Analgesic Effects of Dihydrocodeine and Tramadol When Administered Either in the Morning Or Evening

Research output: Contribution to journalResearch articleContributedpeer-review

Contributors

Abstract

The aim of the study was to investigate the analgesic effects of two opioids [dihydrocodeine (DHC) and tramadol] when administered either in the morning or evening. The experimental technique used is based on chemosomatosensory event-related potentials (CSSERPs) in response to painful chemical stimuli that are applied to the nasal mucosa. Eighteen healthy volunteers participated in the experiments. The study followed a controlled, randomized, double-blind, sixfold, cross-over design. Thus, each of the three medications (90 mg DHC, 50 mg tramadol, or placebo) was perorally administered to all subjects on different days at 08:00 or 20:00 h. Measurements were performed before and 60, 120, 240, and 360 min after administration of the medication. In addition to the assessment of CSSERP, subjects rated the intensity of the stimuli. Moreover, unspecific drug effects were monitored by means of acoustical event-related potentials and the subjects' performance in a video game. The results indicated that the painful intensity of th chemical stimuli strongly increased during evening sessions. In addition, both DHC and tramadol exerted stronger analgesic effects when administered in the evening. Thus, an inflexible scheme of prescription might produce either an increase of pain in the morning due to insufficient analgesia or the unnecessary overdosing of analgesics in the evening.

Details

Original languageEnglish
Pages (from-to)62-72
Number of pages11
JournalChronobiology international
Volume12
Issue number1
Publication statusPublished - Feb 1995
Peer-reviewedYes

External IDs

PubMed 7750159
Scopus 0028912605
ORCID /0000-0001-9713-0183/work/146645491

Keywords

Keywords

  • Analgesic, Chemosomatosensory event-related potential, Irritation, Pain, Trigeminal nociceptive system