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Extended-release morphine for chronic breathlessness in pulmonary arterial hypertension – A randomised, double-blind, placebo-controlled, crossover study

Journal of Pain and Symptom Management Jul 24, 2018

Ferreira DH, et al. - The effects of regular, low-dose, extended-release (ER) morphine for pulmonary arterial hypertension (PAH)-associated chronic breathlessness were evaluated via conducting a randomised, placebo-controlled, double-blind, cross-over study. Researchers performed randomization of participants with PAH-associated chronic breathlessness to i) seven days ER morphine 20mg, ii) seven-day washout and iii) seven days of identically-looking placebo, or vice-versa. On morphine, higher breathlessness “right now” was observed compared with placebo both for morning and evening. All secondary measures of breathlessness were higher with morphine as were nausea and constipation. A phase III study of ER morphine for people with PAH-associated chronic breathlessness was thus not supported.
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