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Controlled-release oxycodone vs placebo in the treatment of chronic breathlessness—A multisite randomized placebo controlled trial

Journal of Pain and Symptom Management Dec 26, 2019

Ferreira DH, Louw S, McCloud P, et al. - Researchers examined if oxycodone vs placebo could reduce chronic breathlessness. In this multisite, randomized, placebo-controlled, double-blind, parallel-arm, fixed-dose trial, oral controlled-release oxycodone 15 mg (5 mg, eight hourly) or placebo was administered to 155 adults, with chronic breathlessness (modified Medical Research Council Scale 3 or 4), who were opioid-naive (74 oxycodone and 81 placebo). For both arms, as-needed immediate-release morphine (2.5 mg per dose; six and less doses/day) was available as required by one ethics committee overseeing the trial. Placebo participants required more as-needed morphine (mean 7.0 vs 4.2 doses). Nausea was more frequent among oxycodone participants. Overall, findings suggest no benefit of oxycodone over placebo
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