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TKA: Dual-opioid treatment reduces pain and adverse GI events vs. oxycodone/acetaminophen

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Ace Report Cover
June 2013

TKA: Dual-opioid treatment reduces pain and adverse GI events vs. oxycodone/acetaminophen

Vol: 2| Issue: 5| Number:57| ISSN#: 2564-2537
Study Type:Therapy
OE Level Evidence:2
Journal Level of Evidence:N/A

Comparison of the efficacy and safety of dual-opioid treatment with morphine plus oxycodone versus oxycodone/acetaminophen for moderate to severe acute pain after total knee arthroplasty

Clin Ther. 2013 Apr;35(4):498-511. doi: 10.1016/j.clinthera.2013.03.002

Contributing Authors:
P Richards JS Gimbel HS Minkowitz R Kelen W Stern

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Synopsis

44 patients who underwent either TKA or THA (31 of whom completed the study) were randomized to receive either a fixed dose of morphine/oxycodone, a flexible dose of morphine/oxycodone or oxycodone/acetaminophen to compare the efficacy of these analgesic treatments. Results indicated that the morphine/oxycodone flexible dose group experienced a 20% decrease in the time-weighted sum of pain intensi...

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