Page last updated: 2024-11-02

oxybutynin and Pain, Chronic

oxybutynin has been researched along with Pain, Chronic in 45 studies

oxybutynin: RN given refers to parent cpd
oxybutynin : A racemate comprising equimolar amounts of (R)-oxybutynin and esoxybutynin. An antispasmodic used for the treatment of overactive bladder.

Research Excerpts

ExcerptRelevanceReference
"We examined the effectiveness and tolerability of transdermal buprenorphine (TDB) treatment in real-world setting in Asian patients with musculoskeletal pain."9.24Effectiveness and tolerability of transdermal buprenorphine patches: a multicenter, prospective, open-label study in Asian patients with moderate to severe chronic musculoskeletal pain. ( Bin, SI; Chan, SK; Chung, CK; In, Y; Kim, H; Lichauco, JJ; Mok, CC; Moon, H; Moon, YW; Ng, TK; Penserga, EG; Shin, DA; Yoon, DH; You, D, 2017)
"This study examines the efficacy of the buprenorphine transdermal system (BTDS) for reducing the interference of pain on physical and emotional functioning associated with chronic low back pain (CLBP)."9.20Buprenorphine transdermal system compared with placebo reduces interference in functioning for chronic low back pain. ( Lynch, SY; Miller, K; Munera, C; Pergolizzi, JV; Raffa, R; Ripa, SR; Wen, W; Yarlas, A, 2015)
"To evaluate the impact of 12 weeks of treatment with Butrans® (buprenorphine) transdermal system (BTDS) on the health-related quality of life (HRQoL) for patients with chronic low back pain (CLBP), and the maintenance of effects over 52 weeks."9.17Buprenorphine transdermal system and quality of life in opioid-experienced patients with chronic low back pain. ( Brennan, MJ; Dain, B; Lynch, SY; Miller, K; Ripa, SR; Wen, W; Yarlas, A, 2013)
"The 5% Lidocaine patch is used for treating chronic neuropathic pain conditions such as chronic back pain (CBP), diabetic neuropathy and complex regional pain syndrome, but is effective in a variable proportion of patients."9.16Lidocaine patch (5%) is no more potent than placebo in treating chronic back pain when tested in a randomised double blind placebo controlled brain imaging study. ( Apkarian, AV; Baliki, MN; Chanda, ML; Hashmi, JA; Huang, L; Parks, EL; Schnitzer, T, 2012)
"In this enriched design study, 1,160 opioid-experienced patients with chronic, moderate to severe low back pain entered an open-label run-in period; 660 demonstrated analgesic benefit from and tolerability to buprenorphine transdermal system 20 mcg/hour (BTDS 20) treatment and were randomized to receive either BTDS 20, BTDS 5 mcg/hour (BTDS 5), or the active control (immediate release oxycodone 40-mg/day) during an 84-day double-blind phase."9.15Efficacy and safety of buprenorphine transdermal system (BTDS) for chronic moderate to severe low back pain: a randomized, double-blind study. ( Hale, M; Landau, C; Munera, C; Ripa, S; Steiner, D, 2011)
"Local anesthetics, such as the 5% transdermal lidocaine patch (5LP), have been frequently used in the treatment of musculoskeletal pain, especially chronic low back pain (CLBP)."9.05The Efficacy, Effectiveness and Safety of 5% Transdermal Lidocaine Patch for Chronic Low Back Pain: A Narrative Review. ( Felix, ER; Klass, S; Santana, JA, 2020)
" Results from a network meta-analysis of non-enriched designs (eight trials), using trials versus placebo and trials versus morphine for indirect comparisons, indicated that transdermal fentanyl, in comparison with transdermal buprenorphine, showed significantly more nausea (odds ratio [OR] 4."8.88Systematic review of efficacy and safety of buprenorphine versus fentanyl or morphine in patients with chronic moderate to severe pain. ( Aune, D; Hernandez, AV; Kleijnen, J; Misso, K; Riemsma, R; Truyers, C; Wolff, RF, 2012)
"Efficacy and tolerability of buprenorphine patches was demonstrated in chronic pain patients, regardless of age, supporting the conclusion that no age-related dose adjustment of transdermal buprenorphine is needed."7.80Is buprenorphine transdermal patch equally safe and effective in younger and elderly patients with osteoarthritis-related pain? Results of an age-group controlled study. ( Augustini, BG; Berggren, AC; Karlsson, J; Söderström, A, 2014)
" The use of transdermal buprenorphine for chronic pain management is discussed."7.79Buprenorphine for chronic pain. ( Calderon, R; Copenhaver, D, 2013)
"Six-months analysis of non-interventionally collected observation data of effectiveness of long-term treatment with low-dose 7-day buprenorphine transdermal patch in elderly patients with chronic pain."7.79[Long-term treatment of chronic pain with low-dose 7-day buprenorphine transdermal patch. Observational data from elderly patients of pain relief and quality of life]. ( Müller-Schwefe, GH; Uberall, MA, 2013)
"Treatment of chronic pain conditions is commonly assessed at specific endpoints at preset times during or after treatment by analysis of the total study population."6.78A novel approach to identify responder subgroups and predictors of response to low- and high-dose capsaicin patches in postherpetic neuralgia. ( Dahan, A; Krebs-Brown, A; Martini, CH; Olofsen, E; Passier, P; Stoker, M; Yassen, A, 2013)
"Background and aims Chronic pain is a life altering condition and common among elderly persons."5.42Evaluation of the cost-effectiveness of buprenorphine in treatment of chronic pain using competing EQ-5D weights. ( Dahm, P; Norrlid, H; Tennvall, GR, 2015)
"We examined the effectiveness and tolerability of transdermal buprenorphine (TDB) treatment in real-world setting in Asian patients with musculoskeletal pain."5.24Effectiveness and tolerability of transdermal buprenorphine patches: a multicenter, prospective, open-label study in Asian patients with moderate to severe chronic musculoskeletal pain. ( Bin, SI; Chan, SK; Chung, CK; In, Y; Kim, H; Lichauco, JJ; Mok, CC; Moon, H; Moon, YW; Ng, TK; Penserga, EG; Shin, DA; Yoon, DH; You, D, 2017)
"This study examines the efficacy of the buprenorphine transdermal system (BTDS) for reducing the interference of pain on physical and emotional functioning associated with chronic low back pain (CLBP)."5.20Buprenorphine transdermal system compared with placebo reduces interference in functioning for chronic low back pain. ( Lynch, SY; Miller, K; Munera, C; Pergolizzi, JV; Raffa, R; Ripa, SR; Wen, W; Yarlas, A, 2015)
"To evaluate the impact of 12 weeks of treatment with Butrans® (buprenorphine) transdermal system (BTDS) on the health-related quality of life (HRQoL) for patients with chronic low back pain (CLBP), and the maintenance of effects over 52 weeks."5.17Buprenorphine transdermal system and quality of life in opioid-experienced patients with chronic low back pain. ( Brennan, MJ; Dain, B; Lynch, SY; Miller, K; Ripa, SR; Wen, W; Yarlas, A, 2013)
"The 5% Lidocaine patch is used for treating chronic neuropathic pain conditions such as chronic back pain (CBP), diabetic neuropathy and complex regional pain syndrome, but is effective in a variable proportion of patients."5.16Lidocaine patch (5%) is no more potent than placebo in treating chronic back pain when tested in a randomised double blind placebo controlled brain imaging study. ( Apkarian, AV; Baliki, MN; Chanda, ML; Hashmi, JA; Huang, L; Parks, EL; Schnitzer, T, 2012)
"In this enriched design study, 1,160 opioid-experienced patients with chronic, moderate to severe low back pain entered an open-label run-in period; 660 demonstrated analgesic benefit from and tolerability to buprenorphine transdermal system 20 mcg/hour (BTDS 20) treatment and were randomized to receive either BTDS 20, BTDS 5 mcg/hour (BTDS 5), or the active control (immediate release oxycodone 40-mg/day) during an 84-day double-blind phase."5.15Efficacy and safety of buprenorphine transdermal system (BTDS) for chronic moderate to severe low back pain: a randomized, double-blind study. ( Hale, M; Landau, C; Munera, C; Ripa, S; Steiner, D, 2011)
"Local anesthetics, such as the 5% transdermal lidocaine patch (5LP), have been frequently used in the treatment of musculoskeletal pain, especially chronic low back pain (CLBP)."5.05The Efficacy, Effectiveness and Safety of 5% Transdermal Lidocaine Patch for Chronic Low Back Pain: A Narrative Review. ( Felix, ER; Klass, S; Santana, JA, 2020)
"Buprenorphine is a lipid-soluble pharmaceutic used in the management of chronic pain."4.91Buprenorphine: revisiting the efficacy of transdermal delivery system. ( Barnett, CJ; Bergese, SD; Kamar, N; Kitzmiller, JP; Luzum, JA; Mikulik, E; Steiner, NS; Stoicea, N, 2015)
" Results from a network meta-analysis of non-enriched designs (eight trials), using trials versus placebo and trials versus morphine for indirect comparisons, indicated that transdermal fentanyl, in comparison with transdermal buprenorphine, showed significantly more nausea (odds ratio [OR] 4."4.88Systematic review of efficacy and safety of buprenorphine versus fentanyl or morphine in patients with chronic moderate to severe pain. ( Aune, D; Hernandez, AV; Kleijnen, J; Misso, K; Riemsma, R; Truyers, C; Wolff, RF, 2012)
"Buprenorphine is a partial mu-opioid agonist available as a transdermal patch for use in patients with chronic pain."4.12Application Site Reactions from the Buprenorphine Transdermal Patch: A Case Series. ( Fudin, J; Mendoza, K; Meyer-Junco, L; Rea, B, 2022)
" This study compares rates of poison center calls categorized as intentional abuse, suspected suicidal intent or fatality for the 7-day buprenorphine transdermal system/patch (BTDS) with other extended-release and long-acting (ER/LA) opioids indicated for chronic pain."3.85Comparison of abuse, suspected suicidal intent, and fatalities related to the 7-day buprenorphine transdermal patch versus other opioid analgesics in the National Poison Data System. ( Coplan, PM; Harikrishnan, V; Perkel, C; Sessler, NE; Singh, R, 2017)
"Efficacy and tolerability of buprenorphine patches was demonstrated in chronic pain patients, regardless of age, supporting the conclusion that no age-related dose adjustment of transdermal buprenorphine is needed."3.80Is buprenorphine transdermal patch equally safe and effective in younger and elderly patients with osteoarthritis-related pain? Results of an age-group controlled study. ( Augustini, BG; Berggren, AC; Karlsson, J; Söderström, A, 2014)
"To characterize the profile of application site reactions (ASRs) for patients treated with the buprenorphine transdermal system (BTDS) in chronic pain studies."3.79Application site adverse events associated with the buprenorphine transdermal system: a pooled analysis. ( Lynch, SY; Maibach, H; Munera, C; Ripa, SR; Swanton, R; Wen, W, 2013)
" The use of transdermal buprenorphine for chronic pain management is discussed."3.79Buprenorphine for chronic pain. ( Calderon, R; Copenhaver, D, 2013)
"Six-months analysis of non-interventionally collected observation data of effectiveness of long-term treatment with low-dose 7-day buprenorphine transdermal patch in elderly patients with chronic pain."3.79[Long-term treatment of chronic pain with low-dose 7-day buprenorphine transdermal patch. Observational data from elderly patients of pain relief and quality of life]. ( Müller-Schwefe, GH; Uberall, MA, 2013)
"Treatment of chronic pain conditions is commonly assessed at specific endpoints at preset times during or after treatment by analysis of the total study population."2.78A novel approach to identify responder subgroups and predictors of response to low- and high-dose capsaicin patches in postherpetic neuralgia. ( Dahan, A; Krebs-Brown, A; Martini, CH; Olofsen, E; Passier, P; Stoker, M; Yassen, A, 2013)
" Various retrospective studies comparing dosage changes of buprenorphine and fentanyl patches in persistent pain patients have been completed; however, no long-term prospective, randomized, clinical study has compared the effectiveness of these patches."2.78A feasibility study of transdermal buprenorphine versus transdermal fentanyl in the long-term management of persistent non-cancer pain. ( Chowdhury, S; Mitra, F; Shelley, M; Williams, G, 2013)
"Many patients experience acute or chronic pain."2.52[Certain opioids can preferably be administered transdermally]. ( Holmgaard, R; Jensen, NM; Nielsen, JB; Sørensen, JA, 2015)
"Neuropathic pain is a complex condition that is difficult to control and has a high impact on quality of life."1.568% Capsaicin Patch in Treatment of Peripheral Neuropathic Pain. ( Barbosa, P; Gomes, A; Goncalves, D; Rebelo, V, 2020)
"Tramadol has a higher risk of fractures than some other opioid analgesics used to treat moderate-to-severe pain and, in the model described here, we investigate the cost effectiveness of transdermal buprenorphine treatment compared with tramadol in a high-risk population."1.43Tramadol and the risk of fracture in an elderly female population: a cost utility assessment with comparison to transdermal buprenorphine. ( Akehurst, R; Dunlop, W; Hirst, A; Hirst, M; Knight, C, 2016)
"Background and aims Chronic pain is a life altering condition and common among elderly persons."1.42Evaluation of the cost-effectiveness of buprenorphine in treatment of chronic pain using competing EQ-5D weights. ( Dahm, P; Norrlid, H; Tennvall, GR, 2015)
" Initial BTDS dosing strength, receipt of approved initial BTDS dose per the FPI, and concomitant medications were assessed in the post-index 6 month period."1.40US practitioner prescribing practices and patient characteristics of those newly treated with a buprenorphine transdermal patch system. ( Ben-Joseph, R; Chang, CL; Hess, G; Pergolizzi, JV, 2014)
"Buprenorphine is a chemically synthesized opioid characterized as the partial mu agonist and kappa antagonist, and transdermal buprenorphine patch will be considered useful as a strong analgesic with fewer psychological side effects in the treatment of chronic non-cancer pain."1.39[Buprenorphine transdermal patch (Norspan tape)]. ( Hamaguchi, S; Ikeda, T, 2013)

Research

Studies (45)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's0 (0.00)18.2507
2000's0 (0.00)29.6817
2010's41 (91.11)24.3611
2020's4 (8.89)2.80

Authors

AuthorsStudies
Kapoor, H1
Gupta, E1
Sood, A1
Meyer-Junco, L1
Rea, B1
Mendoza, K1
Fudin, J1
Santana, JA1
Klass, S1
Felix, ER1
Noe, MH1
Shin, DB1
Wehner, MR1
Margolis, DJ1
Gelfand, JM1
Goncalves, D1
Rebelo, V1
Barbosa, P1
Gomes, A1
Yoon, DH1
Bin, SI1
Chan, SK1
Chung, CK1
In, Y1
Kim, H1
Lichauco, JJ1
Mok, CC1
Moon, YW1
Ng, TK1
Penserga, EG1
Shin, DA1
You, D1
Moon, H1
Norrlid, H1
Dahm, P1
Tennvall, GR1
Chung, CP1
Dupont, WD1
Murray, KT1
Hall, K1
Stein, CM1
Ray, WA1
Davis, MP1
Pasternak, G1
Behm, B1
Luchting, B1
Azad, SC1
Taylor, RG1
Budhram, A1
Lee, DH1
Mirsattari, SM1
Wen, W3
Lynch, SY3
Munera, C3
Swanton, R1
Ripa, SR3
Maibach, H1
Martini, CH1
Yassen, A1
Krebs-Brown, A1
Passier, P1
Stoker, M1
Olofsen, E1
Dahan, A1
Ibuki, T1
Hamaguchi, S1
Ikeda, T1
Collopy, KT1
Kivlehan, SM1
Snyder, SR1
Weekes, G1
O'Brien, J1
Murphy, K1
Keavney, J1
Pollard, V1
Chapman, CR1
Bradshaw, DH1
Calderon, R1
Copenhaver, D1
Karlsson, J1
Söderström, A1
Augustini, BG1
Berggren, AC1
Pergolizzi, JV3
Ben-Joseph, R2
Chang, CL2
Hess, G2
Uberall, MA1
Müller-Schwefe, GH1
López-Pérez, FJ1
Mínguez-Martí, A1
Vicario-Sánchez, E1
Pastor-Clérigues, A1
Sanfeliu-García, J1
Ortega-García, MP1
Dankiewicz, EH1
Haddox, JD1
Yarlas, A2
Miller, K2
Raffa, R1
Jensen, NM1
Holmgaard, R1
Nielsen, JB1
Sørensen, JA1
Hirst, A1
Knight, C1
Hirst, M1
Dunlop, W1
Akehurst, R1
Kitzmiller, JP1
Barnett, CJ1
Steiner, NS1
Stoicea, N1
Kamar, N1
Luzum, JA1
Mikulik, E1
Bergese, SD1
Rascol, O1
Zesiewicz, T1
Chaudhuri, KR1
Asgharnejad, M1
Surmann, E1
Dohin, E1
Nilius, S1
Bauer, L1
Oppliger, M1
Mauermann, E1
Ruppen, W1
Kawai, K1
Yoshizawa, K1
Fujie, M1
Kobayashi, H1
Ogawa, Y1
Yajima, T1
Romualdi, P1
Santi, P1
Candeletti, S1
Coplan, PM1
Sessler, NE1
Harikrishnan, V1
Singh, R1
Perkel, C1
Trist, AJ1
Sahota, H1
Williams, L1
Steiner, D1
Hale, M1
Ripa, S1
Landau, C1
Rastogi, R1
Swarm, RA1
Patel, TA1
Plosker, GL1
Lyseng-Williamson, KA1
Wolff, RF1
Aune, D1
Truyers, C1
Hernandez, AV1
Misso, K1
Riemsma, R1
Kleijnen, J1
Hashmi, JA1
Baliki, MN1
Huang, L1
Parks, EL1
Chanda, ML1
Schnitzer, T1
Apkarian, AV1
Miotto, K1
Kaufman, A1
Kong, A1
Jun, G1
Schwartz, J1
Steunebrink, M1
Zwerver, J1
Brandsema, R1
Groenenboom, P1
van den Akker-Scheek, I1
Weir, A1
López Ramírez, E1
Mitra, F1
Chowdhury, S1
Shelley, M1
Williams, G1
Dain, B1
Brennan, MJ1

Clinical Trials (5)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Multicentre Study To Evaluate Efficacy And Safety Of Buprenorphine Transdermal Patch (Norspan) In Chronic Non-Malignant Pain Of Moderate To Severe Intensity Due To Osteoarthritis, Rheumatoid Arthritis, Lower Back Pain And Joint / Muscle Pain, When Opioid [NCT01961271]Phase 4114 participants (Actual)Interventional2013-06-30Completed
[NCT01276431]Phase 4102 participants (Actual)Interventional2011-03-31Completed
A Multicenter, Randomized, Double-blind, Active Comparator Study to Determine the Efficacy and Safety of BTDS 20 or Oxycodone Immediate-release Versus BTDS 5 in Subjects With Moderate to Severe Low Back Pain[NCT00313014]Phase 3660 participants (Actual)Interventional2004-02-29Terminated (stopped due to Terminated early due to administrative reasons unrelated to efficacy or safety.)
Mind-body Treatments for Chronic Back Pain[NCT03294148]151 participants (Actual)Interventional2017-08-07Completed
Randomized, Placebo-controlled Crossover Trial Evaluating Topical Lidocaine Patch(es) for Mechanical Neck Pain.[NCT04378959]76 participants (Actual)Interventional2021-02-01Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Efficacy According to BS-11 Pain Score Reduction

"The primary efficacy outcome analysis is the pre- and post-intervention change in BS-11 pain score. The reduction in scores were calculated by subtracting the post-intervention score from the baseline score.~BS-11 is known as Box scale-11; it is an 11-point scale measuring pain intensity. It ranges from 0 to 10, whereby 0 represents no pain and 10 represents the worst imaginable pain. Subjects selected a number based on the pain intensity they were feeling at that time." (NCT01961271)
Timeframe: Maximum 17 weeks starting from enrolment

Interventionunits on a scale (Mean)
Buprenorphine Transdermal Patch2.7

Secondary Efficacy Outcome -- Incidence of Early Treatment Discontinuation Due to Lack of Efficacy.

(NCT01961271)
Timeframe: From time of enrolment to Visit 6 (ie. up to119 days from enrolment)

Interventionparticipants (Number)
Buprenorphine Transdermal Patch3

Secondary Efficacy Outcome as Measured by Number of Subjects Requiring at Least 1 Breakthrough (Rescue) Pain Medication

Daily use of breakthrough pain medication from visits 1-6, assessed from patient diaries. (NCT01961271)
Timeframe: Approximately 17 weeks starting from enrolment

Interventionparticipants (Number)
Buprenorphine Transdermal Patch26

Treatment-emergent Adverse Events (TEAE's) as Measured by Number of Subjects With at Least 1 TEAE

Side effects of the transdermal patch treatment will be analysed. (NCT01961271)
Timeframe: From time of enrolment up to 7 days after completion / discontinuation visit (up to 140 days)

Interventionparticipants (Number)
Buprenorphine Transdermal Patch89

Secondary Efficacy Outcome Determined by Change in Percentage of Subjects Who Met Criteria on EQ5D-3L Quality of Life Questionnaire From Pre- to Post-intervention

"Pre-intervention: Visit 1 Post-intervention: Visit 6~There are 5 dimensions in the EQ5D-3L questionnaire answered by the subjects, classified into 5 categories here:~Mobility -- change in % of subjects who have no problem in walking around Self-care -- change in % of subjects who have no problem in self-care Usual activities -- change in % of subjects who have no problem with performing their usual activities Pain/ discomfort -- change in % of subjects who do not experience pain or discomfort Anxiety/ depression -- change in % of subjects who do not feel anxious or depressed" (NCT01961271)
Timeframe: approximately 17 weeks starting from enrolment

Interventionpercentage of subjects (Number)
MobilitySelf-careUsual ActivitiesPain/DiscomfortAnxiety/ Depression
Buprenorphine Transdermal Patch25.820.219.414.318

Secondary Efficacy Outcome on Physicians' and Patients' Treatment Satisfaction Assessed Using Physician's Global Impression of Change Scale and Patient's Global Impression of Change Scale Respectively

"The overall assessment of the change in pain intensity from baseline is measured at Visit 6.~Physician's Global Impression of Change scale: Investigator's opinion on a scale of 1 to 7 where 1 is very much improved and 7 is very much worse Patient's Global Impression of Change scale: Subject's opinion on a scale of 1 to 7 where 1 is very much improved and 7 is very much worse" (NCT01961271)
Timeframe: At visit 6 (anywhere between Day 91 to 119 after enrolment depending on how long titration took)

Interventionunits on a scale (Mean)
Physician ImpressionPatient Impression
Buprenorphine Transdermal Patch2.622.66

Mean Daily Number of Supplemental Analgesic Tablets

The mean daily number of tablets of supplemental analgesic medications used during the double-blind phase (NCT00313014)
Timeframe: Double-blind phase (84 days)

Interventiontablets (Mean)
Double-blind BTDS 53.8
Double-blind BTDS 203.3
Double-blind Oxycodone Immediate-Release3.5

Average Pain Over the Last 24 Hours Score at Weeks 4, 8, and 12.

"Subjects were evaluated during the double-blind phase for average pain over the last 24 hours prior to the study visits. Pain scale is 11 points (0 = no pain to 10 = pain as bad as you can imagine)" (NCT00313014)
Timeframe: Last 24 hours score at weeks 4, 8, 12 of the double-blind phase

,,
Interventionunits on a scale (Mean)
ScreeningPrerandomizationWeek 4Week 8Week 12
Double-blind BTDS 206.462.913.403.353.35
Double-blind BTDS 56.362.843.793.834.02
Double-blind Oxycodone Immediate-Release6.462.743.143.243.26

Oswestry Disability Index (ODI) Score (V 2.0)

"The ODI (version 2) is a low back pain-specific, validated instrument that consists of questions related to limitations in performing specific activities of daily living and 1 question related to pain intensity. The ODI is a self-administered questionnaire that is usually completed in less than 5 minutes.~The ODI consists of 10 sections. Each section consists of 6 statements ranked from 0 to 5 (0 = good to 5 = worse). (Note: A higher score represents greater disability.)" (NCT00313014)
Timeframe: Weeks 4, 8, 12

,,
Interventionunits on a scale (Mean)
Week 4Week 8Week 12
Double-blind BTDS 2033.0434.2733.06
Double-blind BTDS 534.8035.6936.30
Double-blind Oxycodone Immediate-Release30.7931.6432.96

The Sleep Disturbance Subscale in the MOS-Sleep Scale at Weeks 4, 8, and 12.

"The MOS-Sleep Scale consists of 12 individual items: (4 sleep disturbance, 2 sleep adequacy, 1 quantity/ optimal sleep, 3 somnolence, 1 snoring, and 1 shortness of breath).~Question 1 is scored on a scale of 1 to 5 and Questions 3 to 12 are scored on a scale of 1 to 6. The Sleep Disturbance Subscale score is derived from the scores to Questions 1, 3, 7 and 8, and ranges from 0 to 100, where higher scores indicate greater sleep disturbance." (NCT00313014)
Timeframe: Weeks 4, 8, 12 of the double-blind phase

,,
Interventionunits on a scale (Mean)
Week 4Week 8Week 12
Double-blind BTDS 2034.6535.6933.65
Double-blind BTDS 540.6742.2840.85
Double-blind Oxycodone Immediate-Release38.1039.1741.60

Brief Pain Inventory-Short Form (BPI-SF)

1-week average pain intensity, 0 - 10 numerical rating scale, where a higher score indicates more pain. (NCT03294148)
Timeframe: At post-treatment fMRI session, approximately 1 month after randomization

Interventionunits on a scale (Mean)
Pain Reprocessing Therapy (PRT)1.18
Placebo2.84
Usual Care3.13

Negative Affect Scale Short Form (PANAS-SF)

Questionnaire to rate negative affect, scores range from 5 - 25, with a higher score meaning a stronger negative affect (NCT03294148)
Timeframe: At post-treatment fMRI session, approximately 1 month after randomization

Interventionscore on a scale (Mean)
Pain Reprocessing Therapy (PRT)8.30
Placebo7.70
Usual Care8.19

Oswestry Disability Index

Back pain disability questionnaire measured on a scale of 0-100. A higher score indicates a higher severity of disability. (NCT03294148)
Timeframe: At post-treatment fMRI session, approximately 1 month after randomization

Interventionscore on a scale (Mean)
Pain Reprocessing Therapy (PRT)10.14
Placebo19.00
Usual Care20.68

Pain Catastrophizing Questionnaire (PCS)

Questionnaire used to help quantify an individual's pain experience. Measured 0-52. A higher score means a higher level of catastrophizing. (NCT03294148)
Timeframe: At post-treatment fMRI session, approximately 1 month after randomization

Interventionscore on a scale (Mean)
Pain Reprocessing Therapy (PRT)8.30
Placebo7.70
Usual Care8.19

Patient Global Impression of Change (PGIC)

Post-treatment-only outcome measure depicting a patient's subjective rating of overall improvement. Score ranges from 1-7 with a higher score indicating a higher level of change and improvement (NCT03294148)
Timeframe: At post-treatment fMRI session, approximately 1 month after randomization

Interventionscore on a scale (Mean)
Pain Reprocessing Therapy (PRT)6.14
Placebo3.61
Usual Care2.06

Positive Affect Scale Short Form (PANAS-SF)

Questionnaire to rate positive affect, scores range from 5 - 25, a higher score means stronger affect (NCT03294148)
Timeframe: At post-treatment fMRI session, approximately 1 month after randomization

Interventionscore on a scale (Mean)
Pain Reprocessing Therapy (PRT)17.89
Placebo15.20
Usual Care14.98

PROMIS Anger

Questionnaire measuring anger (5 items) with a score range of 5-25. Higher scores indicate a higher severity of anger. (NCT03294148)
Timeframe: At post-treatment fMRI session, approximately 1 month after randomization

Interventionscore on a scale (Mean)
Pain Reprocessing Therapy (PRT)9.52
Placebo9.89
Usual Care10.45

PROMIS Anxiety

Questionnaire measuring anxiety (8 items). Scores range from 8-40 with a higher score meaning more severe levels of fear, anxious misery, hyperarousal, and somatic symptoms related to arousal. (NCT03294148)
Timeframe: At post-treatment fMRI session, approximately 1 month after randomization

Interventionscore on a scale (Mean)
Pain Reprocessing Therapy (PRT)15.02
Placebo13.89
Usual Care14.11

PROMIS Sleep

Questionnaire measuring sleep disturbance (8 items). Scores range from 8-40. Higher scores indicate higher levels of sleep disturbance (NCT03294148)
Timeframe: At post-treatment fMRI session, approximately 1 month after randomization

Interventionscore on a scale (Mean)
Pain Reprocessing Therapy (PRT)17.73
Placebo20.50
Usual Care20.89

PROMIS- Depression

Questionnaire measuring depression (8 items). Scores range from 8-32. A higher score indicates higher levels of depressive symptoms (NCT03294148)
Timeframe: At post-treatment fMRI session, approximately 1 month after randomization

Interventionscore on a scale (Mean)
Pain Reprocessing Therapy (PRT)12.23
Placebo11.75
Usual Care11.81

Tampa Scale of Kinesiophobia (TSK)

Questionnaire used to assess the subjective rating of kinesiophobia or fear of movement. Scores range from 11-44 with higher scores indicating greater fear of pain, movement, and injury. (NCT03294148)
Timeframe: At post-treatment fMRI session, approximately 1 month after randomization

Interventionscore on a scale (Mean)
Pain Reprocessing Therapy (PRT)16.41
Placebo22.16
Usual Care22.51

Timeline Follow-Back Measure for Alcohol (TLFB)

Questionnaire used to assess daily drinking (number of drinks consumed over past two weeks) (NCT03294148)
Timeframe: At post-treatment fMRI session, approximately 1 month after randomization

InterventionDrinks (Mean)
Pain Reprocessing Therapy (PRT)11.63
Placebo12.88
Usual Care8.02

Timeline Follow-Back Measure for Cannabis (TLFB)

Questionnaire used to assess daily cannabis use (number of grams consumed over past two weeks) (NCT03294148)
Timeframe: At post-treatment fMRI session, approximately 1 month after randomization

InterventionGrams of cannabis (Mean)
Pain Reprocessing Therapy (PRT)6.76
Placebo3.31
Usual Care1.49

Timeline Follow-Back Measure for Opioid Use (TLFB)

Questionnaire used to assess daily opioid use (number of pills consumed over past two weeks) (NCT03294148)
Timeframe: At post-treatment fMRI session, approximately 1 month after randomization

InterventionOpioid pills (Mean)
Pain Reprocessing Therapy (PRT)1.29
Placebo0.36
Usual Care1.77

Treatment Satisfaction Questionnaire

Post-treatment-only outcome measure depicting the patient's satisfaction with the treatment. Measured 0 - 100. A higher score means higher satisfaction with treatment/ (NCT03294148)
Timeframe: At post-treatment fMRI session, approximately 1 month after randomization

Interventionscore on a scale (Mean)
Pain Reprocessing Therapy (PRT)92.40
Placebo57.61
Usual Care36.86

Reviews

10 reviews available for oxybutynin and Pain, Chronic

ArticleYear
Chronic pelvic ischemia: etiology, pathogenesis, clinical presentation and management.
    Minerva urologica e nefrologica = The Italian journal of urology and nephrology, 2014, Volume: 66, Issue:2

    Topics: Aged; Animals; Atherosclerosis; Calcium; Cell Hypoxia; Chronic Pain; Disease Models, Animal; Estroge

2014
The Efficacy, Effectiveness and Safety of 5% Transdermal Lidocaine Patch for Chronic Low Back Pain: A Narrative Review.
    PM & R : the journal of injury, function, and rehabilitation, 2020, Volume: 12, Issue:12

    Topics: Anesthetics, Local; Chronic Pain; Humans; Lidocaine; Low Back Pain; Randomized Controlled Trials as

2020
Treating Chronic Pain: An Overview of Clinical Studies Centered on the Buprenorphine Option.
    Drugs, 2018, Volume: 78, Issue:12

    Topics: Administration, Sublingual; Analgesics, Opioid; Animals; Buprenorphine; Chemistry, Pharmaceutical; C

2018
Pain therapy for the elderly patient: is opioid-free an option?
    Current opinion in anaesthesiology, 2019, Volume: 32, Issue:1

    Topics: Administration, Topical; Age Factors; Aged; Aging; Analgesics, Non-Narcotic; Analgesics, Opioid; Cap

2019
[Certain opioids can preferably be administered transdermally].
    Ugeskrift for laeger, 2015, Feb-23, Volume: 177, Issue:9

    Topics: Acute Pain; Administration, Cutaneous; Administration, Oral; Analgesics, Opioid; Anti-Inflammatory A

2015
Buprenorphine: revisiting the efficacy of transdermal delivery system.
    Therapeutic delivery, 2015, Volume: 6, Issue:4

    Topics: Analgesics, Opioid; Buprenorphine; Chronic Pain; Drug Delivery Systems; Humans; Transdermal Patch

2015
Alghedon Fentanyl Transdermal System.
    Minerva medica, 2017, Volume: 108, Issue:2

    Topics: Administration, Cutaneous; Analgesics, Opioid; Chronic Pain; Delayed-Action Preparations; Fentanyl;

2017
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
Buprenorphine 5, 10 and 20 μg/h transdermal patch: a guide to its use in chronic non-malignant pain.
    CNS drugs, 2012, Apr-01, Volume: 26, Issue:4

    Topics: Analgesics, Opioid; Buprenorphine; Chronic Pain; Delayed-Action Preparations; Dose-Response Relation

2012
Systematic review of efficacy and safety of buprenorphine versus fentanyl or morphine in patients with chronic moderate to severe pain.
    Current medical research and opinion, 2012, Volume: 28, Issue:5

    Topics: Administration, Oral; Analgesics, Opioid; Buprenorphine; Chronic Pain; Constipation; Fentanyl; Human

2012

Trials

9 trials available for oxybutynin and Pain, Chronic

ArticleYear
Effectiveness and tolerability of transdermal buprenorphine patches: a multicenter, prospective, open-label study in Asian patients with moderate to severe chronic musculoskeletal pain.
    BMC musculoskeletal disorders, 2017, Aug-04, Volume: 18, Issue:1

    Topics: Administration, Cutaneous; Adult; Aged; Analgesics, Opioid; Buprenorphine; Chronic Pain; Female; Hon

2017
A novel approach to identify responder subgroups and predictors of response to low- and high-dose capsaicin patches in postherpetic neuralgia.
    European journal of pain (London, England), 2013, Volume: 17, Issue:10

    Topics: Aged; Aged, 80 and over; Capsaicin; Chronic Pain; Double-Blind Method; Female; Humans; Lidocaine; Ma

2013
Buprenorphine transdermal system compared with placebo reduces interference in functioning for chronic low back pain.
    Postgraduate medicine, 2015, Volume: 127, Issue:1

    Topics: Administration, Cutaneous; Adult; Analgesics, Opioid; Buprenorphine; Chronic Pain; Double-Blind Meth

2015
A Randomized Controlled Exploratory Pilot Study to Evaluate the Effect of Rotigotine Transdermal Patch on Parkinson's Disease-Associated Chronic Pain.
    Journal of clinical pharmacology, 2016, Volume: 56, Issue:7

    Topics: Aged; Chronic Pain; Dopamine Agonists; Double-Blind Method; Female; Humans; Internationality; Male;

2016
Efficacy and safety of buprenorphine transdermal system (BTDS) for chronic moderate to severe low back pain: a randomized, double-blind study.
    The journal of pain, 2011, Volume: 12, Issue:11

    Topics: Administration, Cutaneous; Analgesics, Opioid; Buprenorphine; Chronic Pain; Double-Blind Method; Fem

2011
Lidocaine patch (5%) is no more potent than placebo in treating chronic back pain when tested in a randomised double blind placebo controlled brain imaging study.
    Molecular pain, 2012, Apr-24, Volume: 8

    Topics: Back Pain; Brain; Brain Mapping; Chronic Pain; Double-Blind Method; Female; Humans; Lidocaine; Magne

2012
Lidocaine patch (5%) is no more potent than placebo in treating chronic back pain when tested in a randomised double blind placebo controlled brain imaging study.
    Molecular pain, 2012, Apr-24, Volume: 8

    Topics: Back Pain; Brain; Brain Mapping; Chronic Pain; Double-Blind Method; Female; Humans; Lidocaine; Magne

2012
Lidocaine patch (5%) is no more potent than placebo in treating chronic back pain when tested in a randomised double blind placebo controlled brain imaging study.
    Molecular pain, 2012, Apr-24, Volume: 8

    Topics: Back Pain; Brain; Brain Mapping; Chronic Pain; Double-Blind Method; Female; Humans; Lidocaine; Magne

2012
Lidocaine patch (5%) is no more potent than placebo in treating chronic back pain when tested in a randomised double blind placebo controlled brain imaging study.
    Molecular pain, 2012, Apr-24, Volume: 8

    Topics: Back Pain; Brain; Brain Mapping; Chronic Pain; Double-Blind Method; Female; Humans; Lidocaine; Magne

2012
Topical glyceryl trinitrate treatment of chronic patellar tendinopathy: a randomised, double-blind, placebo-controlled clinical trial.
    British journal of sports medicine, 2013, Volume: 47, Issue:1

    Topics: Administration, Cutaneous; Adolescent; Adult; Analgesics; Chronic Pain; Double-Blind Method; Humans;

2013
A feasibility study of transdermal buprenorphine versus transdermal fentanyl in the long-term management of persistent non-cancer pain.
    Pain medicine (Malden, Mass.), 2013, Volume: 14, Issue:1

    Topics: Administration, Cutaneous; Adult; Analgesics, Opioid; Buprenorphine; Chronic Disease; Chronic Pain;

2013
Buprenorphine transdermal system and quality of life in opioid-experienced patients with chronic low back pain.
    Expert opinion on pharmacotherapy, 2013, Volume: 14, Issue:3

    Topics: Administration, Cutaneous; Adult; Analgesics, Opioid; Buprenorphine; Chronic Pain; Dose-Response Rel

2013

Other Studies

26 other studies available for oxybutynin and Pain, Chronic

ArticleYear
Application Site Reactions from the Buprenorphine Transdermal Patch: A Case Series.
    Journal of pain & palliative care pharmacotherapy, 2022, Volume: 36, Issue:1

    Topics: Administration, Cutaneous; Analgesics, Opioid; Buprenorphine; Chronic Pain; Humans; Transdermal Patc

2022
Opioid prescribing in adults with and without psoriasis.
    Journal of the American Academy of Dermatology, 2020, Volume: 83, Issue:6

    Topics: Administration, Oral; Adult; Aged; Analgesics, Opioid; Chronic Pain; Dermatologic Agents; Drug Presc

2020
8% Capsaicin Patch in Treatment of Peripheral Neuropathic Pain.
    Pain physician, 2020, Volume: 23, Issue:5

    Topics: Adolescent; Adult; Aged; Aged, 80 and over; Capsaicin; Child; Chronic Pain; Female; Humans; Male; Mi

2020
Evaluation of the cost-effectiveness of buprenorphine in treatment of chronic pain using competing EQ-5D weights.
    Scandinavian journal of pain, 2015, Jan-01, Volume: 6, Issue:1

    Topics: Aged; Aged, 80 and over; Analgesics, Opioid; Buprenorphine; Chronic Pain; Clinical Trials as Topic;

2015
Comparative out-of-hospital mortality of long-acting opioids prescribed for non-cancer pain: A retrospective cohort study.
    Pharmacoepidemiology and drug safety, 2019, Volume: 28, Issue:1

    Topics: Adult; Aged; Analgesics, Opioid; Chronic Pain; Delayed-Action Preparations; Drug Overdose; Female; F

2019
Opioid-associated amnestic syndrome observed with fentanyl patch use.
    CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne, 2019, 03-25, Volume: 191, Issue:12

    Topics: Administration, Cutaneous; Amnesia; Analgesics, Opioid; Chronic Pain; Female; Fentanyl; Humans; Midd

2019
Application site adverse events associated with the buprenorphine transdermal system: a pooled analysis.
    Expert opinion on drug safety, 2013, Volume: 12, Issue:3

    Topics: Administration, Cutaneous; Aged; Buprenorphine; Chronic Pain; Clinical Trials, Phase III as Topic; D

2013
[Transdermal fentanyl patch for the treatment of chronic intractable pain].
    Masui. The Japanese journal of anesthesiology, 2013, Volume: 62, Issue:7

    Topics: Analgesics, Opioid; Chronic Pain; Fentanyl; Humans; Pain, Intractable; Transdermal Patch

2013
[Buprenorphine transdermal patch (Norspan tape)].
    Masui. The Japanese journal of anesthesiology, 2013, Volume: 62, Issue:7

    Topics: Analgesics, Opioid; Buprenorphine; Chronic Pain; Humans; Pain, Intractable; Transdermal Patch

2013
An EMS guide to chronic pain.
    EMS world, 2013, Volume: 42, Issue:7

    Topics: Analgesics, Opioid; Anticonvulsants; Biological Availability; Chronic Pain; Drug Therapy, Combinatio

2013
Qutenza patch--our early experience.
    Irish medical journal, 2013, Volume: 106, Issue:3

    Topics: Activities of Daily Living; Analgesics; Capsaicin; Chronic Pain; Humans; Neuralgia; Pain Measurement

2013
Only modest long-term opioid dose escalation occurs over time in chronic nonmalignant pain management.
    Journal of pain & palliative care pharmacotherapy, 2013, Volume: 27, Issue:4

    Topics: Administration, Oral; Adolescent; Adult; Aged; Aged, 80 and over; Analgesics, Opioid; Chronic Pain;

2013
Buprenorphine for chronic pain.
    Journal of pain & palliative care pharmacotherapy, 2013, Volume: 27, Issue:4

    Topics: Analgesics, Opioid; Buprenorphine; Chronic Pain; Humans; Opiate Substitution Treatment; Opioid-Relat

2013
Is buprenorphine transdermal patch equally safe and effective in younger and elderly patients with osteoarthritis-related pain? Results of an age-group controlled study.
    Current medical research and opinion, 2014, Volume: 30, Issue:4

    Topics: Age Factors; Aged; Aged, 80 and over; Analgesics, Opioid; Buprenorphine; Chronic Pain; Female; Human

2014
Predicting medication persistence to buprenorphine transdermal system.
    Pain practice : the official journal of World Institute of Pain, 2015, Volume: 15, Issue:2

    Topics: Administration, Cutaneous; Adult; Aged; Analgesics, Non-Narcotic; Analgesics, Opioid; Anti-Inflammat

2015
US practitioner prescribing practices and patient characteristics of those newly treated with a buprenorphine transdermal patch system.
    Current medical research and opinion, 2014, Volume: 30, Issue:8

    Topics: Adolescent; Adult; Aged; Aged, 80 and over; Analgesics, Opioid; Buprenorphine; Chronic Pain; Databas

2014
[Long-term treatment of chronic pain with low-dose 7-day buprenorphine transdermal patch. Observational data from elderly patients of pain relief and quality of life].
    MMW Fortschritte der Medizin, 2013, Oct-10, Volume: 155 Suppl 3

    Topics: Activities of Daily Living; Aged; Aged, 80 and over; Anxiety; Buprenorphine; Chronic Pain; Depressio

2013
[Clinical experience in opioid switch for noncancer chronic pain treatment].
    Farmacia hospitalaria : organo oficial de expresion cientifica de la Sociedad Espanola de Farmacia Hospitalaria, 2014, Sep-16, Volume: 38, Issue:5

    Topics: Adjuvants, Pharmaceutic; Administration, Oral; Aged; Aged, 80 and over; Analgesia, Epidural; Analges

2014
Clarification on transdermal buprenorphine.
    Journal of pain & palliative care pharmacotherapy, 2014, Volume: 28, Issue:4

    Topics: Analgesics, Opioid; Buprenorphine; Chronic Pain; Humans; Transdermal Patch

2014
Tramadol and the risk of fracture in an elderly female population: a cost utility assessment with comparison to transdermal buprenorphine.
    The European journal of health economics : HEPAC : health economics in prevention and care, 2016, Volume: 17, Issue:2

    Topics: Aged; Aged, 80 and over; Buprenorphine; Chronic Pain; Cost-Benefit Analysis; Drug Costs; Female; Fra

2016
Are transdermal opioids contraindicated in patients at risk of suicide?: An underappreciated problem.
    European journal of anaesthesiology, 2016, Volume: 33, Issue:8

    Topics: Analgesics, Opioid; Autopsy; Chronic Pain; Death, Sudden, Cardiac; Female; Fentanyl; Humans; Middle

2016
Use of Fentanyl Patch for Treatment of Moderate-to-severe Chronic Noncancer Pain: Postmarketing Surveillance of Medical Practice in Japan Using a Risk Minimization Action Plan.
    Pain practice : the official journal of World Institute of Pain, 2017, Volume: 17, Issue:2

    Topics: Adult; Aged; Analgesics, Opioid; Chronic Pain; Female; Fentanyl; Humans; Japan; Male; Middle Aged; O

2017
Comparison of abuse, suspected suicidal intent, and fatalities related to the 7-day buprenorphine transdermal patch versus other opioid analgesics in the National Poison Data System.
    Postgraduate medicine, 2017, Volume: 129, Issue:1

    Topics: Adult; Aged; Aged, 80 and over; Analgesics, Opioid; Buprenorphine; Cause of Death; Chronic Pain; Coh

2017
Not so patchy story of attempted suicide…leading to 24 hours of deep sleep and survival!
    BMJ case reports, 2017, Jan-17, Volume: 2017

    Topics: Aged; Analgesics, Opioid; Back Pain; Chronic Pain; Drug Overdose; Female; Fentanyl; Humans; Suicide,

2017
Managing co-occurring substance use and pain disorders.
    The Psychiatric clinics of North America, 2012, Volume: 35, Issue:2

    Topics: Adolescent; Adult; Analgesics, Non-Narcotic; Analgesics, Opioid; Child; Chronic Pain; Diagnostic and

2012
Treatment of acute and chronic focal neuropathic pain in cancer patients with lidocaine 5 % patches. A radiation and oncology department experience.
    Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2013, Volume: 21, Issue:5

    Topics: Acute Pain; Aged; Aged, 80 and over; Anesthetics, Local; Chronic Pain; Female; Humans; Lidocaine; Ma

2013