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Controlled release formulation of oxycodone in patients with moderate to severe chronic osteoarthritis: a critical review of the literature

Authors Taylor Jr. R, Raffa RB, Pergolizzi, Jr. J

Received 18 January 2012

Accepted for publication 6 March 2012

Published 23 April 2012 Volume 2012:5 Pages 77—87


Review by Single-blind

Peer reviewer comments 3

Robert Taylor Jr1, Robert B Raffa2, Joseph V Pergolizzi Jr3–5
1NEMA Research Inc, Naples, FL; 2Department of Pharmaceutical Sciences, Temple University School of Pharmacy, Philadelphia, PA 3Department of Pharmacology, Temple University School of Medicine, Philadelphia, PA 4Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD; 5Department of Anesthesiology, Georgetown University School of Medicine, Washington, DC, USA

Abstract: Osteoarthritis (OA) is a physically and emotionally debilitating disease that predominantly affects the aging adult population. Current pharmacologic treatment options primarily consist of nonsteroidal anti-inflammatory drugs and/or acetaminophen, but associated side effects, analgesic limitations, especially in the elderly, and the need for around-the-clock analgesia have led physicians to search for alternative analgesics. Opioids have shown effectiveness at mitigating both chronic cancer and noncancer pain, and their ability to be placed into controlled release (CR) formulations suggests that they may prove efficacious for OA patients. One formulation, oxycodone CR, has shown effectiveness in cancer pain patients and in some trials of noncancer low back pain. In this review, the objective was to synthesize the reported findings by researchers in this field and present an up-to-date look at the efficacy, safety, and tolerability of oxycodone CR in OA patients. Public literature databases were searched using specific keywords (eg, oxycodone CR) for studies assessing the efficacy and safety profile of oxycodone CR and its use in patients with OA. A total of eleven articles that matched the criteria were identified, which included three placebo-controlled trials, six comparative trials, one pharmacokinetic study in the elderly, and one long-term safety trial. Analysis of the studies revealed that oxycodone CR is reasonably efficacious, safe, and tolerable when used to manage moderate to severe chronic OA pain, with similar side effects to that of other opioids.

Keywords: oxycodone, extended release, controlled release, opioid, osteoarthritis

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