Page last updated: 2024-10-30

methadone and Chronic Pain

methadone has been researched along with Chronic Pain in 91 studies

Methadone: A synthetic opioid that is used as the hydrochloride. It is an opioid analgesic that is primarily a mu-opioid agonist. It has actions and uses similar to those of MORPHINE. (From Martindale, The Extra Pharmacopoeia, 30th ed, p1082-3)
methadone : A racemate comprising equimolar amounts of dextromethadone and levomethadone. It is a opioid analgesic which is used as a painkiller and as a substitute for heroin in the treatment of heroin addiction.
6-(dimethylamino)-4,4-diphenylheptan-3-one : A ketone that is heptan-3-one substituted by a dimethylamino group at position 6 and two phenyl groups at position 4.

Chronic Pain: Aching sensation that persists for more than a few months. It may or may not be associated with trauma or disease, and may persist after the initial injury has healed. Its localization, character, and timing are more vague than with acute pain.

Research Excerpts

ExcerptRelevanceReference
"Intravenous methadone may be useful in acute and chronic pain management compared with other opioids because of its pharmacokinetic and pharmacodynamic characteristics, including the long duration of effect and ability to modulate both pain stimuli propagation and analgesic descending pathways."9.41Intravenous Methadone for Perioperative and Chronic Cancer Pain: A Review of the Literature. ( Mercadante, S, 2023)
"Chronic pain is highly prevalent among people in methadone maintenance treatment (MMT) for opioid use disorder and is known to be an important contributor to treatment discontinuation and opioid relapse."9.41A pilot randomized clinical trial of mindfulness-oriented recovery enhancement as an adjunct to methadone treatment for people with opioid use disorder and chronic pain: Impact on illicit drug use, health, and well-being. ( Cooperman, NA; Garland, EL; Hanley, AW; Kline, A, 2021)
"The efficacy and safety of oral lubiprostone for relieving symptoms of opioid-induced constipation (OIC) in patients with chronic noncancer pain were evaluated in a randomized, double-blind, placebo-controlled study."9.27Efficacy and Safety of Lubiprostone in Patients with Opioid-Induced Constipation: Phase 3 Study Results and Pooled Analysis of the Effect of Concomitant Methadone Use on Clinical Outcomes. ( Cryer, B; Drossman, DA; Losch-Beridon, T; Mareya, SM; Mazen Jamal, M; Spierings, ELH; Wang, M, 2018)
"Opioids increase the risk for sleep disordered breathing (SDB), but there are few studies examining the prevalence and risk factors for SDB, specifically central sleep apnea (CSA), and obstructive sleep apnea (OSA) in chronic pain patients on opioids as well as methadone maintained patients (MMPs)."8.93A narrative review: The effects of opioids on sleep disordered breathing in chronic pain patients and methadone maintained patients. ( Hassamal, S; Miotto, K; Saxon, AJ; Wang, T, 2016)
"This systematic review synthesizes the evidence related to methadone use and risk for overdose and cardiac arrhythmia."8.90Methadone overdose and cardiac arrhythmia potential: findings from a review of the evidence for an American Pain Society and College on Problems of Drug Dependence clinical practice guideline. ( Chou, R; Dana, T; Weimer, MB, 2014)
"Many individuals receiving methadone maintenance treatment (MMT) for opioid addiction also require treatment for acute or chronic pain, and the presence of pain is known to have a negative impact on patient health and function."8.89Chronic and acute pain and pain management for patients in methadone maintenance treatment. ( Eyler, EC, 2013)
"This study examined the cross-sectional associations among pain intensity, pain catastrophizing, and sleep disturbance among patients receiving methadone maintenance treatment (MMT) for opioid use disorder (OUD) and reporting co-occurring chronic pain."7.96Associations Among Sleep Disturbance, Pain Catastrophizing, and Pain Intensity for Methadone-maintained Patients With Opioid Use Disorder and Chronic Pain. ( Barry, DT; Beitel, M; Edwards, KA; Eller, A; Ponce Martinez, C; Roos, CR, 2020)
" Addressing these barriers in drug counselor training and in methadone maintenance treatment programs may benefit both methadone-maintained patients with chronic pain and their providers."7.85Drug Counselor Responses to Patients' Pain Reports: A Qualitative Investigation of Barriers and Facilitators to Treating Patients with Chronic Pain in Methadone Maintenance Treatment. ( Barry, DT; Beitel, M; Ginn, J; Kahn, M; Kerns, RD; Liong, C; Madden, LM; Oberleitner, L, 2017)
"Physical activity may improve chronic pain, anxiety, and depression, which are prevalent among patients in methadone maintenance treatment (MMT), but relatively little is known about the physical activity levels or interest in exercise of patients in MMT."7.83Physical activity, psychiatric distress, and interest in exercise group participation among individuals seeking methadone maintenance treatment with and without chronic pain. ( Barry, DT; Beitel, M; Cutter, CJ; Eggert, K; Ginn, J; Kerns, RD; Liong, C; Madden, LM; Schottenfeld, RS; Stults-Kolehmainen, M, 2016)
"How to taper and discontinue methadone therapy for chronic pain management is illustrated through a case report."7.81Tapering and discontinuation of methadone for chronic pain. ( Breivik, H, 2015)
"Urine samples from 921 patients prescribed opioids for chronic pain were analyzed for promethazine."7.81Promethazine use among chronic pain patients. ( Coffa, D; Kral, AH; Lynch, KL; Novak, SP; Shapiro, BJ, 2015)
"We conducted a prospective cohort study in a chronic pain clinic including 82 patients receiving methadone and 102 patients receiving non-methadone opioid therapy."7.81The QTc effect of low-dose methadone for chronic pain: a prospective pilot study. ( Ashburn, MA; Edson, E; Farrar, JT; Grodofsky, S; Hatchimonji, J; Huang, S; Lacy, K; Speck, RM, 2015)
"Patients with opioid use disorder maintained on methadone report more chronic pain than the general population."7.80Severity and interference of chronic pain in methadone-maintained outpatients. ( Brooner, RK; Clark, MR; Dunn, KE, 2014)
"Methadone, used both to treat opioid addiction and to manage chronic pain, is commonly prescribed as an opioid of choice for patients with chronic pain and comorbid substance use disorders."7.78Methadone in the chronic pain patient with a substance use disorder. ( Friedman, CK; Reisfield, GM, 2012)
" Participants receive inpatient rotation to either BuNa or methadone with a flexible dosing regimen."7.11Buprenorphine/naloxone versus methadone opioid rotation in patients with prescription opioid use disorder and chronic pain: study protocol for a randomized controlled trial. ( Dahan, A; Ellerbroek, H; Kramers, C; Schellekens, AFA; Timmerman, H; van den Heuvel, SAS, 2022)
"Our primary objective was test the hypothesis that oral methadone combined with oral ketamine is more effective than oral methadone or ketamine alone in reducing neuropathic pain."6.84Management of Neuropathic Chronic Pain with Methadone Combined with Ketamine: A Randomized, Double Blind, Active-Controlled Clinical Trial. ( Caumo, W; Dalmolin, GD; Ferreira, J; Godoy, MC; Menezes, MS; Rigo, FK; Rossato, MF; Silva, MA; Trevisan, G, 2017)
"Fifty-four participants with chronic pain and opioid addiction were randomized to receive methadone or buprenorphine/naloxone."6.78A preliminary study comparing methadone and buprenorphine in patients with chronic pain and coexistent opioid addiction. ( Azadfard, M; Blondell, RD; Giambrone, AK; Homish, GG; Jaanimägi, U; Kowalik, U; Lozano, JR; Neumann, AM, 2013)
"To assess studies examining the prevalence of chronic pain (CP) in patients treated with Opioid Substitution Treatment (OST - buprenorphine or methadone) for Opioid Used Disorder (OUD), we conducted a systematic review and meta-analysis of the literature between the years 2000 and 2020."5.41Systematic Review and Meta-Analysis of the Prevalence of Chronic Pain Among Patients With Opioid Use Disorder and Receiving Opioid Substitution Therapy. ( Authier, N; Bertin, C; Chenaf, C; Delorme, J; Kerckhove, N; Pereira, B, 2023)
"Intravenous methadone may be useful in acute and chronic pain management compared with other opioids because of its pharmacokinetic and pharmacodynamic characteristics, including the long duration of effect and ability to modulate both pain stimuli propagation and analgesic descending pathways."5.41Intravenous Methadone for Perioperative and Chronic Cancer Pain: A Review of the Literature. ( Mercadante, S, 2023)
"Chronic pain is highly prevalent among people in methadone maintenance treatment (MMT) for opioid use disorder and is known to be an important contributor to treatment discontinuation and opioid relapse."5.41A pilot randomized clinical trial of mindfulness-oriented recovery enhancement as an adjunct to methadone treatment for people with opioid use disorder and chronic pain: Impact on illicit drug use, health, and well-being. ( Cooperman, NA; Garland, EL; Hanley, AW; Kline, A, 2021)
"Methadone and EDDP were quantified by liquid chromatography-tandem mass spectrometry."5.38Evaluating the relationship of methadone concentrations and EDDP formation in chronic pain patients. ( Atayee, RS; Best, BM; Leimanis, E; Pesce, AJ, 2012)
"The efficacy and safety of oral lubiprostone for relieving symptoms of opioid-induced constipation (OIC) in patients with chronic noncancer pain were evaluated in a randomized, double-blind, placebo-controlled study."5.27Efficacy and Safety of Lubiprostone in Patients with Opioid-Induced Constipation: Phase 3 Study Results and Pooled Analysis of the Effect of Concomitant Methadone Use on Clinical Outcomes. ( Cryer, B; Drossman, DA; Losch-Beridon, T; Mareya, SM; Mazen Jamal, M; Spierings, ELH; Wang, M, 2018)
" Methadone is a medication-assisted treatment used to treat opioid dependence and chronic pain."5.05The effect of methadone on the hypothalamic pituitary gonadal axis and sexual function: A systematic review. ( Ortman, HA; Siegel, JA, 2020)
"Methadone has unique characteristics that make it an attractive agent for the treatment of chronic pain and opioid drug dependence."5.05Levorphanol versus methadone use: safety considerations. ( Haider, A; Reddy, A, 2020)
"Opioids increase the risk for sleep disordered breathing (SDB), but there are few studies examining the prevalence and risk factors for SDB, specifically central sleep apnea (CSA), and obstructive sleep apnea (OSA) in chronic pain patients on opioids as well as methadone maintained patients (MMPs)."4.93A narrative review: The effects of opioids on sleep disordered breathing in chronic pain patients and methadone maintained patients. ( Hassamal, S; Miotto, K; Saxon, AJ; Wang, T, 2016)
"While chronic pain has been said to impact patient's response to methadone maintenance treatment for opioid dependence, the reported findings are inconsistent."4.93Pain and Opioid Addiction: A Systematic Review and Evaluation of Pain Measurement in Patients with Opioid Dependence on Methadone Maintenance Treatment. ( Bawor, M; Daiter, J; Dennis, BB; Desai, D; Marsh, DC; Pare, G; Paul, J; Plater, C; Samaan, Z; Thabane, L; Varenbut, M; Worster, A, 2016)
"This systematic review synthesizes the evidence related to methadone use and risk for overdose and cardiac arrhythmia."4.90Methadone overdose and cardiac arrhythmia potential: findings from a review of the evidence for an American Pain Society and College on Problems of Drug Dependence clinical practice guideline. ( Chou, R; Dana, T; Weimer, MB, 2014)
"Many individuals receiving methadone maintenance treatment (MMT) for opioid addiction also require treatment for acute or chronic pain, and the presence of pain is known to have a negative impact on patient health and function."4.89Chronic and acute pain and pain management for patients in methadone maintenance treatment. ( Eyler, EC, 2013)
"We identified both randomized controlled trials (RCTs) and non-randomized studies of methadone use in chronic pain by searching the Cochrane Central Register of Controlled Trials (CENTRAL) in The Cochrane Library 2011, issue 11, MEDLINE (1950 to November 2011), and EMBASE (1980 to November 2011), together with reference lists of retrieved papers and reviews."4.88Methadone for chronic non-cancer pain in adults. ( Haroutiunian, S; Lipman, AG; McNicol, ED, 2012)
"Over half reported chronic pain, and rates were highest among women and patients receiving methadone."4.02Chronic Pain Among Patients With an Opioid Use Disorder. ( Latif, ZH; Skjaervø, I; Solli, KK; Tanum, L, 2021)
"This study examined the cross-sectional associations among pain intensity, pain catastrophizing, and sleep disturbance among patients receiving methadone maintenance treatment (MMT) for opioid use disorder (OUD) and reporting co-occurring chronic pain."3.96Associations Among Sleep Disturbance, Pain Catastrophizing, and Pain Intensity for Methadone-maintained Patients With Opioid Use Disorder and Chronic Pain. ( Barry, DT; Beitel, M; Edwards, KA; Eller, A; Ponce Martinez, C; Roos, CR, 2020)
"We recruited 109 participants: (i) patients with a history of opioid dependence due to chronic heroin use (n = 24), (ii) heroin users stabilised on methadone maintenance treatment (n = 29), (iii) participants with a history of chronic pain and prescribed tramadol and codeine (n = 28) and (iv) healthy controls (n = 28)."3.91Profiles of visuospatial memory dysfunction in opioid-exposed and dependent populations. ( Baldacchino, A; Balfour, DJ; Matthews, K; Tolomeo, S, 2019)
"Opioid use disorder, chronic pain relief, methadone maintenance treatment, prescriptions, male, female."3.88Association Between Socio-Demographic and Health Functioning Variables Among Patients with Opioid Use Disorder Introduced by Prescription: A Prospective Cohort Study. ( Bhatt, M; de Souza, R; Luo, C; Samaan, MC; Samaan, Z; Sanger, N; Shahid, H; Shams, I; Tam, SL; Thabane, L, 2018)
"Methadone is effective for the treatment of chronic pain, but its unique pharmacology requires additional considerations with dosing and monitoring."3.85Methadone Inpatient and Discharge Prescribing Patterns for Pain at an Academic Health System. ( Atayee, RS; Edmonds, KP; Hollenbach, KA; Hur, GH; Karimian, P, 2017)
" Addressing these barriers in drug counselor training and in methadone maintenance treatment programs may benefit both methadone-maintained patients with chronic pain and their providers."3.85Drug Counselor Responses to Patients' Pain Reports: A Qualitative Investigation of Barriers and Facilitators to Treating Patients with Chronic Pain in Methadone Maintenance Treatment. ( Barry, DT; Beitel, M; Ginn, J; Kahn, M; Kerns, RD; Liong, C; Madden, LM; Oberleitner, L, 2017)
"Chronic pain is implicated as a risk factor for illicit opioid use among patients with opioid addiction treated with methadone."3.83Usefulness of the Brief Pain Inventory in Patients with Opioid Addiction Receiving Methadone Maintenance Treatment. ( Bawor, M; Daiter, J; Dennis, BB; Desai, D; Marsh, DC; Pare, G; Paul, J; Plater, C; Roshanov, PS; Samaan, Z; Thabane, L; Varenbut, M; Worster, A, 2016)
" The objective of this study was to identify risk factors and determine awareness of risk for opioid overdose in veterans treated with opioids for chronic pain, using veterans treated with methadone or buprenorphine for opioid use disorder as a high-risk comparator group."3.83Risk factors for opioid overdose and awareness of overdose risk among veterans prescribed chronic opioids for addiction or pain. ( Miller, SC; Stein, MD; Tiffany, E; Wilder, CM; Winhusen, T; Winstanley, EL, 2016)
"Physical activity may improve chronic pain, anxiety, and depression, which are prevalent among patients in methadone maintenance treatment (MMT), but relatively little is known about the physical activity levels or interest in exercise of patients in MMT."3.83Physical activity, psychiatric distress, and interest in exercise group participation among individuals seeking methadone maintenance treatment with and without chronic pain. ( Barry, DT; Beitel, M; Cutter, CJ; Eggert, K; Ginn, J; Kerns, RD; Liong, C; Madden, LM; Schottenfeld, RS; Stults-Kolehmainen, M, 2016)
"How to taper and discontinue methadone therapy for chronic pain management is illustrated through a case report."3.81Tapering and discontinuation of methadone for chronic pain. ( Breivik, H, 2015)
"Little is known about the experience of chronic pain and the occurrence of illicit drug use behaviors in the population enrolled in methadone maintenance treatment (MMT) programs."3.81Longitudinal analysis of pain and illicit drug use behaviors in outpatients on methadone maintenance. ( Cheatle, MD; Chen, J; Dhingra, L; Jordan, AE; Masson, C; McKnight, C; Perlman, DC; Portenoy, RK; Wasser, T, 2015)
"We conducted a prospective cohort study in a chronic pain clinic including 82 patients receiving methadone and 102 patients receiving non-methadone opioid therapy."3.81The QTc effect of low-dose methadone for chronic pain: a prospective pilot study. ( Ashburn, MA; Edson, E; Farrar, JT; Grodofsky, S; Hatchimonji, J; Huang, S; Lacy, K; Speck, RM, 2015)
"Urine samples from 921 patients prescribed opioids for chronic pain were analyzed for promethazine."3.81Promethazine use among chronic pain patients. ( Coffa, D; Kral, AH; Lynch, KL; Novak, SP; Shapiro, BJ, 2015)
"The aim of this qualitative study was to examine the narratives of people who experience chronic pain (lasting 6 months or more) and were receiving methadone for the treatment of their opiate addiction through a major methadone clinic."3.80Coexisting addiction and pain in people receiving methadone for addiction. ( St Marie, B, 2014)
"Patients with opioid use disorder maintained on methadone report more chronic pain than the general population."3.80Severity and interference of chronic pain in methadone-maintained outpatients. ( Brooner, RK; Clark, MR; Dunn, KE, 2014)
"Surveys of current trends indicate heroin abuse is associated with nonmedical use of pain relievers."3.80Prevalence of heroin markers in urine for pain management patients. ( Black, DL; Caplan, YH; Cone, EJ; DePriest, A; Heltsley, R; Hild, C; Knight, J; Puet, BL; Robert, T, 2014)
" Conversely, oral oxycodone and methadone were ineffective in controlling chronic pain despite high doses and aggressive titration."3.78Unpredictable absorption of oral opioid medications in a quadriplegic patient with chronic enterocutaneous fistulas. ( Viswesh, VV, 2012)
"Methadone, used both to treat opioid addiction and to manage chronic pain, is commonly prescribed as an opioid of choice for patients with chronic pain and comorbid substance use disorders."3.78Methadone in the chronic pain patient with a substance use disorder. ( Friedman, CK; Reisfield, GM, 2012)
" Using an attentional bias (AB) task with both pain and opioid cues, we evaluated a cognitive bias modification (CBM) task administered during regularly scheduled medications for OUD (mOUD) dosing visits."3.30Integrating cognitive bias modification for pain and opioid cues into medication for opioid use disorder clinical care: Feasibility, acceptability, and preliminary results. ( Heapy, AA; MacLean, RR; Meyerovich, J; Sofuoglu, M; Szollosy, SK; Waters, AJ; Wolkowicz, N, 2023)
" Participants receive inpatient rotation to either BuNa or methadone with a flexible dosing regimen."3.11Buprenorphine/naloxone versus methadone opioid rotation in patients with prescription opioid use disorder and chronic pain: study protocol for a randomized controlled trial. ( Dahan, A; Ellerbroek, H; Kramers, C; Schellekens, AFA; Timmerman, H; van den Heuvel, SAS, 2022)
"The coexistence of opioid use disorder (OUD) in patients with chronic pain represents a complex challenge due to the need for managing both pain and OUD."3.01Systematic review on the clinical management of chronic pain and comorbid opioid use disorder. ( Calomarde-Gómez, C; Gual, A; Jiménez-Fernández, B; Lligoña, A; López-Lazcano, A; López-Pelayo, H, 2023)
"Participants with OUD and chronic pain (N = 30) were randomized to 8 weeks of MORE or treatment as usual (TAU)."2.90Mindfulness-Oriented Recovery Enhancement reduces opioid craving among individuals with opioid use disorder and chronic pain in medication assisted treatment: Ecological momentary assessments from a stage 1 randomized controlled trial. ( Cooperman, NA; Garland, EL; Hanley, AW; Kline, A, 2019)
"Our primary objective was test the hypothesis that oral methadone combined with oral ketamine is more effective than oral methadone or ketamine alone in reducing neuropathic pain."2.84Management of Neuropathic Chronic Pain with Methadone Combined with Ketamine: A Randomized, Double Blind, Active-Controlled Clinical Trial. ( Caumo, W; Dalmolin, GD; Ferreira, J; Godoy, MC; Menezes, MS; Rigo, FK; Rossato, MF; Silva, MA; Trevisan, G, 2017)
"Fifty-four participants with chronic pain and opioid addiction were randomized to receive methadone or buprenorphine/naloxone."2.78A preliminary study comparing methadone and buprenorphine in patients with chronic pain and coexistent opioid addiction. ( Azadfard, M; Blondell, RD; Giambrone, AK; Homish, GG; Jaanimägi, U; Kowalik, U; Lozano, JR; Neumann, AM, 2013)
"Methadone has a unique mechanism of action when compared with all other opioids and for this reason methadone has come to hold a niche role in the management of opioid-induced hyperalgesia and central sensitization."2.66Methadone for Pain Management: A Pharmacotherapeutic Review. ( Kreutzwiser, D; Tawfic, QA, 2020)
"Chronic pain affects millions of adults in the USA."2.61Comprehensive Perioperative Management Considerations in Patients Taking Methadone. ( Anyama, BC; Cornett, EM; Gennuso, SA; Green, JB; Kaye, AD; Kline, RJ; Okereke, EC; Robichaux, SL, 2019)
"The use of opioids to treat chronic pain has come under increased scrutiny, as such use has been associated with significant risk of death, with limited data regarding the long-term effectiveness, especially when used to treat noncancer pain."2.52Cardiac Effects of Opioid Therapy. ( Ashburn, MA; Chen, A, 2015)
" There was credible evidence of a strong relationship between opioids and SDB with noted risk factors including use of methadone, high opioid dosing (>200 mg MED) and combining opioids with benzodiazepines."2.52Opioid Therapy and Sleep Disorders: Risks and Mitigation Strategies. ( Cheatle, MD; Webster, LR, 2015)
" There are many challenges in conducting studies in advanced cancer with significant attrition and small sample sizes, however it is hoped that the results of our study will contribute to the evidence base and allow for continued development of gene-drug dosing guidelines for clinicians."1.72Association of KCNJ6 rs2070995 and methadone response for pain management in advanced cancer at end-of-life. ( Albury, CL; George, R; Good, P; Griffiths, LR; Hardy, J; Haupt, LM; Haywood, A; Ozberk, D; Sutherland, HG; Yu, C; Zunk, M, 2022)
"Patients with PTSD had higher proportion of chronic pain and high-perceived stress, and lower pain threshold, with similar supra-threshold ratings."1.62Post-traumatic stress disorder due to sexual abuse and its relation to pain sensitivity among patients in methadone maintenance treatment. ( Adelson, M; Lamhoot, T; Peles, E; Sason, A; Schreiber, S, 2021)
"The independent variable was chronic pain measured at study inception using the Brief Pain Inventory-Short Form."1.56Comparison of psychiatric comorbidity in treatment-seeking, opioid-dependent patients with versus without chronic pain. ( Higgins, C; Matthews, K; Smith, BH, 2020)
"Pharmacological management of neuropathic pain should be based on a stepwise intervention strategy, as combinations of medications are the most effective approach."1.51Neuropathic Pain in Pediatric Oncology: A Clinical Decision Algorithm. ( Anghelescu, DL; Tesney, JM, 2019)
"We compared the risk of serious infection among patients initiating long-acting opioid analgesics with and without previously reported immunosuppressive properties."1.51Long-acting Opioid Use and the Risk of Serious Infections: A Retrospective Cohort Study. ( Greevy, RA; Griffin, MR; Grijalva, CG; Mitchel, EF; Schaffner, W; Stein, CM; Wiese, AD, 2019)
"Despite high rates of chronic pain among their patients, opioid agonist treatment (OAT) counselors report an absence of training to manage chronic pain."1.48Training addiction counselors to deliver a brief psychoeducational intervention for chronic pain among patients in opioid agonist treatment: A pilot investigation. ( Barry, DT; Beitel, M; Bone, C; Bono, MH; Butner, JL; Eller, A; Kwon, G; Madden, LM; Ponce Martinez, CC, 2018)
"Compared with nociceptive pain, neuropathic pain is a challenging diagnosis to make and successfully treat in children with cancer."1.46Very-Low-Dose Methadone To Treat Refractory Neuropathic Pain in Children with Cancer. ( Bruera, E; Madden, K, 2017)
"Chronic pain was present in 68% of the sample, 51% reported craving opioids in the past week, and 16% had a positive UDT."1.43Chronic pain, craving, and illicit opioid use among patients receiving opioid agonist therapy. ( Alford, DP; Cheng, DM; Edwards, RR; Liebschutz, JM; Lira, MC; Samet, JH; Tsui, JI; Winter, MR, 2016)
"Chronic pain is common among patients receiving opioid maintenance treatment (OMT) for opioid use disorder."1.42Characterizing pain and associated coping strategies in methadone and buprenorphine-maintained patients. ( Dunn, KE; Finan, PH; Fingerhood, M; Strain, EC; Tompkins, DA, 2015)
"Methadone maintenance treatment (MMT) patients may achieve up to a 2-week privilege of methadone take-home doses (THD), which is associated with considerable responsibility."1.40Achievement of take-home dose privileges is associated with better-perceived sleep and with cognitive status among methadone maintenance treatment patients. ( Adelson, M; Domany, Y; Peles, E; Sason, A; Schreiber, S; Tene, O, 2014)
" Eighty per cent of patients were not asked about their ability to swallow solid, oral dosage forms by their physician."1.40Challenges of treating patients with chronic pain with dysphagia (CPD): physician and patient perspectives. ( Carlson, DR; Kopecky, EA; Nalamachu, S; Pergolizzi, JV; Raffa, RB; Taylor, R; Varanasi, RK, 2014)
"Methadone and EDDP were quantified by liquid chromatography-tandem mass spectrometry."1.38Evaluating the relationship of methadone concentrations and EDDP formation in chronic pain patients. ( Atayee, RS; Best, BM; Leimanis, E; Pesce, AJ, 2012)

Research

Studies (91)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's0 (0.00)18.2507
2000's1 (1.10)29.6817
2010's67 (73.63)24.3611
2020's23 (25.27)2.80

Authors

AuthorsStudies
Gaeta Gazzola, M1
Carmichael, ID1
Madden, LM5
Dasgupta, N1
Beitel, M8
Zheng, X1
Eggert, KF1
Farnum, SO1
Barry, DT8
Jasmine Silva, M1
Coffee, Z1
Goza, J1
Rumrill, K1
Jiménez-Fernández, B1
Calomarde-Gómez, C1
López-Lazcano, A1
Lligoña, A1
Gual, A1
López-Pelayo, H1
Ellerbroek, H1
van den Heuvel, SAS1
Dahan, A1
Timmerman, H1
Kramers, C1
Schellekens, AFA1
Delorme, J1
Kerckhove, N1
Authier, N1
Pereira, B1
Bertin, C1
Chenaf, C1
Ozberk, D1
Haywood, A1
Sutherland, HG1
Yu, C1
Albury, CL1
Zunk, M1
George, R1
Good, P1
Griffiths, LR1
Hardy, J1
Haupt, LM1
MacLean, RR1
Heapy, AA1
Waters, AJ1
Wolkowicz, N1
Szollosy, SK1
Meyerovich, J1
Sofuoglu, M1
Mercadante, S1
Garland, EL2
Hanley, AW2
Kline, A2
Cooperman, NA2
Uebelacker, LA1
Van Noppen, D1
Tremont, G1
Bailey, G1
Abrantes, A1
Stein, M1
Roxburgh, A1
Hall, WD1
Gisev, N1
Degenhardt, L1
Rosen, KD1
Curtis, ME1
Potter, JS1
Ortman, HA1
Siegel, JA1
Haider, A1
Reddy, A1
Ponce Martinez, C1
Edwards, KA1
Roos, CR1
Eller, A2
Kreutzwiser, D1
Tawfic, QA1
Avram, MJ1
Murphy, GS1
Szokol, JW1
Romanoff, M1
Rajput, K1
Vadivelu, N1
Lamhoot, T1
Adelson, M3
Sason, A3
Schreiber, S3
Peles, E3
Benville, JR1
Compton, P1
Giordano, NA1
Cheatle, MD3
Butler, SH1
Latif, ZH1
Skjaervø, I1
Solli, KK1
Tanum, L1
Sohn, M1
Talbert, JC1
Huang, Z1
Oser, C1
Freeman, PR1
Rigo, FK2
Trevisan, G1
Godoy, MC1
Rossato, MF2
Dalmolin, GD2
Silva, MA1
Menezes, MS1
Caumo, W1
Ferreira, J2
Madden, K1
Bruera, E1
Zhou, K1
Jia, P1
Bhargava, S1
Zhang, Y1
Reza, T1
Peng, YB1
Wang, GG1
Spierings, ELH1
Drossman, DA1
Cryer, B1
Mazen Jamal, M1
Losch-Beridon, T1
Mareya, SM1
Wang, M1
Masharani, U1
Alba, D1
Aiyer, R1
Gulati, A1
Gungor, S1
Bhatia, A1
Mehta, N1
Mordecai, L1
Reynolds, C1
Donaldson, LJ1
de C Williams, AC1
Larsen, IM1
Drewes, AM1
Olesen, AE1
Butner, JL1
Bone, C1
Ponce Martinez, CC1
Kwon, G1
Bono, MH1
LeBlanc, Z1
Vance, C1
Payne, J1
Zhang, J1
Hilliard, L1
Lebensburger, JD1
Howard, TH1
Wiese, AD1
Griffin, MR1
Schaffner, W1
Stein, CM2
Greevy, RA1
Mitchel, EF1
Grijalva, CG1
Higgins, C2
Smith, BH2
Matthews, K3
Baldacchino, A1
Tolomeo, S1
Balfour, DJ1
Cutter, CJ4
Fiellin, DA1
Kerns, RD4
Moore, BA1
Oberleitner, L2
Liong, C4
Ginn, J3
Schottenfeld, RS3
Sanger, N1
Bhatt, M1
Shams, I1
Shahid, H1
Luo, C1
Tam, SL1
Samaan, MC1
de Souza, R1
Thabane, L3
Samaan, Z3
Humphreys, K1
Saitz, R1
Anghelescu, DL1
Tesney, JM1
Babu, KM1
Brent, J1
Juurlink, DN1
Cornett, EM1
Kline, RJ1
Robichaux, SL1
Green, JB1
Anyama, BC1
Gennuso, SA1
Okereke, EC1
Kaye, AD1
Wachholtz, A1
Gonzalez, G1
Ziedonis, D1
Pilgrim, JL1
McDonough, M1
Drummer, OH1
Neumann, AM1
Blondell, RD1
Jaanimägi, U1
Giambrone, AK1
Homish, GG1
Lozano, JR1
Kowalik, U1
Azadfard, M1
de Godoy, MC1
de Menezes, MS1
Alvarez, MA1
Hernandes, JJ1
Moreno, LA1
Sinche, M1
Keane, H1
Savant, JD1
Peters, S1
Belisle, N1
Webster, LR2
St Marie, B1
Pergolizzi, JV1
Taylor, R1
Nalamachu, S1
Raffa, RB1
Carlson, DR1
Varanasi, RK1
Kopecky, EA1
Luk, S1
Atayee, RS3
Ma, JD1
Best, BM2
Domany, Y2
Tene, O2
Chou, R1
Weimer, MB1
Dana, T1
Dunn, KE2
Brooner, RK1
Clark, MR1
Knight, J1
Puet, BL1
DePriest, A1
Heltsley, R1
Hild, C1
Black, DL1
Robert, T1
Caplan, YH1
Cone, EJ1
Hendrikson, H1
Hansen, M1
Grodofsky, S1
Edson, E1
Huang, S1
Speck, RM1
Hatchimonji, J1
Lacy, K1
Farrar, JT1
Ashburn, MA2
Dhingra, L1
Perlman, DC1
Masson, C1
Chen, J1
McKnight, C1
Jordan, AE1
Wasser, T1
Portenoy, RK1
Lynch, KL1
Shapiro, BJ1
Coffa, D1
Novak, SP1
Kral, AH1
Stevenson, E1
Cole, J1
Breivik, H1
Voon, P1
Hayashi, K1
Milloy, MJ1
Nguyen, P1
Wood, E1
Montaner, J1
Kerr, T1
Chen, A1
Finan, PH1
Tompkins, DA1
Fingerhood, M1
Strain, EC1
Wilder, CM1
Miller, SC1
Tiffany, E1
Winhusen, T1
Winstanley, EL1
Stein, MD1
Dennis, BB2
Roshanov, PS1
Bawor, M2
Paul, J2
Varenbut, M2
Daiter, J2
Plater, C2
Pare, G2
Marsh, DC2
Worster, A2
Desai, D2
Stults-Kolehmainen, M1
Eggert, K1
Ray, WA1
Chung, CP1
Murray, KT1
Hall, K1
Tsui, JI1
Lira, MC1
Cheng, DM1
Winter, MR1
Alford, DP1
Liebschutz, JM1
Edwards, RR1
Samet, JH1
Bertholf, RL1
Sharma, R1
Reisfield, GM2
Hassamal, S1
Miotto, K1
Wang, T1
Saxon, AJ1
Hur, GH1
Karimian, P1
Hollenbach, KA1
Edmonds, KP1
Kahn, M1
Farahmand, N1
Drennan, D1
Junkins, S1
Rastogi, R1
Swarm, RA1
Patel, TA1
Calver, L1
Dunlop, AJ1
Isbister, GK1
Leimanis, E1
Pesce, AJ1
Collins, AA1
Merritt, AP1
Bourland, JA1
Viswesh, VV1
Haroutiunian, S1
McNicol, ED1
Lipman, AG1
Friedman, CK1
Green, JS1
Dillane, D1
Tsui, BC1
Eyler, EC1

Clinical Trials (11)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Behavioral Intervention to Improve Insomnia Symptoms in Patients With Opioid Use Disorder[NCT05588726]0 participants (Actual)Interventional2022-01-01Withdrawn (stopped due to Staff no longer available to continue enrollment and other research activities)
Mindfulness Oriented Recovery Enhancement as an Adjunct to Methadone Treatment for Opioid Use and Chronic Pain Management Pilot[NCT03894501]30 participants (Actual)Interventional2019-01-31Completed
Pilot Study of Yoga vs. Health Education for Chronic Pain in Persons Receiving Opioid Agonist Therapy[NCT03022890]40 participants (Actual)Interventional2017-04-01Completed
The Norwegian Addiction, Pain and Trauma Study[NCT04908410]1,500 participants (Anticipated)Observational2021-03-23Recruiting
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
A Randomized Controlled Trial Comparing Buprenorphine and Methadone for Opioid Dependent Chronic Pain Patients[NCT00879996]Phase 454 participants (Actual)Interventional2009-04-30Completed
A Randomized Controlled Trial Comparing Buprenorphine and Methadone for Treatment in Opioid Dependent Chronic Back Pain Patients[NCT01559454]Phase 419 participants (Actual)Interventional2012-02-29Completed
Use of Xtampza ER to Overcome Difficulties in Swallowing Opioid Pills[NCT03588806]Phase 411 participants (Actual)Interventional2018-05-01Terminated (stopped due to Study halted permanently and will not resume; participants are no longer being examined or receiving intervention.)
Chronic Pain and Opioid Dependence Assessment and Treatment[NCT00727675]15 participants (Actual)Interventional2008-08-31Completed
Clinical Trial of Integrated Treatment for Pain and Opioid Dependence[NCT00634803]Phase 1/Phase 290 participants (Actual)Interventional2009-09-30Completed
The Effects of Opioid Taper on Opioid-Induced Hyperalgesia[NCT03063905]15 participants (Actual)Observational2017-01-31Terminated (stopped due to funding expired)
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

16-Weeks Completed

The number of participants who completed 16-week assessments. (NCT03894501)
Timeframe: At 16-weeks.

InterventionParticipants (Count of Participants)
16-Weeks Completed29

8-weeks Completed

The number of participants who complete 8-week assessments. (NCT03894501)
Timeframe: At 8-weeks.

InterventionParticipants (Count of Participants)
8-weeks Completed30

Anxiety Level.

Anxiety was measured with the Beck Anxiety Inventory (BAI). The BAI is also a widely used, reliable, and valid scale that consists of 21 items with potential scores ranging from 0 to 63. A score of 16 or higher indicates clinically sig-nificant symptoms of anxiety. A higher score on the BAI indicates greater anxiety. (NCT03894501)
Timeframe: 16-weeks

Interventionscore on a scale (Mean)
Mindfulness Oriented Recovery Enhancement41.05
Methadone Program Behavioral Treatment as Usual50.83

Baselines Completed

The number of participants who complete baseline assessments. (NCT03894501)
Timeframe: At baseline,

InterventionParticipants (Count of Participants)
Baselines Completed30

Days of Illicit Drug Use

"Research staff asked participants if they used various drugs (i.e., heroin, cocaine, opioids, marijuana, amphetamines, inhalants, hallucinogens, benzodiazepines, zolpidem, methylphenidate, or other drugs) in the past 30 days and the number of days of use for each drug in the past 30 days. Days of illicit drug use was determined by counting the number of days each participant used drugs based on past-30 day self-reports at the16-week assessments." (NCT03894501)
Timeframe: 16-weeks

Interventiondays (Mean)
Mindfulness Oriented Recovery Enhancement6.37
Methadone Program Behavioral Treatment as Usual15.56

Days of Illicit Opioid Use

"Research staff asked participants if they used illicit opioids in the past 30 days and the number of days of use for each drug in the past 30 days. Days of illicit opioid use was determined by counting the number of days each participant used illicit opioids based on past-30 day self-reports at the 16-week assessment." (NCT03894501)
Timeframe: 16-weeks

Interventiondays (Mean)
Mindfulness Oriented Recovery Enhancement2.47
Methadone Program Behavioral Treatment as Usual5.49

Depression Level.

Depression was measured with Center for Epidemiologic Studies Depression Scale (CES-D). The CES-D scale is a widely used valid and reliable measure that consists of 20 items with potential scores ranging from 0 to 60. A score above 16 on the CES-D indicates clinically significant symptoms of depression. Higher scores on the CES-D indicates greater depression. (NCT03894501)
Timeframe: 16-weeks

Interventionscore on a scale (Mean)
Mindfulness Oriented Recovery Enhancement34.11
Methadone Program Behavioral Treatment as Usual42.93

Individuals Consented.

The number of individuals consented. (NCT03894501)
Timeframe: Baseline (study enrollment)

InterventionParticipants (Count of Participants)
The Number of Eligible Participants Consented31

Individuals Screened

The number of individuals screened and eligible/ineligible. (NCT03894501)
Timeframe: Baseline (study enrollment)

InterventionParticipants (Count of Participants)
The Number of Individuals Screened and Ineligible.0

Mean Sessions Completed

The mean number of sessions completed by study participants in the MORE intervention. (NCT03894501)
Timeframe: At 8-weeks (post treatment period completion).

Interventionnumber of sessions (Mean)
The Mean Number of Sessions Completed by Study Participants in the MORE Intervention.6.4

Number Who Drop Out

Number of participants who drop out of the study. (NCT03894501)
Timeframe: At 16 weeks.

InterventionParticipants (Count of Participants)
Number of Participants Who Dropped Out of the Study.0

Opioid Craving

Research staff assessed opioid craving with a version of the Penn Alcohol Craving Scale (PACS; Flannery et al., 1999) that was adapted to assess craving to opioids at 16-weeks. Scores range from 0 to 36. Higher scores indicate greater craving. (NCT03894501)
Timeframe: 16-weeks

Interventionscore on a scale (Mean)
Mindfulness Oriented Recovery Enhancement15.52
Methadone Program Behavioral Treatment as Usual21.35

Pain Level.

Pain was assess with the pain subscale (i.e., bodily pain severity and interference) of the RAND 36-Item Short Form Health Survey. Scores range from 0 to 100, with higher scores indicating better functioning, health, and well-being and less pain, limitations, and symptom severity or interference as compared to lower scores. (NCT03894501)
Timeframe: 16-weeks

Interventionscore on a scale (Mean)
Mindfulness Oriented Recovery Enhancement50.76
Methadone Program Behavioral Treatment as Usual26.65

Percentage 8-Weeks Completed

Percentage of participants who completed 8-week assessments. (NCT03894501)
Timeframe: At 8-weeks.

Interventionpercentage of 8-week assessments. (Number)
Percentage 8-weeks Completed100

Percentage Baselines Completed

Percentage of people who completed baseline assessments. (NCT03894501)
Timeframe: At baseline,

Interventionpercentage of baseline assessments (Number)
Percentage Baselines Completed100

Percentage of 16-Weeks Completed

Percentage of participants who completed 16-week assessments. (NCT03894501)
Timeframe: At 16-weeks.

Interventionpercentage of 16-week assessments. (Number)
Percentage of 16-weeks Completed96.7

Percentage of Sessions Completed

The mean percentage of sessions completed by study participants randomized to MORE. (NCT03894501)
Timeframe: At 8-weeks (post treatment period completion).

Interventionpercentage of sessions (Mean)
The Mean Percentage of Sessions Completed by Study Participants Randomized to MORE.76

Percentage Who Drop Out

Percentage of participants who drop out of the study. (NCT03894501)
Timeframe: At 16 weeks.

Interventionpercentage of particpants (Number)
Percentage of Participants Who Dropped Out of the Study.0

Refusal After/During Consent Process.

The number of individuals who refuse participation after/during consent process. (NCT03894501)
Timeframe: Enrollment

InterventionParticipants (Count of Participants)
The Number of Individuals Who Refuse Participation After/During Consent Process.1

Study Interest

The number of individuals who express interest in the study. (NCT03894501)
Timeframe: Baseline

InterventionParticipants (Count of Participants)
Participants Who Expressed Interest in the Study32

Study Refusal

The number of individuals who who refuse participation when offered. (NCT03894501)
Timeframe: Baseline

InterventionParticipants (Count of Participants)
The Number of Individuals Who Who Refuse Study Participation When Offered.2

Number of Participants Retained in Treatment

This outcome assesses the number of participants who completed the treatment after 6 months. (NCT00879996)
Timeframe: 6 months

Interventionparticipants (Number)
Methadone13
Buprenorphine/Naloxone13

Numerical Rating Score for Functioning

We assessed functioning measured on a 0-10 point numerical rating scale (NRS)with 0 being the least amount of functioning and 10 the best amount of functioning. (NCT00879996)
Timeframe: 6 months

Interventionunits on a 0-10 point NRS scale (Mean)
Methadone5.0
Buprenorphine/Naloxone5.3

Numerical Rating Score for Pain

Pain was measured using a 0-10 point numerical rating scale (NRS) with 0 representing no pain and 10 representing worst pain possible. (NCT00879996)
Timeframe: 6 months

Interventionunits on a 0-10 NRS scale (Mean)
Methadone5.4
Buprenorphine/Naloxone5.6

Self-reported Illicit Opioid Use

(NCT00879996)
Timeframe: 6 months

Interventionnumber of participants (Number)
Methadone0
Buprenorphine/Naloxone5

Analgesia

Pain severity will be measured using the Visual Analogue Scale (VAS) which has a range of 0-100 with 0 being no pain and 100 being worse possible pain. (NCT01559454)
Timeframe: 6 months

Interventionunits on a VAS scale (Mean)
Methadone36.3
Buprenorphine/Naloxone71.8

Cravings

Cravings will be assessed using the Visual Analogue Scale (VAS) with 0 being no cravings and 100 being worse possible cravings (NCT01559454)
Timeframe: at 6 months

Interventionunits on a VAS scale (Mean)
Methadone11.7
Buprenorphine/Naloxone27.2

Depression

"Depression will be assessed using the Beck Depression Inventory, a 63 point scale with 0 being none and 63 being severe." (NCT01559454)
Timeframe: at 6 months

Interventionunits on a BDI scale (Mean)
Methadone17.0
Buprenorphine/Naloxone15.3

Functioning

"Functioning will be assessed using the Visual Analogue Scale (VAS) with 0 being no limits and 100 being bedridden." (NCT01559454)
Timeframe: at 6 months

Interventionunits on a VAS scale (Mean)
Methadone31.7
Buprenorphine/Naloxone71.3

Illicit Drug Use

Illicit opioid use will be measured by self-report and confirmed with urine toxicology. (NCT01559454)
Timeframe: 6 months

,
Interventionparticipants (Number)
illicit drug use at 6 monthsno illicit drug use at 6 months
Buprenorphine/Naloxone04
Methadone06

Treatment Retention

Number of participants that completed the study protocol (NCT01559454)
Timeframe: 6 months

,
Interventionparticipants (Number)
completeddid not complete
Buprenorphine/Naloxone46
Methadone63

Change in Pill Swallowing Difficulty Score

"Pill swallowing difficulty will be measured via a 0-10 scale with 0 being no trouble at all and 10 being the greatest difficulty possible. Responses will be summarized as change from baseline scores to the end of the study at clinic visit 4 (week 6)." (NCT03588806)
Timeframe: Measured at baseline and at the end of the 6-week study. Baseline covers current opioid medication, and week 6 covers Xtampza ER.

Interventionunits on a scale (Mean)
Xtampza ER (Oxycodone) Treatment-5.7

Effect of Xtampza ER Conversion on Pain Intensity in the Last 24 Hours

"Percent change in pain intensity (in the last 24 hours) from baseline to the end of the study averaged over the last 7 days before clinic visit 4 (week 6). Pain Intensity is measured on a 0-10 scale, with 0 meaning no pain and 10 meaning the worst pain imaginable. As decreases in pain intensity are a sign of improvement, percent change in pain intensity is calculated as -(end of study - baseline)/baseline score." (NCT03588806)
Timeframe: Measured at baseline and at the end of the 6-week study

Interventionpercent change (Mean)
Xtampza ER (Oxycodone) Treatment12.5

Effect of Xtampza ER Conversion on Pain Intensity in the Last 7 Days

"Percent change in pain intensity (in the past 7 days) from baseline to the end of the study at clinic visit 4 (week 6). Pain Intensity is measured on a 0-10 scale, with 0 meaning no pain and 10 meaning the worst pain imaginable. As decreases in pain intensity are a sign of improvement, percent change in pain intensity is calculated as -(end of study - baseline)/baseline score." (NCT03588806)
Timeframe: Measured at baseline and at the end of the 6-week study

Interventionpercent change (Mean)
Xtampza ER (Oxycodone) Treatment9.3

Opioid Medication Satisfaction

"Opioid medication satisfaction will be measured via a 0-10 scale with 0 being not satisfied at all and 10 being completely satisfied. Responses will be summarized as change from baseline score to the end of the study at clinic visit 4 (week 6)." (NCT03588806)
Timeframe: Measured at baseline and at the end of the 6-week study. Recorded baseline for current opioid medication and in week 6 for Xtampza ER.

Interventionunits on a scale (Mean)
Xtampza ER (Oxycodone) Treatment2.8

Patient Global Impression of Change (PGIC)

The subject's impression of the impact of the treatment on their pain and function will be measured with a 7-item scale (-3 = very much worse, -2 = much worse, -1 = minimally worse, 0 = no change, 1 = minimally improved, 2 = much improved, 3 = very much improved). Responses will be summarized as individual mean scores at clinic visit 4 (week 6). (NCT03588806)
Timeframe: Recorded in week 6.

Interventionunits on a scale (Mean)
Xtampza ER (Oxycodone) Treatment1.2

Patient-Reported Outcomes Measurement Information System (PROMIS) Pain Interference

"The Pain Interference questions (#25-28) from the PROMIS-29 Adult Profile v2.0. Questions are measured on a 5-point scale with 1 being Not at all and 5 being Very much. Responses will be summed and converted to T-Scores using the Assessment Center PROMIS Scoring Service (www.assessmentcenter.net), which rescales the raw score to a standardized T-Score with a population mean of 50 and standard deviation of 10. Pain Interference T-Scores will be summarized as the change from baseline scores to the end of the study at clinic visit 4 (week 6)." (NCT03588806)
Timeframe: Measured at baseline and at the end of the 6-week study

InterventionT-Score (Mean)
Xtampza ER (Oxycodone) Treatment-3.6

PROMIS Physical Function

"The Physical Function questions (#1-4) from the PROMIS-29 Adult Profile v2.0. Questions are measured on a 5-point scale with 5 being Without any difficulty and 1 being Unable to do. Responses will be summed and converted to T-Scores using the Assessment Center PROMIS Scoring Service (www.assessmentcenter.net), which rescales the raw score to a standardized T-Score with a population mean of 50 and standard deviation of 10. Physical Function T-Scores will be summarized as change from baseline score to the end of the study at clinic visit 4 (week 6)." (NCT03588806)
Timeframe: Measured at baseline and at the end of the 6-week study

InterventionT-Score (Mean)
Xtampza ER (Oxycodone) Treatment0.7

PROMIS Depression, Anxiety, Satisfaction With Social Roles, and Sleep Disturbance

"The Depression (#9-12), Anxiety (#5-8), Satisfaction with Social Roles (#21-24), and Sleep Disturbance (#17-20) questions from the PROMIS-29 Adult Profile v2.0. Questions are measured on a 5-point scale with 1 being Never and 5 being Always. Responses for each section will be summed and converted to T-Scores using the Assessment Center PROMIS Scoring Service (www.assessmentcenter.net), which rescales the raw score to a standardized T-Score with a population mean of 50 and standard deviation of 10. These T-Scores will be summarized as change from baseline scores to the end of the study at clinic visit 4 (week 6)." (NCT03588806)
Timeframe: Measured at baseline and at the end of the 6-week study

InterventionT-Score (Mean)
DepressionAnxietySatisfaction with Social RolesSleep Disturbance
Xtampza ER (Oxycodone) Treatment-0.4-1.71.1-3.7

Number of Opioid-negative Urine Toxicology Tests

"Reduced illicit opioid use is defined as the number of documented opioid negative urine tests in each of the time periods.This measures the reduction in illicit opioid use - more opioid-negative tests means greater reductions in illicit opioid use. The highest possible score is 4- which would indicate 4 negative urine tests during the assessment period. Originally titled Reduced illicit opioid use and the timeframe was listed as 16 weeks." (NCT00634803)
Timeframe: 3 Months

,,
Interventionopioid negative urine tests (Mean)
Intake/InductionMonth 1Month 2Month 3
CBT for POD0.672.672.962.80
Educational Counseling for POD0.672.803.303.25
Physician Management0.552.482.562.04

Pain Intensity

Pain intensity comprises the average of 4 items related to current pain and past-week average pain, pain at its worst, and pain at its least. Pain intensity is scored on 0-10 scale (average score ranges from 0-10), where higher scores indicate higher pain intensity.Originally labeled as Pain Reduction at 16 weeks- 3 months was the correct timeframe. (NCT00634803)
Timeframe: 3 months

,,
Interventionunits on a scale (Mean)
Intake/InductionMonth 1Month 2Month 3
CBT for POD5.434.754.794.41
Educational Counseling for POD5.925.024.984.62
Physician Management5.284.534.724.84

Pain Interference

Pain interference comprises the average of 7 items related to past-week pain-related interference in general activity, walking, work, mood, enjoyment of life, relations with others, and sleep. Each item is scored on a 0-10 scale (averaged 0-10), where higher scores indicate higher pain interference. (NCT00634803)
Timeframe: 3 Months

,,
Interventionunits on a scale (Mean)
Intake/InductionMonth 1Month 2Month 3
CBT for POD5.754.154.083.22
Educational Counseling for POD5.483.743.613.23
Physician Management5.013.323.453.87

Reviews

18 reviews available for methadone and Chronic Pain

ArticleYear
Systematic review on the clinical management of chronic pain and comorbid opioid use disorder.
    Adicciones, 2023, Jul-01, Volume: 35, Issue:2

    Topics: Analgesics, Opioid; Buprenorphine; Chronic Pain; Humans; Methadone; Opiate Substitution Treatment; O

2023
Systematic Review and Meta-Analysis of the Prevalence of Chronic Pain Among Patients With Opioid Use Disorder and Receiving Opioid Substitution Therapy.
    The journal of pain, 2023, Volume: 24, Issue:2

    Topics: Adult; Analgesics, Opioid; Buprenorphine; Chronic Pain; Humans; Methadone; Opiate Substitution Treat

2023
Intravenous Methadone for Perioperative and Chronic Cancer Pain: A Review of the Literature.
    Drugs, 2023, Volume: 83, Issue:10

    Topics: Analgesics; Analgesics, Opioid; Cancer Pain; Chronic Pain; Humans; Methadone; Neoplasms; Pain, Posto

2023
The effect of methadone on the hypothalamic pituitary gonadal axis and sexual function: A systematic review.
    Drug and alcohol dependence, 2020, 02-01, Volume: 207

    Topics: Analgesics, Opioid; Animals; Chronic Pain; Female; Gonadal Disorders; Humans; Hypothalamo-Hypophysea

2020
Levorphanol versus methadone use: safety considerations.
    Annals of palliative medicine, 2020, Volume: 9, Issue:2

    Topics: Analgesics, Opioid; Central Nervous System; Chronic Pain; Dose-Response Relationship, Drug; Humans;

2020
Methadone for Pain Management: A Pharmacotherapeutic Review.
    CNS drugs, 2020, Volume: 34, Issue:8

    Topics: Analgesics, Opioid; Cancer Pain; Chronic Pain; Humans; Methadone; Pain Management; Prospective Studi

2020
Acute Pain Management of Chronic Pain Patients in Ambulatory Surgery Centers.
    Current pain and headache reports, 2021, Jan-14, Volume: 25, Issue:1

    Topics: Acute Pain; Analgesics, Opioid; Anesthesia, Conduction; Buprenorphine, Naloxone Drug Combination; Ch

2021
Treatment of Chronic Pain With Various Buprenorphine Formulations: A Systematic Review of Clinical Studies.
    Anesthesia and analgesia, 2018, Volume: 127, Issue:2

    Topics: Administration, Buccal; Administration, Cutaneous; Administration, Sublingual; Analgesics, Opioid; B

2018
Prevention of Opioid Overdose.
    The New England journal of medicine, 2019, 06-06, Volume: 380, Issue:23

    Topics: Analgesics, Opioid; Buprenorphine; Chronic Pain; Drug Overdose; Humans; Methadone; Naloxone; Narcoti

2019
Comprehensive Perioperative Management Considerations in Patients Taking Methadone.
    Current pain and headache reports, 2019, Jun-17, Volume: 23, Issue:7

    Topics: Analgesics, Opioid; Buprenorphine; Chronic Pain; Humans; Methadone; Opioid-Related Disorders; Pain M

2019
Methadone overdose and cardiac arrhythmia potential: findings from a review of the evidence for an American Pain Society and College on Problems of Drug Dependence clinical practice guideline.
    The journal of pain, 2014, Volume: 15, Issue:4

    Topics: Arrhythmias, Cardiac; Chronic Pain; Drug Overdose; Humans; Methadone; Opioid-Related Disorders; Prac

2014
Cardiac Effects of Opioid Therapy.
    Pain medicine (Malden, Mass.), 2015, Volume: 16 Suppl 1

    Topics: Analgesics, Opioid; Chronic Pain; Heart; Humans; Methadone; Risk

2015
Opioid Therapy and Sleep Disorders: Risks and Mitigation Strategies.
    Pain medicine (Malden, Mass.), 2015, Volume: 16 Suppl 1

    Topics: Analgesics, Opioid; Benzodiazepines; Chronic Pain; Drug Overdose; Humans; Methadone; Sleep Wake Diso

2015
Pain and Opioid Addiction: A Systematic Review and Evaluation of Pain Measurement in Patients with Opioid Dependence on Methadone Maintenance Treatment.
    Current drug abuse reviews, 2016, Volume: 9, Issue:1

    Topics: Analgesics, Opioid; Chronic Pain; Humans; Methadone; Opiate Substitution Treatment; Opioid-Related D

2016
A narrative review: The effects of opioids on sleep disordered breathing in chronic pain patients and methadone maintained patients.
    The American journal on addictions, 2016, Volume: 25, Issue:6

    Topics: Analgesics, Opioid; Chronic Pain; Humans; Methadone; Opiate Substitution Treatment; Opioid-Related D

2016
Case scenario: opioid association with serotonin syndrome: implications to the practitioners.
    Anesthesiology, 2011, Volume: 115, Issue:6

    Topics: Analgesics, Opioid; Antidepressive Agents, Tricyclic; Celecoxib; Chronic Pain; Cyclooxygenase 2 Inhi

2011
Methadone for chronic non-cancer pain in adults.
    The Cochrane database of systematic reviews, 2012, Nov-14, Volume: 11

    Topics: Adult; Analgesics, Opioid; Chronic Pain; Humans; Methadone; Neuralgia; Neuralgia, Postherpetic; Rand

2012
Chronic and acute pain and pain management for patients in methadone maintenance treatment.
    The American journal on addictions, 2013, Volume: 22, Issue:1

    Topics: Acute Pain; Analgesics; Catastrophization; Chronic Pain; Drug Tolerance; Female; Humans; Methadone;

2013

Trials

11 trials available for methadone and Chronic Pain

ArticleYear
Buprenorphine/naloxone versus methadone opioid rotation in patients with prescription opioid use disorder and chronic pain: study protocol for a randomized controlled trial.
    Addiction science & clinical practice, 2022, 09-04, Volume: 17, Issue:1

    Topics: Analgesics, Opioid; Buprenorphine; Buprenorphine, Naloxone Drug Combination; Chronic Pain; Humans; M

2022
Integrating cognitive bias modification for pain and opioid cues into medication for opioid use disorder clinical care: Feasibility, acceptability, and preliminary results.
    Drug and alcohol dependence, 2023, 05-01, Volume: 246

    Topics: Analgesics, Opioid; Buprenorphine; Chronic Pain; Cognition; Cues; Feasibility Studies; Humans; Metha

2023
Mindfulness-Oriented Recovery Enhancement reduces opioid craving among individuals with opioid use disorder and chronic pain in medication assisted treatment: Ecological momentary assessments from a stage 1 randomized controlled trial.
    Drug and alcohol dependence, 2019, 10-01, Volume: 203

    Topics: Adolescent; Adult; Affect; Analgesics, Opioid; Chronic Pain; Combined Modality Therapy; Craving; Eco

2019
Mindfulness-Oriented Recovery Enhancement reduces opioid craving among individuals with opioid use disorder and chronic pain in medication assisted treatment: Ecological momentary assessments from a stage 1 randomized controlled trial.
    Drug and alcohol dependence, 2019, 10-01, Volume: 203

    Topics: Adolescent; Adult; Affect; Analgesics, Opioid; Chronic Pain; Combined Modality Therapy; Craving; Eco

2019
Mindfulness-Oriented Recovery Enhancement reduces opioid craving among individuals with opioid use disorder and chronic pain in medication assisted treatment: Ecological momentary assessments from a stage 1 randomized controlled trial.
    Drug and alcohol dependence, 2019, 10-01, Volume: 203

    Topics: Adolescent; Adult; Affect; Analgesics, Opioid; Chronic Pain; Combined Modality Therapy; Craving; Eco

2019
Mindfulness-Oriented Recovery Enhancement reduces opioid craving among individuals with opioid use disorder and chronic pain in medication assisted treatment: Ecological momentary assessments from a stage 1 randomized controlled trial.
    Drug and alcohol dependence, 2019, 10-01, Volume: 203

    Topics: Adolescent; Adult; Affect; Analgesics, Opioid; Chronic Pain; Combined Modality Therapy; Craving; Eco

2019
A pilot study assessing acceptability and feasibility of hatha yoga for chronic pain in people receiving opioid agonist therapy for opioid use disorder.
    Journal of substance abuse treatment, 2019, Volume: 105

    Topics: Adult; Analgesics, Opioid; Buprenorphine; Chronic Pain; Feasibility Studies; Female; Health Educatio

2019
Pain, psychological flexibility, and continued substance use in a predominantly hispanic adult sample receiving methadone treatment for opioid use disorder.
    Drug and alcohol dependence, 2020, 01-01, Volume: 206

    Topics: Adaptation, Psychological; Adolescent; Adult; Analgesics, Opioid; Chronic Pain; Cross-Sectional Stud

2020
A pilot randomized clinical trial of mindfulness-oriented recovery enhancement as an adjunct to methadone treatment for people with opioid use disorder and chronic pain: Impact on illicit drug use, health, and well-being.
    Journal of substance abuse treatment, 2021, Volume: 127

    Topics: Analgesics, Opioid; Chronic Pain; Humans; Illicit Drugs; Methadone; Mindfulness; Opiate Substitution

2021
Management of Neuropathic Chronic Pain with Methadone Combined with Ketamine: A Randomized, Double Blind, Active-Controlled Clinical Trial.
    Pain physician, 2017, Volume: 20, Issue:3

    Topics: Adult; Aged; Chronic Pain; Double-Blind Method; Female; Humans; Ketamine; Male; Methadone; Middle Ag

2017
Efficacy and Safety of Lubiprostone in Patients with Opioid-Induced Constipation: Phase 3 Study Results and Pooled Analysis of the Effect of Concomitant Methadone Use on Clinical Outcomes.
    Pain medicine (Malden, Mass.), 2018, 06-01, Volume: 19, Issue:6

    Topics: Adult; Analgesics, Opioid; Chloride Channel Agonists; Chronic Pain; Constipation; Double-Blind Metho

2018
The Effect of a Combination of Diclofenac and Methadone Applied as Gel in a Human Experimental Pain Model - A Randomized, Placebo-controlled Trial.
    Basic & clinical pharmacology & toxicology, 2018, Volume: 123, Issue:2

    Topics: Administration, Cutaneous; Adult; Capsaicin; Chronic Pain; Cross-Over Studies; Diclofenac; Dose-Resp

2018
An evaluation of the feasibility, acceptability, and preliminary efficacy of cognitive-behavioral therapy for opioid use disorder and chronic pain.
    Drug and alcohol dependence, 2019, 01-01, Volume: 194

    Topics: Adult; Analgesics, Opioid; Chronic Pain; Cognitive Behavioral Therapy; Combined Modality Therapy; Fe

2019
A preliminary study comparing methadone and buprenorphine in patients with chronic pain and coexistent opioid addiction.
    Journal of addictive diseases, 2013, Volume: 32, Issue:1

    Topics: Administration, Sublingual; Analgesics, Opioid; Analysis of Variance; Buprenorphine; Chronic Pain; D

2013
A preliminary study comparing methadone and buprenorphine in patients with chronic pain and coexistent opioid addiction.
    Journal of addictive diseases, 2013, Volume: 32, Issue:1

    Topics: Administration, Sublingual; Analgesics, Opioid; Analysis of Variance; Buprenorphine; Chronic Pain; D

2013
A preliminary study comparing methadone and buprenorphine in patients with chronic pain and coexistent opioid addiction.
    Journal of addictive diseases, 2013, Volume: 32, Issue:1

    Topics: Administration, Sublingual; Analgesics, Opioid; Analysis of Variance; Buprenorphine; Chronic Pain; D

2013
A preliminary study comparing methadone and buprenorphine in patients with chronic pain and coexistent opioid addiction.
    Journal of addictive diseases, 2013, Volume: 32, Issue:1

    Topics: Administration, Sublingual; Analgesics, Opioid; Analysis of Variance; Buprenorphine; Chronic Pain; D

2013

Other Studies

62 other studies available for methadone and Chronic Pain

ArticleYear
A cohort study examining the relationship among housing status, patient characteristics, and retention among individuals enrolled in low-barrier-to-treatment-access methadone maintenance treatment.
    Journal of substance abuse treatment, 2022, Volume: 138

    Topics: Chronic Pain; Cohort Studies; Female; Housing; Humans; Methadone; Opiate Substitution Treatment; Ret

2022
Microinduction to Buprenorphine from Methadone for Chronic Pain: Outpatient Protocol with Case Examples.
    Journal of pain & palliative care pharmacotherapy, 2022, Volume: 36, Issue:1

    Topics: Analgesics, Opioid; Buprenorphine; Chronic Pain; Humans; Methadone; Opioid-Related Disorders; Outpat

2022
Association of KCNJ6 rs2070995 and methadone response for pain management in advanced cancer at end-of-life.
    Scientific reports, 2022, 10-19, Volume: 12, Issue:1

    Topics: Adult; Analgesics, Opioid; Chronic Pain; Death; G Protein-Coupled Inwardly-Rectifying Potassium Chan

2022
Characteristics and circumstances of heroin and pharmaceutical opioid overdose deaths: Comparison across opioids.
    Drug and alcohol dependence, 2019, 12-01, Volume: 205

    Topics: Adolescent; Adult; Analgesics, Opioid; Australia; Chronic Pain; Drug Overdose; Drug Prescriptions; F

2019
Associations Among Sleep Disturbance, Pain Catastrophizing, and Pain Intensity for Methadone-maintained Patients With Opioid Use Disorder and Chronic Pain.
    The Clinical journal of pain, 2020, Volume: 36, Issue:9

    Topics: Adult; Catastrophization; Chronic Pain; Cross-Sectional Studies; Female; Humans; Male; Methadone; Mi

2020
Methadone and Chronic Pain: Reply.
    Anesthesiology, 2020, Volume: 133, Issue:3

    Topics: Analgesics; Analgesics, Opioid; Cardiac Surgical Procedures; Chronic Pain; Humans; Methadone; Pain,

2020
Methadone and Chronic Pain: Comment.
    Anesthesiology, 2020, Volume: 133, Issue:3

    Topics: Analgesics; Analgesics, Opioid; Cardiac Surgical Procedures; Chronic Pain; Humans; Methadone; Pain,

2020
Post-traumatic stress disorder due to sexual abuse and its relation to pain sensitivity among patients in methadone maintenance treatment.
    Psychiatry research, 2021, Volume: 298

    Topics: Chronic Pain; Humans; Methadone; Pain Threshold; Sex Offenses; Stress Disorders, Post-Traumatic

2021
Perceived social support in patients with chronic pain with and without opioid use disorder and role of medication for opioid use disorder.
    Drug and alcohol dependence, 2021, 04-01, Volume: 221

    Topics: Adult; Analgesics, Opioid; Buprenorphine; Chronic Pain; Female; Humans; Male; Methadone; Opiate Subs

2021
Some controversies related to questionable clinical uses of methadone for chronic non-cancer pain and in palliative care.
    Scandinavian journal of pain, 2021, 03-16, Volume: 21, Issue:3

    Topics: Analgesics, Opioid; Cancer Pain; Chronic Pain; Humans; Methadone; Palliative Care

2021
Chronic Pain Among Patients With an Opioid Use Disorder.
    The American journal on addictions, 2021, Volume: 30, Issue:4

    Topics: Adolescent; Adult; Buprenorphine; Chronic Pain; Cross-Sectional Studies; Female; Humans; Male; Metha

2021
Trends in Urine Drug Monitoring Among Persons Receiving Long-Term Opioids and Persons with Opioid Use Disorder in the United States.
    Pain physician, 2021, Volume: 24, Issue:2

    Topics: Adult; Analgesics, Opioid; Buprenorphine; Chronic Pain; Cross-Sectional Studies; Drug Monitoring; Fe

2021
Very-Low-Dose Methadone To Treat Refractory Neuropathic Pain in Children with Cancer.
    Journal of palliative medicine, 2017, Volume: 20, Issue:11

    Topics: Amines; Analgesics; Analgesics, Opioid; Cancer Pain; Child; Child, Preschool; Chronic Pain; Cyclohex

2017
Opioid tapering in patients with prescription opioid use disorder: A retrospective study.
    Scandinavian journal of pain, 2017, Volume: 17

    Topics: Analgesics, Opioid; Chronic Pain; Drug Prescriptions; Female; Humans; Male; Methadone; Middle Aged;

2017
Methadone-Associated Hypoglycemia in Chronic Renal Failure Masquerading as an Insulinoma.
    Pain medicine (Malden, Mass.), 2018, 09-01, Volume: 19, Issue:9

    Topics: Adult; Analgesics, Opioid; Back Pain; Chronic Pain; Diagnosis, Differential; Female; Humans; Hypogly

2018
Patterns of regional variation of opioid prescribing in primary care in England: a retrospective observational study.
    The British journal of general practice : the journal of the Royal College of General Practitioners, 2018, Volume: 68, Issue:668

    Topics: Analgesics, Opioid; Buprenorphine; Chronic Pain; Crime; Databases, Factual; Education; Employment; E

2018
Training addiction counselors to deliver a brief psychoeducational intervention for chronic pain among patients in opioid agonist treatment: A pilot investigation.
    Substance abuse, 2018, Volume: 39, Issue:2

    Topics: Analgesics, Opioid; Chronic Pain; Counselors; Female; Health Knowledge, Attitudes, Practice; Humans;

2018
Management of severe chronic pain with methadone in pediatric patients with sickle cell disease.
    Pediatric blood & cancer, 2018, Volume: 65, Issue:8

    Topics: Adolescent; Analgesics, Opioid; Anemia, Sickle Cell; Child; Chronic Pain; Cohort Studies; Female; Hu

2018
Long-acting Opioid Use and the Risk of Serious Infections: A Retrospective Cohort Study.
    Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2019, 05-17, Volume: 68, Issue:11

    Topics: Adult; Aged; Analgesics, Opioid; Chronic Pain; Female; Fentanyl; Hospitalization; Humans; Immunosupp

2019
Substance misuse in patients who have comorbid chronic pain in a clinical population receiving methadone maintenance therapy for the treatment of opioid dependence.
    Drug and alcohol dependence, 2018, 12-01, Volume: 193

    Topics: Adult; Analgesics, Opioid; Benzodiazepines; Chronic Pain; Female; Humans; Male; Methadone; Opiate Su

2018
Profiles of visuospatial memory dysfunction in opioid-exposed and dependent populations.
    Psychological medicine, 2019, Volume: 49, Issue:7

    Topics: Adult; Agnosia; Analgesics, Opioid; Chronic Pain; Codeine; Female; Heroin Dependence; Humans; Male;

2019
Association Between Socio-Demographic and Health Functioning Variables Among Patients with Opioid Use Disorder Introduced by Prescription: A Prospective Cohort Study.
    Pain physician, 2018, Volume: 21, Issue:6

    Topics: Adult; Aged; Analgesics, Opioid; Canada; Chronic Pain; Female; Humans; Male; Methadone; Middle Aged;

2018
Should Physicians Recommend Replacing Opioids With Cannabis?
    JAMA, 2019, Feb-19, Volume: 321, Issue:7

    Topics: Analgesics, Opioid; Buprenorphine; Chronic Pain; Evidence-Based Medicine; Government Regulation; Hum

2019
Neuropathic Pain in Pediatric Oncology: A Clinical Decision Algorithm.
    Paediatric drugs, 2019, Volume: 21, Issue:2

    Topics: Adult; Algorithms; Analgesics; Child; Chronic Pain; Clinical Decision-Making; Humans; Ketamine; Medi

2019
Psycho-physiological response to pain among individuals with comorbid pain and opioid use disorder: Implications for patients with prolonged abstinence.
    The American journal of drug and alcohol abuse, 2019, Volume: 45, Issue:5

    Topics: Adaptation, Psychological; Adult; Analgesics, Opioid; Buprenorphine; Chronic Pain; Female; Humans; M

2019
Comparison of psychiatric comorbidity in treatment-seeking, opioid-dependent patients with versus without chronic pain.
    Addiction (Abingdon, England), 2020, Volume: 115, Issue:2

    Topics: Adult; Analgesics, Opioid; Anti-Anxiety Agents; Antimanic Agents; Chronic Pain; Cohort Studies; Como

2020
A review of methadone deaths between 2001 and 2005 in Victoria, Australia.
    Forensic science international, 2013, Mar-10, Volume: 226, Issue:1-3

    Topics: Adolescent; Adult; Australia; Cause of Death; Chronic Pain; Dose-Response Relationship, Drug; Female

2013
Management of chronic neuropathic pain of different causes with the combination of oral methadone along with ketamine: A report of 18 cases.
    European journal of anaesthesiology, 2013, Volume: 30, Issue:10

    Topics: Administration, Oral; Adult; Analgesics, Opioid; Chronic Pain; Drug Combinations; Female; Humans; Ke

2013
Categorising methadone: Addiction and analgesia.
    The International journal on drug policy, 2013, Volume: 24, Issue:6

    Topics: Analgesics, Opioid; Behavior, Addictive; Chronic Pain; Drug Users; Humans; Methadone; Opiate Substit

2013
Psychopathology and pain correlates of dispositional optimism in methadone-maintained patients.
    The American journal on addictions, 2012, Volume: 21 Suppl 1

    Topics: Adult; Analgesics, Opioid; Attitude; Chronic Pain; Depressive Disorder; Female; Health Status; Human

2012
Eight principles for safer opioid prescribing.
    Pain medicine (Malden, Mass.), 2013, Volume: 14, Issue:7

    Topics: Acute Pain; Analgesics, Opioid; Asthma; Benzodiazepines; Chronic Pain; Delayed-Action Preparations;

2013
Coexisting addiction and pain in people receiving methadone for addiction.
    Western journal of nursing research, 2014, Volume: 36, Issue:4

    Topics: Adult; Chronic Pain; Female; Humans; Male; Methadone; Middle Aged; Narration; Opioid-Related Disorde

2014
Challenges of treating patients with chronic pain with dysphagia (CPD): physician and patient perspectives.
    Current medical research and opinion, 2014, Volume: 30, Issue:2

    Topics: Analgesics, Opioid; Child; Chronic Pain; Data Collection; Deglutition Disorders; Fentanyl; Humans; M

2014
Urinary diazepam metabolite distribution in a chronic pain population.
    Journal of analytical toxicology, 2014, Volume: 38, Issue:3

    Topics: Aryl Hydrocarbon Hydroxylases; Chromatography, High Pressure Liquid; Chronic Pain; Cytochrome P-450

2014
Achievement of take-home dose privileges is associated with better-perceived sleep and with cognitive status among methadone maintenance treatment patients.
    The world journal of biological psychiatry : the official journal of the World Federation of Societies of Biological Psychiatry, 2014, Volume: 15, Issue:8

    Topics: Chronic Pain; Cognition; Female; Humans; Male; Methadone; Middle Aged; Narcotics; Neuropsychological

2014
Severity and interference of chronic pain in methadone-maintained outpatients.
    Pain medicine (Malden, Mass.), 2014, Volume: 15, Issue:9

    Topics: Adult; Age Factors; Baltimore; Benzodiazepines; Chronic Pain; Cocaine; Cocaine-Related Disorders; Co

2014
Prevalence of heroin markers in urine for pain management patients.
    Forensic science international, 2014, Volume: 243

    Topics: Analgesics, Opioid; Biomarkers; Buprenorphine; Chromatography, Liquid; Chronic Pain; Codeine; Heroin

2014
Methadone and prescription drug overdose.
    NCSL legisbrief, 2014, Volume: 22, Issue:45

    Topics: Analgesics, Opioid; Chronic Pain; Drug Overdose; Drug Prescriptions; Formularies as Topic; Humans; M

2014
The QTc effect of low-dose methadone for chronic pain: a prospective pilot study.
    Pain medicine (Malden, Mass.), 2015, Volume: 16, Issue:6

    Topics: Adult; Aged; Aged, 80 and over; Analgesics, Opioid; Chronic Pain; Cohort Studies; Dose-Response Rela

2015
Longitudinal analysis of pain and illicit drug use behaviors in outpatients on methadone maintenance.
    Drug and alcohol dependence, 2015, Apr-01, Volume: 149

    Topics: Amphetamine; Analgesics, Opioid; Chronic Pain; Cocaine; Female; Humans; Longitudinal Studies; Male;

2015
Promethazine use among chronic pain patients.
    Drug and alcohol dependence, 2015, May-01, Volume: 150

    Topics: Adolescent; Adult; Aged; Analgesics, Opioid; Chronic Pain; Female; Histamine H1 Antagonists; Humans;

2015
Associations between chronic non-cancer pain and medication assisted treatment outcomes for opiate addiction.
    The American journal on addictions, 2015, Volume: 24, Issue:2

    Topics: Adult; Anxiety; Chronic Pain; Comorbidity; Depression; Female; Humans; Kentucky; Male; Methadone; Op

2015
Tapering and discontinuation of methadone for chronic pain.
    Journal of pain & palliative care pharmacotherapy, 2015, Volume: 29, Issue:2

    Topics: Analgesics, Opioid; Chronic Pain; Humans; Male; Methadone; Middle Aged; Pain Management; Pain, Posto

2015
Pain Among High-Risk Patients on Methadone Maintenance Treatment.
    The journal of pain, 2015, Volume: 16, Issue:9

    Topics: Adult; Analgesics, Opioid; Canada; Chronic Pain; Cohort Studies; Dose-Response Relationship, Drug; F

2015
Ten Years of Abstinence in Former Opiate Addicts: Medication-Free Non-Patients Compared to Methadone Maintenance Patients.
    Journal of addictive diseases, 2015, Volume: 34, Issue:4

    Topics: Adult; Analgesics, Opioid; Behavior, Addictive; Chronic Pain; Cognition; Comorbidity; Female; Humans

2015
Characterizing pain and associated coping strategies in methadone and buprenorphine-maintained patients.
    Drug and alcohol dependence, 2015, Dec-01, Volume: 157

    Topics: Adaptation, Psychological; Adult; Analgesics, Opioid; Buprenorphine; Chronic Pain; Female; Humans; M

2015
Risk factors for opioid overdose and awareness of overdose risk among veterans prescribed chronic opioids for addiction or pain.
    Journal of addictive diseases, 2016, Volume: 35, Issue:1

    Topics: Adult; Aged; Analgesics, Opioid; Behavior, Addictive; Buprenorphine; Chronic Pain; Drug Overdose; Fe

2016
Usefulness of the Brief Pain Inventory in Patients with Opioid Addiction Receiving Methadone Maintenance Treatment.
    Pain physician, 2016, Volume: 19, Issue:1

    Topics: Adult; Aged; Analgesics, Opioid; Chronic Pain; Cohort Studies; Comorbidity; Cross-Sectional Studies;

2016
Physical activity, psychiatric distress, and interest in exercise group participation among individuals seeking methadone maintenance treatment with and without chronic pain.
    The American journal on addictions, 2016, Volume: 25, Issue:2

    Topics: Adult; Chronic Pain; Exercise; Female; Humans; Male; Mental Disorders; Methadone; Middle Aged; Opiat

2016
Prescription of Long-Acting Opioids and Mortality in Patients With Chronic Noncancer Pain.
    JAMA, 2016, Jun-14, Volume: 315, Issue:22

    Topics: Analgesics, Opioid; Anticonvulsants; Antidepressive Agents; Cardiovascular Diseases; Cause of Death;

2016
Chronic pain, craving, and illicit opioid use among patients receiving opioid agonist therapy.
    Drug and alcohol dependence, 2016, Sep-01, Volume: 166

    Topics: Adult; Analgesics, Opioid; Buprenorphine; Chronic Pain; Craving; Cross-Sectional Studies; Depression

2016
Predictive Value of Positive Drug Screening Results in an Urban Outpatient Population.
    Journal of analytical toxicology, 2016, Volume: 40, Issue:9

    Topics: Amphetamines; Analgesics, Opioid; Barbiturates; Benzodiazepines; Cannabinoids; Chronic Pain; Cocaine

2016
Psychiatric Disorders Among Patients Seeking Treatment for Co-Occurring Chronic Pain and Opioid Use Disorder.
    The Journal of clinical psychiatry, 2016, Volume: 77, Issue:10

    Topics: Adult; Buprenorphine; Chronic Pain; Comorbidity; Cross-Sectional Studies; Disability Evaluation; Fem

2016
Psychiatric Disorders Among Patients Seeking Treatment for Co-Occurring Chronic Pain and Opioid Use Disorder.
    The Journal of clinical psychiatry, 2016, Volume: 77, Issue:10

    Topics: Adult; Buprenorphine; Chronic Pain; Comorbidity; Cross-Sectional Studies; Disability Evaluation; Fem

2016
Psychiatric Disorders Among Patients Seeking Treatment for Co-Occurring Chronic Pain and Opioid Use Disorder.
    The Journal of clinical psychiatry, 2016, Volume: 77, Issue:10

    Topics: Adult; Buprenorphine; Chronic Pain; Comorbidity; Cross-Sectional Studies; Disability Evaluation; Fem

2016
Psychiatric Disorders Among Patients Seeking Treatment for Co-Occurring Chronic Pain and Opioid Use Disorder.
    The Journal of clinical psychiatry, 2016, Volume: 77, Issue:10

    Topics: Adult; Buprenorphine; Chronic Pain; Comorbidity; Cross-Sectional Studies; Disability Evaluation; Fem

2016
Methadone Inpatient and Discharge Prescribing Patterns for Pain at an Academic Health System.
    Journal of palliative medicine, 2017, Volume: 20, Issue:2

    Topics: Adult; Chronic Pain; Female; Humans; Inpatients; Male; Medical Audit; Methadone; Middle Aged; Opioid

2017
Drug Counselor Responses to Patients' Pain Reports: A Qualitative Investigation of Barriers and Facilitators to Treating Patients with Chronic Pain in Methadone Maintenance Treatment.
    Pain medicine (Malden, Mass.), 2017, Nov-01, Volume: 18, Issue:11

    Topics: Adult; Analgesics, Opioid; Chronic Pain; Female; Health Knowledge, Attitudes, Practice; Humans; Male

2017
Patient education and self-advocacy: queries and responses on pain management.
    Journal of pain & palliative care pharmacotherapy, 2008, Volume: 22, Issue:4

    Topics: Caffeine; Chronic Pain; Headache; Humans; Methadone; Pain Management; Sleep Apnea Syndromes

2008
Individual patient assessment of methadone-induced QT prolongation with digital holter recording.
    Journal of addiction medicine, 2012, Volume: 6, Issue:1

    Topics: Adult; Analgesics, Opioid; Chronic Pain; Dose-Response Relationship, Drug; Electrocardiography, Ambu

2012
Evaluating the relationship of methadone concentrations and EDDP formation in chronic pain patients.
    Journal of analytical toxicology, 2012, Volume: 36, Issue:4

    Topics: Analgesics, Opioid; Chromatography, High Pressure Liquid; Chronic Pain; Humans; Hydrogen-Ion Concent

2012
Cross-reactivity of tapentadol specimens with DRI methadone enzyme immunoassay.
    Journal of analytical toxicology, 2012, Volume: 36, Issue:8

    Topics: Analgesics; Chromatography, High Pressure Liquid; Chronic Pain; Cross Reactions; False Positive Reac

2012
Unpredictable absorption of oral opioid medications in a quadriplegic patient with chronic enterocutaneous fistulas.
    Journal of pain & palliative care pharmacotherapy, 2012, Volume: 26, Issue:3

    Topics: Administration, Oral; Analgesics, Opioid; Benzodiazepines; Biological Availability; Chronic Disease;

2012
Methadone in the chronic pain patient with a substance use disorder.
    Journal of pain & palliative care pharmacotherapy, 2012, Volume: 26, Issue:4

    Topics: Analgesics, Opioid; Chronic Pain; Humans; Methadone; Opioid-Related Disorders; Substance-Related Dis

2012
Adductor canal nerve catheter for post-operative management of medial ankle pain following ankle fusion.
    Acta anaesthesiologica Scandinavica, 2013, Volume: 57, Issue:2

    Topics: Adult; Analgesics, Opioid; Ankle; Catheterization, Peripheral; Catheters; Chronic Pain; Female; Huma

2013