Morphine gel 0.3% does not relieve pain during topical photodynamic therapy: A randomized, double-blind, placebo-controlled study
Open accessAbstract
There is a demand for pain relief during photodynamic therapy. We therefore investigated the efficacy and side-effects of topical morphine gel 0.3% for pain relief during topical photodynamic therapy in a randomized, double-blind, placebo-controlled study. The study involved 28 patients with actinic keratoses or basal cell carcinomas. Each patient was treated with photodynamic therapy after superficial curettage of 2 treatment areas that were randomized to morphine gel or placebo gel. The gels were applied 15 min before illumination. Pain was assessed pre-illumination, during, and immediately after illumination, using a numeric rating scale. Skin redness was determined by reflectance spectrophotometry and the size of the treated area by protoporphyrin IX fluorescence. There were no differences between the areas according to accumulation of protoporphyrin IX (p =0.34), size of fluorescence areas (p =0.84), or skin redness (p =0.95). There was no significant pain relief of topical morphine gel compared with placebo gel (p >0.23). This negative result suggests that opioid receptors may not be involved in the pain induced by photodynamic therapy.
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Morphine 0.3% gel, applied 15 minutes prior to illumination, did not result in a significant reduction in pain as compared to a placebo gel.
“Morphine 0.3% gel, applied 15 minutes prior to illumination, did not result in a significant reduction in pain as compared to a placebo gel [34].”
From Photodynamic Therapy for Non-Melanoma Skin Cancers (2016) · cites this paper as [34]
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- Authors
- Skiveren, J., Hædersdal, M., Philipsen, P., Wiegell, Sr., & Wulf, H.
- Affiliations
- Bispebjerg Hospital (DK)
- Venue
- Acta Dermato Venereologica
- Published
- 2006
- Volume
- 86
- Issue
- 5
- Pages
- 409-411
- ISSN
- 0001-5555 (ISSN-L)
- OpenAlex
- W2054082032
- Cited by
- 72
- References
- 20
- Citations by year
- 2024: 4 · 2023: 3 · 2021: 1 · 2020: 2 · 2019: 2 · 2018: 5 · 2017: 5 · 2016: 5 · 2015: 3 · 2014: 4 · 2013: 5 · 2012: 5
- FWCI
- 4.88
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- cc-by-nc
- Locations
- Acta Dermato Venereologica (publishedVersion, cc-by-nc)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Epidemiology › Nonmelanoma Skin Cancer Studies
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Photodynamic Therapy Research Studies
- Health Sciences › Medicine › Anesthesiology and Pain Medicine › Pain Management and Opioid Use
- Keywords
- photodynamic therapy, analgesia, actinic keratosis, basal cell carcinoma, opioid receptors, protoporphyrin IX fluorescence, skin redness
- MeSH terms
- Adult, Aged, Aged, 80 and over, Aminolevulinic Acid, Basal Cell Carcinoma, Double-Blind Method, Gels, Humans, Keratosis, Middle Aged, Morphine, Pain, Photochemotherapy, Photosensitivity Disorders, Receptors, Opioid, Skin Neoplasms
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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