Narcotic; Analgesics, Opioid; Anesthetics, Local; Anti-Inflammatory A

2020

Trials

5 trials available for acetaminophen and Breakthrough Pain

ArticleYear
The erector spinae plane block can facilitate outpatient stone surgery by reducing breakthrough pain.
    BJU international, 2021, Volume: 128, Issue:5

    Topics: Acetaminophen; Adult; Aged; Ambulatory Surgical Procedures; Analgesics, Non-Narcotic; Analgesics, Op

2021
Effect of ibuprofen vs acetaminophen on postpartum hypertension in preeclampsia with severe features: a double-masked, randomized controlled trial.
    American journal of obstetrics and gynecology, 2018, Volume: 218, Issue:6

    Topics: Acetaminophen; Adult; Analgesics, Non-Narcotic; Analgesics, Opioid; Anti-Inflammatory Agents, Non-St

2018
Effectiveness of acetaminophen in control of breakthrough pain: Randomized controlled trial.
    JPMA. The Journal of the Pakistan Medical Association, 2018, Volume: 68, Issue:7

    Topics: Acetaminophen; Adolescent; Adult; Aged; Aged, 80 and over; Analgesics, Non-Narcotic; Breakthrough Pa

2018
Intravenous vs Oral Acetaminophen for Analgesia After Cesarean Delivery: A Randomized Trial.
    Pain medicine (Malden, Mass.), 2019, 08-01, Volume: 20, Issue:8

    Topics: Acetaminophen; Administration, Intravenous; Administration, Oral; Adult; Analgesics, Non-Narcotic; A

2019
Efficacy of oxycodone/paracetamol for patients with bone-cancer pain: a multicenter, randomized, double-blinded, placebo-controlled trial.
    Journal of clinical pharmacy and therapeutics, 2012, Volume: 37, Issue:1

    Topics: Acetaminophen; Administration, Oral; Adult; Aged; Aged, 80 and over; Analgesics, Opioid; Bone Neopla

2012

Other Studies

6 other studies available for acetaminophen and Breakthrough Pain

ArticleYear
Successful buprenorphine transition while overlapping with a full opioid agonist to treat chronic pain: a case report.
    Journal of osteopathic medicine, 2023, 01-01, Volume: 123, Issue:1

    Topics: Acetaminophen; Analgesics, Opioid; Animals; Breakthrough Pain; Buprenorphine; Cattle; Chronic Pain;

2023
How We Do It: Postoperative Pain Control in Mohs Micrographic Surgery.
    Dermatologic surgery : official publication for American Society for Dermatologic Surgery [et al.], 2021, 02-01, Volume: 47, Issue:2

    Topics: Acetaminophen; Aged; Analgesics; Anesthesia, Local; Anesthetics, Local; Breakthrough Pain; Celecoxib

2021
Pain management in patients with end-stage renal disease and calciphylaxis- a survey of clinical practices among physicians.
    BMC nephrology, 2020, 09-18, Volume: 21, Issue:1

    Topics: Acetaminophen; Advance Care Planning; Amitriptyline; Analgesics; Analgesics, Non-Narcotic; Analgesic

2020
Characteristics and Treatment of Breakthrought Pain (BTcP) in Palliative Care.
    Medical archives (Sarajevo, Bosnia and Herzegovina), 2017, Volume: 71, Issue:4

    Topics: Acetaminophen; Adult; Aged; Aged, 80 and over; Analgesia, Patient-Controlled; Analgesics, Non-Narcot

2017
Multimodal Postoperative Pain Control Is Effective and Reduces Opioid Use After Laparoscopic Roux-en-Y Gastric Bypass.
    Obesity surgery, 2019, Volume: 29, Issue:2

    Topics: Acetaminophen; Administration, Oral; Adult; Aged; Analgesics, Opioid; Breakthrough Pain; Celecoxib;

2019
Patient Satisfaction and Pain Control Using an Opioid-Sparing Postoperative Pathway.
    Journal of the American College of Surgeons, 2019, Volume: 229, Issue:3

    Topics: Acetaminophen; Analgesics, Non-Narcotic; Analgesics, Opioid; Anti-Inflammatory Agents, Non-Steroidal

2019
Patient Satisfaction and Pain Control Using an Opioid-Sparing Postoperative Pathway.
    Journal of the American College of Surgeons, 2019, Volume: 229, Issue:3

    Topics: Acetaminophen; Analgesics, Non-Narcotic; Analgesics, Opioid; Anti-Inflammatory Agents, Non-Steroidal

2019
Patient Satisfaction and Pain Control Using an Opioid-Sparing Postoperative Pathway.
    Journal of the American College of Surgeons, 2019, Volume: 229, Issue:3

    Topics: Acetaminophen; Analgesics, Non-Narcotic; Analgesics, Opioid; Anti-Inflammatory Agents, Non-Steroidal

2019
Patient Satisfaction and Pain Control Using an Opioid-Sparing Postoperative Pathway.
    Journal of the American College of Surgeons, 2019, Volume: 229, Issue:3

    Topics: Acetaminophen; Analgesics, Non-Narcotic; Analgesics, Opioid; Anti-Inflammatory Agents, Non-Steroidal

2019
Patient Satisfaction and Pain Control Using an Opioid-Sparing Postoperative Pathway.
    Journal of the American College of Surgeons, 2019, Volume: 229, Issue:3

    Topics: Acetaminophen; Analgesics, Non-Narcotic; Analgesics, Opioid; Anti-Inflammatory Agents, Non-Steroidal

2019
Patient Satisfaction and Pain Control Using an Opioid-Sparing Postoperative Pathway.
    Journal of the American College of Surgeons, 2019, Volume: 229, Issue:3

    Topics: Acetaminophen; Analgesics, Non-Narcotic; Analgesics, Opioid; Anti-Inflammatory Agents, Non-Steroidal

2019
Patient Satisfaction and Pain Control Using an Opioid-Sparing Postoperative Pathway.
    Journal of the American College of Surgeons, 2019, Volume: 229, Issue:3

    Topics: Acetaminophen; Analgesics, Non-Narcotic; Analgesics, Opioid; Anti-Inflammatory Agents, Non-Steroidal

2019
Patient Satisfaction and Pain Control Using an Opioid-Sparing Postoperative Pathway.
    Journal of the American College of Surgeons, 2019, Volume: 229, Issue:3

    Topics: Acetaminophen; Analgesics, Non-Narcotic; Analgesics, Opioid; Anti-Inflammatory Agents, Non-Steroidal

2019
Patient Satisfaction and Pain Control Using an Opioid-Sparing Postoperative Pathway.
    Journal of the American College of Surgeons, 2019, Volume: 229, Issue:3

    Topics: Acetaminophen; Analgesics, Non-Narcotic; Analgesics, Opioid; Anti-Inflammatory Agents, Non-Steroidal

2019
Patient Satisfaction and Pain Control Using an Opioid-Sparing Postoperative Pathway.
    Journal of the American College of Surgeons, 2019, Volume: 229, Issue:3

    Topics: Acetaminophen; Analgesics, Non-Narcotic; Analgesics, Opioid; Anti-Inflammatory Agents, Non-Steroidal

2019
Patient Satisfaction and Pain Control Using an Opioid-Sparing Postoperative Pathway.
    Journal of the American College of Surgeons, 2019, Volume: 229, Issue:3

    Topics: Acetaminophen; Analgesics, Non-Narcotic; Analgesics, Opioid; Anti-Inflammatory Agents, Non-Steroidal

2019
Patient Satisfaction and Pain Control Using an Opioid-Sparing Postoperative Pathway.
    Journal of the American College of Surgeons, 2019, Volume: 229, Issue:3

    Topics: Acetaminophen; Analgesics, Non-Narcotic; Analgesics, Opioid; Anti-Inflammatory Agents, Non-Steroidal

2019
Patient Satisfaction and Pain Control Using an Opioid-Sparing Postoperative Pathway.
    Journal of the American College of Surgeons, 2019, Volume: 229, Issue:3

    Topics: Acetaminophen; Analgesics, Non-Narcotic; Analgesics, Opioid; Anti-Inflammatory Agents, Non-Steroidal

2019
Patient Satisfaction and Pain Control Using an Opioid-Sparing Postoperative Pathway.
    Journal of the American College of Surgeons, 2019, Volume: 229, Issue:3

    Topics: Acetaminophen; Analgesics, Non-Narcotic; Analgesics, Opioid; Anti-Inflammatory Agents, Non-Steroidal

2019
Patient Satisfaction and Pain Control Using an Opioid-Sparing Postoperative Pathway.
    Journal of the American College of Surgeons, 2019, Volume: 229, Issue:3

    Topics: Acetaminophen; Analgesics, Non-Narcotic; Analgesics, Opioid; Anti-Inflammatory Agents, Non-Steroidal

2019
Patient Satisfaction and Pain Control Using an Opioid-Sparing Postoperative Pathway.
    Journal of the American College of Surgeons, 2019, Volume: 229, Issue:3

    Topics: Acetaminophen; Analgesics, Non-Narcotic; Analgesics, Opioid; Anti-Inflammatory Agents, Non-Steroidal

2019