Evidence map›Paper›PMID 41969589›Full record

ArticleJournal of research in pharmacy practice2026

Effect of Ultra-low-dose Naloxone on Ileus after Cesarean Section: A Randomized Clinical Trial.

Afshin Gholipour Baradari, Atefeh Hadian, Seyyed Javad Boskabadi, Masoumeh Sohrabi, Fatemeh Heydari, Abbas Alipour, Seyed Abdollah Emadi

Abstract read
In one paragraph

Article in Journal of research in pharmacy practice, 2026. 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

7 authors.

Afshin Gholipour BaradariDepartment of Anesthesiology, School of Medicine, Sari Imam Khomeini Hospital, Mazandaran University of Medical Sciences, Sari, Iran.
Atefeh HadianDepartment of Anesthesiology, School of Medicine, Sari Imam Khomeini Hospital, Mazandaran University of Medical Sciences, Sari, Iran.
Seyyed Javad BoskabadiDepartment of Clinical Pharmacy, Faculty of Pharmacy, Mazandaran University of Medical Sciences, Sari, Iran.
Masoumeh SohrabiDepartment of Clinical Pharmacy, Faculty of Pharmacy, Mazandaran University of Medical Sciences, Sari, Iran.
Fatemeh HeydariDepartment of Anesthesiology, School of Medicine, Sari Imam Khomeini Hospital, Mazandaran University of Medical Sciences, Sari, Iran.
Abbas AlipourDepartment of Community Medicine, Psychiatry and Behavioral Sciences Research Center, Faculty of Medicine, Addiction Institute, Babolsar, Iran.
Seyed Abdollah EmadiDepartment of Anesthesiology, School of Medicine, Sari Imam Khomeini Hospital, Mazandaran University of Medical Sciences, Sari, Iran.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: Postoperative ileus commonly occurs after abdominal surgeries, often leading to longer hospital stays. While intravenous opioids are effective for pain management, they can extend ileus duration. Ultra-low-dose naloxone presents a promising strategy to improve pain control and minimize side effects. This study examines how ultra-low-dose naloxone impacts ileus after cesarean section. Methods: Seventy participants were randomly divided into two groups: 35 patients in the intervention group received a patient-controlled analgesia (PCA) pump with 30 mg of morphine, 0.25 μg/kg/h of naloxone, and saline, whereas 35 patients in the control group received morphine and saline only. Patients assessed their pain, nausea, and pruritus using a 0-10-point Visual Analog Scale upon arrival at the recovery room and then at 30 min, 60 min, 90 min, 120 min, 6 h, 12 h, and 24 h after surgery. We recorded the duration of ileus, time to tolerate liquids and solids, discharge timing, and analgesic consumption. Findings: The control group ( Conclusions: Ultra-low-dose naloxone can effectively reduce postoperative ileus, improve opioid analgesia, and decrease side effects such as pruritus and nausea.

Indexed as

Cesarean sectionileusnaloxonespinal anesthesia

Identifiers

PMID41969589
PMCPMC13067966

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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.