Evidence map›Paper›PMID 33623645›Full record

ArticleAddiction & health2020

Effect of Magnesium Sulfate Added to Tincture of Opium and Buprenorphine on Pain and Quality of Life in Women with Dysmenorrhea: A Prospective, Randomized, Double-blind, Placebo-controlled Trial.

Bijan Pirnia, Raheleh Masoudi, Kambiz Pirnia, Mina Jalali, Mohammad Reza Eslami, Parastoo Malekanmehr, Fariborz Pirnia, Ladan Ajori

Open access · greenAbstract read
In one paragraph

Article in Addiction & health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.0field-weighted citation impact, top 22% of its field
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

3 citing papers in PubMed, 7 citations in OpenAlex.

  1. Trial
  2. Review
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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

8 authors at 6 institutions in 1 country.

Bijan PirniaDepartment of Psychology, School of Humanities, University of Science and Culture AND Preventative Gynecology Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Raheleh MasoudiDepartment of Midwifery, School of Medicine, Qom Branch, Islamic Azad University, Qom, Iran.
Kambiz PirniaBijan Center for Substance Abuse Treatment, Tehran, Iran.
Mina JalaliDepartment of Psychology, Kish International Branch, Islamic Azad University, Kish, Iran.
Mohammad Reza EslamiDepartment of Health Psychology, North Tehran Branch, Islamic Azad University, Tehran, Iran.
Parastoo MalekanmehrDepartment of Psychology, School of Psychology, Tonekabon Branch, Islamic Azad University, Tonekabon, Iran.
Fariborz PirniaDepartment of Food Science and Technology, School of Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
Ladan AjoriPreventative Gynecology Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Islamic Azad University North Tehran Branch · IRIslamic Azad University, Tehran · IRIslamic Azad University Tonekabon · IRQom Islamic Azad University · IRShahid Beheshti University of Medical Sciences · IRShahid Sadoughi University of Medical Sciences and Health Services · IR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAdding magnesium sulfate (MgSO4) to opioid receptor agonists increases the opioid analgesic effects via blocking this receptor. The current study aimed to evaluate the effectiveness of adding MgSO4 to tincture of opium (TOP) and buprenorphine (BUP) on pain and quality of life (QOL).

methodsIn prospective, randomized, double-blind, placebo-controlled clinical trial, one hundred and sixty-three women with secondary dysmenorrhea caused by endometriosis were selected using a respondent-driven sampling (RDS) and assigned into six groups using block randomization. Patients received 50 mg/kg MgSO4 in 100 ml saline by micro set in six monthly menstrual periods and completed the visual analogue scale (VAS) and QOL Questionnaire (QOLQ). Data were analyzed by repeated measures analysis of variance (ANOVA) and hierarchical regression.

findingsThe primary outcomes showed that pain scores in magnesium (MAG) + opium tincture (OT) [F = 5.7(1,162), P = 0.004] and MAG+ BUP [F = 4.5(1,162), P = 0.006] groups showed a significant decrease compared with control group. Also, QOL scores in MAG + OT [F = 4.8(1,162), P = 0.005] and MAG + BUP [F = 5.9(1,162), P = 0.003] showed a significant increase. However, there was no significant difference between the two groups (P = 0.140) and the changes did not persist until follow-up (P = 0.810). Secondary outcomes indicated that the low scores of the two components of QOL including physical and psychological components were predictors of pain (P = 0.011, Beta > 3.09).

conclusionSimultaneous use of MAG with opioids is associated with pain reduction and the improvement of QOL. However, this hypothesis requires careful handling in a randomized controlled trial.

Indexed as

BuprenorphineDysmenorrheaEndometriosisMagnesium sulfatePain

Identifiers

PMID33623645
PMCPMC7877998
OpenAlexW3130688804

What OpenQuestion holds

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Registered trials

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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.