Page last updated: 2024-10-25

clonidine and Benign Neoplasms

clonidine has been researched along with Benign Neoplasms in 19 studies

Clonidine: An imidazoline sympatholytic agent that stimulates ALPHA-2 ADRENERGIC RECEPTORS and central IMIDAZOLINE RECEPTORS. It is commonly used in the management of HYPERTENSION.
clonidine (amino form) : A clonidine that is 4,5-dihydro-1H-imidazol-2-amine in which one of the amino hydrogens is replaced by a 2,6-dichlorophenyl group.

Research Excerpts

ExcerptRelevanceReference
"Despite weak evidence, clonidine may be a useful adjunct in epidural or spinal morphine therapy of cancer pain."8.84[Clonidine in the treatment of cancer pain]. ( Nielsen, JB; Sjøgren, P, 2008)
"To assess the benefit of ketamine addition to a morphine-clonidine-lidocaine mixture administered continuously by the intrathecal route for the treatment of cancer pain."7.69[Cancer pain: beneficial effect of ketamine addition to spinal administration of morphine-clonidine-lidocaine mixture]. ( Lemos, D; Muller, A, 1996)
"Despite weak evidence, clonidine may be a useful adjunct in epidural or spinal morphine therapy of cancer pain."4.84[Clonidine in the treatment of cancer pain]. ( Nielsen, JB; Sjøgren, P, 2008)
"This review has covered the five potential causes for opioid poorly responsive pain, namely (a) a loss of opioid receptors on the spinal terminals of C-fibres as a result of peripheral nerve damage, (b) an accumulation of morphine-3-glucuronide, (c) changes in the non-opioid peptides, F8Fa or CCK, either spinally or supraspinally, (d) actions of the opioid peptide dynorphin and (e) spinally generated hypersensitive states via activation of the NMDA receptor."4.79Neurophysiology of opioid poorly responsive pain. ( Dickenson, AH, 1994)
"To assess the benefit of ketamine addition to a morphine-clonidine-lidocaine mixture administered continuously by the intrathecal route for the treatment of cancer pain."3.69[Cancer pain: beneficial effect of ketamine addition to spinal administration of morphine-clonidine-lidocaine mixture]. ( Lemos, D; Muller, A, 1996)
"Eighty-five patients with severe cancer pain despite large doses of opioids or with therapy-limiting side effects from opioids were randomized to receive, in a double-blind manner, 30 micrograms/h epidural clonidine or placebo for 14 days, together with rescue epidural morphine."2.68Epidural clonidine analgesia for intractable cancer pain. The Epidural Clonidine Study Group. ( Allin, D; Dubois, M; DuPen, S; Eisenach, JC; Miguel, R, 1995)
"A third of female patients with cancer report dissatisfaction with the quality and length of physician-patient discussions about reproductive health, including menopause."2.58Managing menopausal symptoms after cancer: an evidence-based approach for primary care. ( Hickey, M; Marino, JL; McNamara, HC, 2018)
"Additionally, a pronounced effect on cancer pain was seen."1.28Effect of epidural clonidine on somatosensory evoked potentials to dermatomal stimulation. ( Hansen, OB; Kehlet, H; Lund, C, 1989)
"Clonidine was absorbed in a dose-dependent manner into the systemic circulation, although absorption and elimination kinetics were highly variable."1.28Epidural clonidine analgesia for intractable cancer pain: phase I. ( Buzzanell, C; Eisenach, JC; Lysak, SZ; Rauck, RL, 1989)

Research

Studies (19)

TimeframeStudies, this research(%)All Research%
pre-19904 (21.05)18.7374
1990's6 (31.58)18.2507
2000's5 (26.32)29.6817
2010's3 (15.79)24.3611
2020's1 (5.26)2.80

Authors

AuthorsStudies
Maharani, ND1
Fuadi, A1
Halimi, RA1
Marino, JL1
McNamara, HC1
Hickey, M1
De Andres, J1
Asensio-Samper, JM1
Fabregat-Cid, G1
Taira, T1
Nielsen, JB1
Sjøgren, P1
Fitzgerald, PJ1
Friedman, GD1
Udaltsova, N1
Habel, LA1
Walker, SM1
Goudas, LC1
Cousins, MJ1
Carr, DB1
Vranken, JH1
van Kan, HJ1
van der Vegt, MH1
Christensen, NJ1
Eisenach, JC2
DuPen, S1
Dubois, M1
Miguel, R1
Allin, D1
Dickenson, AH1
Ricci, V1
Dalpane, A1
Lolli, E1
Muller, A2
Lemos, D1
Roman, J1
Villaizán, CJ1
García-Foncillas, J1
Salvador, J1
Sierrasesúmaga, L1
Lechin, F1
van der Dijs, B1
Vitelli-Florez, G1
Lechin-Baez, S1
Azocar, J1
Cabrera, A1
Lechin, A1
Jara, H1
Lechin, M1
Gomez, F1
Lund, C1
Hansen, OB1
Kehlet, H1
Rauck, RL1
Buzzanell, C1
Lysak, SZ1
Laugner, B1
Thiébaut, JB1
Farcot, JM1

Clinical Trials (2)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Hemodynamic Effect of Intrathecal Clonidine in Hypertensive Subjects: A Pilot Study to Assess Its Effectiveness in Hypertensive Subjects With Poor Blood Pressure Control (Phase II)[NCT01297335]Phase 210 participants (Actual)Interventional2011-02-28Completed
Study of the Efficiency of the Ketamine With Low Analgesic Doses, in Association With High Opioids, in the Treatment of the Rebels Pains, in Palliative Phase of the Cancerous Disease[NCT01326325]Phase 324 participants (Actual)Interventional2011-07-31Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Change in Blood Pressure After Intrathecal Injection of Clonidine.

"Subjects baseline blood pressure (systolic blood pressure (SBP), and diastolic blood pressure (DBP)), and blood pressures after clonidine injection was compared against baseline to assess efficacy of clonidine in refractory hypertensive subjects. Subject's blood pressure was monitored continuously after intrathecal injection of clonidine until subjects blood pressure nadir and return to pre clonidine injection level. The mean value reported below are the average changes in blood pressure from baseline (pre clonidine injection) in both SBP and DBP during post clonidine injection blood pressure monitoring for 4 hours.~Blood pressure measurements were collected every 10 minutes for first hour after injection, and every 15 minutes after the first hour, up to 4 hours were averaged to report the change from baseline." (NCT01297335)
Timeframe: Baseline, Every 10 Minutes for first hour after clonidine injection, and every 15 minutes after first hour, until 4 hours after clonidine injection

Interventionmm Hg (Mean)
Change in mean SBP after clonidine injectionChange in DBP after clonidine injection
Intrathecal Clonidine7937

Changes in Visual Analogue Scale (VAS) Ratings of Sedation and Sensation of Dry Mouth Reported by the Subjects, Pre and 1 Hour Post Injection

Subjects were asked to rate severity of two of the most common side effects of clonidine, sedation and sensation of dry mouth, at pre and post (1 hour after) intrathecal administration of clonidine. The mean changes between pre and post injection VAS ratings of sedation and sensation of dry mouth are reported below. The VAS scale ranges from 1 to 10 cm, with higher values indicating higher level of sedation and higher level of dry mouth. (NCT01297335)
Timeframe: Before clonidine injection (Baseline), and at 1 hour after clonidine injection.

Interventioncm (Mean)
Change in level of sedationChange in sensation of dry mouth
Intrathecal Clonidine3.363.47

Likert Scale Pain Rating

Likert scale is 11 point digital pain rating system that asks subjects to rate their pain from 0 to 10. Rating of 0 means no pain at all, and in increasing order, 10 would mean worst pain imaginable/ unbearable pain. (NCT01297335)
Timeframe: Pre-dose and 1 hour post injection.

Interventionunits on a scale (Mean)
Pre-injection average Likert scorePost-injection average Likert score
Intrathecal Clonidine6.53.6

Reviews

8 reviews available for clonidine and Benign Neoplasms

ArticleYear
Managing menopausal symptoms after cancer: an evidence-based approach for primary care.
    The Medical journal of Australia, 2018, 02-19, Volume: 208, Issue:3

    Topics: Adrenergic alpha-2 Receptor Agonists; Adult; Amenorrhea; Anti-Anxiety Agents; Breast Neoplasms; Canc

2018
Intrathecal delivery of analgesics.
    Methods in molecular biology (Clifton, N.J.), 2014, Volume: 1141

    Topics: Analgesics, Opioid; Baclofen; Bupivacaine; Catheters, Indwelling; Chronic Pain; Clonidine; Drug Deli

2014
[Chronic intrathecal drug administration for the control of intractable pain].
    Brain and nerve = Shinkei kenkyu no shinpo, 2008, Volume: 60, Issue:5

    Topics: Amines; Analgesics, Opioid; Anesthetics, Local; Baclofen; Calcium Channel Blockers; Clonidine; Cyclo

2008
[Clonidine in the treatment of cancer pain].
    Ugeskrift for laeger, 2008, Nov-03, Volume: 170, Issue:45

    Topics: Adrenergic alpha-Agonists; Analgesics; Clonidine; Humans; Injections, Epidural; Injections, Spinal;

2008
Is norepinephrine an etiological factor in some types of cancer?
    International journal of cancer, 2009, Jan-15, Volume: 124, Issue:2

    Topics: Animals; Anticarcinogenic Agents; Clonidine; Humans; Models, Biological; Neoplasms; Norepinephrine;

2009
Combination spinal analgesic chemotherapy: a systematic review.
    Anesthesia and analgesia, 2002, Volume: 95, Issue:3

    Topics: Adrenergic alpha-Agonists; Analgesics, Opioid; Anesthetics, Local; Antineoplastic Agents; Cholineste

2002
Neurophysiology of opioid poorly responsive pain.
    Cancer surveys, 1994, Volume: 21

    Topics: Analgesics, Opioid; Animals; Central Nervous System; Clonidine; Dextromethorphan; Dextrorphan; Dynor

1994
[Continuous spinal analgesia in home care of oncologic pain].
    Minerva medica, 1995, Volume: 86, Issue:10

    Topics: Analgesics, Opioid; Bupivacaine; Clonidine; Home Infusion Therapy; Humans; Infusion Pumps, Implantab

1995

Trials

2 trials available for clonidine and Benign Neoplasms

ArticleYear
Comparison of the effect of scalp block analgesia bupivacaine 0.25% and clonidine 2 μg/kg with bupivacaine 0.25% and dexamethasone 8 mg on cortisol levels and Numeric Rating Scale in craniotomy tumour.
    The Medical journal of Malaysia, 2023, Volume: 78, Issue:6

    Topics: Analgesia; Anesthetics, Local; Bupivacaine; Clonidine; Craniotomy; Dexamethasone; Humans; Hydrocorti

2023
Epidural clonidine analgesia for intractable cancer pain. The Epidural Clonidine Study Group.
    Pain, 1995, Volume: 61, Issue:3

    Topics: Adult; Aged; Aged, 80 and over; Analgesia, Epidural; Analgesics, Opioid; Analysis of Variance; Cloni

1995

Other Studies

9 other studies available for clonidine and Benign Neoplasms

ArticleYear
Norepinephrine antagonists and cancer risk.
    International journal of cancer, 2011, Feb-01, Volume: 128, Issue:3

    Topics: Atenolol; Breast Neoplasms; Clonidine; Colonic Neoplasms; Female; Humans; Lung Neoplasms; Male; Meto

2011
Stability and compatibility of a meperidine-clonidine mixture in portable pump reservoirs for the management of cancer pain syndromes.
    Journal of pain and symptom management, 2006, Volume: 32, Issue:4

    Topics: Analgesics; Analgesics, Opioid; Clonidine; Complex Mixtures; Drug Combinations; Drug Stability; Huma

2006
Adrenergic mechanisms in selected diseases: arterial hypertension, duodenal ulcer, primary depressive illness, malignant tumors, and ketotic hypoglycemia.
    Metabolism: clinical and experimental, 1980, Volume: 29, Issue:11 Suppl 1

    Topics: Adult; Blood Pressure; Child; Clonidine; Depression; Duodenal Ulcer; Epinephrine; Female; Gastrins;

1980
[Cancer pain: beneficial effect of ketamine addition to spinal administration of morphine-clonidine-lidocaine mixture].
    Annales francaises d'anesthesie et de reanimation, 1996, Volume: 15, Issue:3

    Topics: Aged; Analgesics; Catheters, Indwelling; Clonidine; Drug Combinations; Drug Synergism; Female; Human

1996
Growth and growth hormone secretion in children with cancer treated with chemotherapy.
    The Journal of pediatrics, 1997, Volume: 131, Issue:1 Pt 1

    Topics: Adolescent; Adrenergic alpha-Agonists; Adult; Age Factors; Antibiotics, Antineoplastic; Antineoplast

1997
Psychoneuroendocrinological and immunological parameters in cancer patients: involvement of stress and depression.
    Psychoneuroendocrinology, 1990, Volume: 15, Issue:5-6

    Topics: Adult; Aged; Antibodies, Monoclonal; Catecholamines; Clonidine; Depression; Female; Hormones; Humans

1990
Effect of epidural clonidine on somatosensory evoked potentials to dermatomal stimulation.
    European journal of anaesthesiology, 1989, Volume: 6, Issue:3

    Topics: Aged; Clonidine; Electric Stimulation; Evoked Potentials, Somatosensory; Female; Humans; Injections,

1989
Epidural clonidine analgesia for intractable cancer pain: phase I.
    Anesthesiology, 1989, Volume: 71, Issue:5

    Topics: Analgesia, Epidural; Blood Pressure; Clonidine; Female; Heart Rate; Humans; Male; Middle Aged; Morph

1989
[Analgesia with an implanted device for repetitive intrathecal injections of morphine].
    Annales francaises d'anesthesie et de reanimation, 1985, Volume: 4, Issue:6

    Topics: Adolescent; Adult; Aged; Aspirin; Chronic Disease; Clonidine; Drug Tolerance; Humans; Injections, Sp

1985