Articles: analgesics.
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At different times of the day, the effect of an analgesic was systematically tested on healthy teeth by using a cold stimulus. The measure of the analgetic effect was the alteration of pain threshold measured by means of the minimum cold application time. In addition to the already known spontaneous variations in pain tolerance at the various times of the day, it was found that in the evening the effect of an analgesic is reduced and begins more slowly.
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Comparative Study
[Relationship between the pain-relieving action of narcotic analgesics and their effect on respiration].
Experiments with rabbits (30) and albino rats (110) demonstrated that morphine (1 mg/kg), promedol (trimeperidine) (2 mg/kg) and phentanyl (0.02 mg/kg), while raising by 21-24 per cent of the algesia threshold, produced an analgesic effect differeing in its duration (morphine-130 min, trimeperidine-70 min, phentanyl-17 min). This is attended by changes in respiration (greater on introduction of phentanyl, and lesser, following administration of morphine) and by shifts in the functional state of the tissues (greater on introduction of trimeperidine and lesser after aministration of morphine).
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Clin. Pharmacol. Ther. · Aug 1976
Randomized Controlled Trial Comparative Study Clinical TrialA model to evaluate mild analgesics in oral surgery outpatients.
A model was developed to evaluate mild analgesics in an oral surgery outpatient clinic population. On a report form, patients recorded starting pain and then pain intensities, relief responses, and side effects hourly for 3 hr after drug administration. The treatments were randomly allocated to patients on a single-dose-only basis, and the double-blind technique was used. ⋯ Both aspirin 650 mg and acetaminophen 600 mg proved superior to placebo (p less than 0.01) for all measures of effect with both parametric or nonparametric analyses, while codeine 30 mg was not significantly superior to placebo in any analysis. Codeine 60 mg proved significantly superior to placebo for certain measures of effect when analyzed with the nonparametric model. There was no significant interaction between either aspirin or acetaminophen and codeine.