Evidence map›Paper›PMID 41398329›Full record

Trial reportScientific reports2025

Memantine treatment improves opioid-induced hyperalgesia symptoms: randomize clinical trial.

Afagh Anjomshoaa, Ahmad Zolghadriha, Nafiseh Sadat Haj-Seyed-Taghia, Omid Saed, Elham Faghihzadeh

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

5 authors.

Afagh AnjomshoaaDepartment of Psychiatry, Shahid Beheshti Hospital, Zanjan University of Medical Sciences, Zanjan, Iran.
Ahmad ZolghadrihaZanjan Metabolic Diseases Research Center, Zanjan University of Medical Sciences, Zanjan, Iran. ahmad_zolghadriha@yahoo.com.
Nafiseh Sadat Haj-Seyed-TaghiaDepartment of Psychiatry, Shahid Beheshti Hospital, Zanjan University of Medical Sciences, Zanjan, Iran.
Omid SaedDepartment of Clinical Psychology, School of Medicine, Zanjan University of Medical Sciences, Zanjan, Iran.
Elham FaghihzadehBiostatic, Faculty of medicin, Zanjan University of Medical Sciences, Zanjan, Iran.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Opioid-induced hyperalgesia (OIH) is a condition in which prolonged opioid use paradoxically increases sensitivity to noxious stimuli, resulting in heightened discomfort and diminished tolerance. This study aimed to investigate the clinical effects of Memantine in managing OIH symptoms in opioid-dependent patients. A randomized clinical trial involving 36 opioid-addicted patients diagnosed with opioid-induced hyperalgesia (OIH) was conducted between January and June 2022. Participants were randomly assigned to one of two groups: an intervention group receiving 10 mg/day of memantine, and a control group receiving placebo. The Cold Pressure Test (CPT) and Visual Analog Scale (VAS) were utilized to assess pain tolerance and intensity, respectively. The memantine group showed significantly increased cold pain tolerance at two and four weeks post-intervention (p = 0.005 and p < 0.001) and a significant reduction in pain intensity at two week (p = 0.001), though not at four weeks (p = 0.4536). Repeated measures ANOVA indicated significant within-subject effects of time for both CPT (F = 41.694, p = 0.001, η² = 0.558) and VAS (F = 69.065, p = 0.001, η² = 0.677), while between-group and interaction effects were not significant. This study offers preliminary support for the potential efficacy of 10 mg/day memantine in alleviating OIH symptoms, warranting further investigation to confirm these findings.Trial registration IRCT registration number IRCT20211112053045N1. Registration date 07/12/2021. IRCT URL https//irct.behdasht.gov.ir/trial/60,058. Ethical code IR.ZUMS.REC.1400.26.

Indexed as

Analgesics, OpioidHyperalgesiaMemantineOpioid-Related DisordersAdultFemaleHumansMaleMiddle AgedPain MeasurementTreatment OutcomeAnalgesics, OpioidMemantineClinical trialCold preesure testMemantinOpioid induced hyperalgesiaVAS

Identifiers

PMID41398329
PMCPMC12708659

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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.