Evidence map›Paper›PMID 22209386›Full record

Trial reportDrug and alcohol dependence2012

Effects of cold pressor pain on the abuse liability of intranasal oxycodone in male and female prescription opioid abusers.

Michelle R Lofwall, Paul A Nuzzo, Sharon L Walsh

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Drug and alcohol dependence, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed.

  1. Trial
  2. Intranasal oxycodone self-administration in non-dependent opioid abusers.Experimental and clinical psychopharmacology · 2012
    Trial
  3. Article
  4. Review
  5. Review
  6. Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Review
  12. Review
  13. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Michelle R LofwallUniversity of Kentucky, Department of Psychiatry, Lexington, KY 40509, USA. michelle.lofwall@uky.edu
Paul A Nuzzo
Sharon L Walsh

Funding

Kentucky Center for Clinical and Translational ScienceUL1TR001998 · NCATS · UNIVERSITY OF KENTUCKY · PI HARTMANN, KATHERINE E, KERN, PHILIP A · 2016 to 2025
$34.2M
Kentucky Center for Clinical and Translational ScienceUL1TR000117 · NCATS · UNIVERSITY OF KENTUCKY · PI KERN, PHILIP A · 2012 to 2015
$13.3M
XENOBIOTIC TRANSFER INTO MILK NITROFURANTOINM01RR002602 · NCRR · UNIVERSITY OF KENTUCKY · PI MOSER, DEBRA KAY · 1985 to 2007
$12.1M
Licit &Illicit Opioids: Comparative Studies in HumansR01DA016718 · NIDA · UNIVERSITY OF KENTUCKY · PI WALSH, SHARON L. · 2004 to 2023
$8.6M
INTERDISCIPLINARY RESEARCH CAREERS IN WOMEN'S HEALTHK12DA014040 · NIDA · UNIVERSITY OF KENTUCKY · PI CURRY, THOMAS E · 2000 to 2009
$5.0M
KENTUCKY CENTER FOR CLINICAL AND TRANSLATIONAL SCIENCEUL1RR033173 · NCRR · UNIVERSITY OF KENTUCKY · PI KERN, PHILIP A · 2011 to 2011
$3.5M
NCATS NIH HHS UL1 TR000117NCATS NIH HHS UL1 TR001998NCRR NIH HHS M01 RR002602NCRR NIH HHS M01-RR02602NCRR NIH HHS UL1 RR033173NIDA NIH HHS K12 DA014040NIDA NIH HHS K12 DA14040NIDA NIH HHS L30 DA017064NIDA NIH HHS R01 DA016716NIDA NIH HHS R01 DA016718
6 · The paper itself

Abstract

backgroundApproximately 1.9 million persons in the U.S. have prescription opioid use disorders often with concomitant bodily pain, but systematic data on the impact of pain on abuse liability of opioids is lacking. The purpose of this study was to determine whether pain alters the intranasal abuse liability of oxycodone, a commonly prescribed and abused analgesic, in males and females.

methodsSporadic prescription opioid abusers (10 females, 10 males) participated in this mixed (between and within-subject), randomized inpatient study. Experimental sessions (n=6) tested intranasal placebo, oxycodone 15 or 30 mg/70 kg during cold pressor testing (CPT) and a warm water control. Observer- and subject-rated drug effect measures, analgesia, physiologic and cognitive effects were assessed.

resultsThe CPT significantly increased blood pressure, heart rate, pain, stress, and "opiate desire" compared to the no-pain control but did not alter opioid liking, high or street value. Intranasal oxycodone produced effects within 10 min, significantly decreasing pain and significantly increasing subjective measures of abuse liability (e.g., high). Females had higher ratings of street value, high, and liking for one or both active doses.

conclusionsThe CPT was a reliably painful and stressful stimulus that did not diminish the abuse liability of intranasal oxycodone. Females were more sensitive to oxycodone on several abuse liability measures that warrant further follow-up. Snorting oxycodone rapidly produced psychoactive effects indicative of substantial abuse liability.

Indexed as

Cold TemperatureNarcoticsOxycodoneAdministration, IntranasalAdolescentAdultBlood PressureDouble-Blind MethodFemaleHeart RateHostilityHumansHydrocortisoneMaleMiddle AgedNeuropsychological TestsHydrocortisoneNarcoticsOxycodone

Identifiers

PMID22209386
PMCPMC3331953

What OpenQuestion holds

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Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.