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When used in patients with chronic pain, oxycodone has the potential for abuse; additionally, pa-tients who are chronically using the medication who un-dergo surgery may have a reduced t

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Controlled-Release Oxycodone

Alan M Levine, MD, and Richard K Burdick, CRNP

The controlled-release (CR) form of oxycodone

(Oxy-Contin; Purdue Pharma, Stamford, CT) has become

ex-ceedingly popular as an effective analgesic, especially

for cancer-related pain Because it can be taken twice

daily, it increases compliance and provides more

effec-tive relief by eliminating the need to “catch up” with the

pain Some studies have demonstrated the value of the

CR formulations for both postoperative and chronic

pain control When used in patients with chronic pain,

oxycodone has the potential for abuse; additionally,

pa-tients who are chronically using the medication who

un-dergo surgery may have a reduced therapeutic margin

For patients with musculoskeletal conditions such as

chronic back and joint pain, as well as for postoperative

pain management, the efficacy of CR oxycodone must be

balanced with the potential risks of its use These risks

differ from those of shorter acting narcotics In 2000, the

number of first-time users of opiate pain relief reached

2 million Survey data from the Drug Abuse Warning

Network indicate that OxyContin has become one of the

most commonly prescribed opiate medications;

emer-gency departments cite a 239% increase in use from 1996

to 2000.1

Structure and Mechanism of Action

Oxycodone is a 4,

5-epoxy-14-hydroxy-3-methoxy-17-methylmorphinan-6-one hydrochloride, which has

dif-ferent pharmacokinetics and opioid receptor binding

properties from morphine (Fig 1) CR oxycodone is a

pure opioid agonist whose primary therapeutic

modal-ity is analgesia The mechanism of action of the

analge-sic effect is still unknown However, it acts on the

cen-tral nervous system, probably in opioid receptors for

endogenous compounds that occur in both the brain and

spinal cord Oxycodone depresses the cough reflex by

di-rect action on the cough center in the medulla and causes

respiratory depression by acting directly on the

respira-tory centers in the brain stem It also acts on

smooth-muscle tone in the stomach and duodenum and

decreas-es peristalsis in the colon Finally, oxycodone can cause

release of histamine with or without vasodilation, thus

producing pruritus, flushing, and hypotension as side

effects

Pharmacokinetics

Bioavailability of oral oxycodone in humans is approx-imately 50%.2Absorption of immediate-release (IR) oxy-codone is monoexponential, and maximum serum con-centrations are achieved in about 1 hour In the first pass through the liver, some is metabolized into oxymorphone (active) and noroxycodone (inactive), which are excreted unchanged in the urine CR oxycodone has different ab-sorption properties than does IR oxycodone The CR drug

is absorbed in a biexponential manner, starting with a rapid phase of 37 minutes, which accounts for approx-imately 40% of the dose, followed by a slower phase with

a half-life of slightly more than 6 hours, which accounts for the remaining 60% of the total dose.3The time to max-imum concentration is about 3.5 hours The bioavailabil-ity is roughly similar to that of immediate-release oxy-codone except that the IR formulation has delayed absorption but increased ultimate bioavailability after high-fat meals This effect is not seen in the CR formu-lation except as a higher peak plasma concentration af-ter use of 160-mg tablets.4,5Women and the elderly have the highest area-under-the-curve (AUC) values and the greatest drug effect The bioavailability of CR oxycodone

is higher than that of CR morphine, and the relative po-tency is about 1:1.8.2Oxycodone is excreted primarily by the kidney in a variety of forms Therefore, patients with

Dr Levine is Director, Alvin and Lois Lapidus Cancer Institute, Sinai Hos-pital of Baltimore, Baltimore, MD Mr Burdick is Certified Registered Nurse Practitioner, Division of Orthopaedic Oncology, Alvin and Lois Lapidus Can-cer Institute, Sinai Hospital of Baltimore.

None of the following authors or the departments with which they are affiliated has received anything of value from or owns stock in a commercial company or institution related directly or indirectly to the subject of this article: Dr Levine and Mr Burdick.

Reprint requests: Dr Levine, Sinai Hospital, 2401 West Belvedere Avenue, Baltimore, MD 21215.

Copyright 2005 by the American Academy of Orthopaedic Surgeons.

J Am Acad Orthop Surg 2005;13:1-4 Advances in Therapeutics and Diagnostics

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severe renal dysfunction (creatinine clearance <60 mL/

min) or severe hepatic impairment show peak plasma

con-centrations and AUC values 50% or higher than do

nor-mal individuals.5

Indications for Use

Experience with the long-term use of CR opioids in the

treatment of cancer-related pain has been relatively

fa-vorable This has led some to reassess the use of

opi-oids, and especially CR formulations, in the treatment of

chronic moderate and severe noncancer pain In a

ran-domized short-term study (14 days) of 57 patients with

chronic back pain, CR oxycodone was compared with IR

oxycodone with a dose limit of 40 mg twice per day Two

patients were discontinued because their pain was not

controlled at the dose limit; eight were discontinued (six

CR, two IR) for side effects including nausea, vomiting,

or dizziness The average daily dose required was no

dif-ferent (40 mg CR and 38.5 IR) On a scale of 0 to 3 (no

pain to severe pain), pain intensity went from 2.5 (0.1 SE)

to 1.2 with CR and 1.1 with IR.6Ninety-three percent of

the patients reported side effects; 90% stated that side

ef-fects were mild or moderate The discontinuance rate of

23% (13/57) is similar to that of other narcotics, such as

CR morphine and dihydrocodeine Because the study was

short term, the authors stated that they could not address

issues surrounding long-term use of opioids Few

ran-domized prospective studies have evaluated the use of

chronic opioid therapy in patients with low back pain

Most that exist are short term, with little definitive

ev-idence of long-term effects.7

Pain related to severe osteoarthritis has been shown

to contribute to disability and negatively affects physi-cal functioning, mood, and sleep patterns In a study of patients with severe osteoarthritis pain, placebo was com-pared with 10 mg and 20 mg bid doses of CR oxycodone There was a high rate of early discontinuance from the trial (52.6% of the placebo and 10-mg groups) related to ineffective treatment and to adverse effects (eg, nausea, vomiting, somnolence) In the short-term phase of the

tri-al, the use of CR oxycodone 20 mg bid was statistically

superior to placebo (P > 0.05) in reducing pain as well as

improving mood, sleep, and physical functioning In the long-term phase of the trial with a fixed dose of 40 mg/d,

58 patients remained after 6 months of treatment but only

15 after 18 months.8Although CR oxycodone appears to

be effective for long-term symptomatic relief from osteoar-thritis, side effects seem to limit the duration of useful-ness

CR oxycodone also has been evaluated in patients with painful diabetic neuropathy In a randomized double-blind crossover study, it was compared with an active placebo (benztropine) that mimics the side effects of opi-oids There was a 67% decrease in pain scores (visual an-alog scale) with the CR formulation versus a 28% decrease

from baseline with placebo (P > 0.00001), as well as

im-provements in the quality-of-life domains on the Med-ical Outcomes Study 36-Item Short Form.9In an open-label component of the study that lasted for a year, escalation of dose to maintain pain control was neces-sary in approximately 30% of patients

Regarding the use of CR oxycodone for postoperative pain for orthopaedic surgical procedures, it has been suggested that CR formulations be used as a transition from both patient-controlled and epidural analgesia but not given when either is still being used.10In a study

of pain relief after surgery for anterior cruciate ligament reconstruction, CR oxycodone was compared with IR oxycodone given both on a schedule and as needed The group receiving CR oxycodone required less total dose and had better analgesia with fewer side effects.10

In another study of postacute pain management done

at the time of transfer to a rehabilitation facility, patients who had undergone total knee arthroplasty were random-ized to CR oxycodone or to placebo (plus IR oxycodone for breakthrough pain) Those on CR had less pain,

sig-nificantly (P < 0.001) greater range of motion and

quad-riceps strength, and earlier discharge from rehabilitation

by 2.3 days (P < 0.013).11In a study of acute pain man-agement in 150 dental patients with two or more

impact-ed molars, oxycodone 10 mg combinimpact-ed with acetamin-ophen 325 mg produced better results than did 20 mg of

CR oxycodone, with 24.5% fewer patients reporting side effects.12

Figure 1 Chemical structure of controlled-release oxycodone.

(Reproduced with permission from Purdue Pharma, Stamford, CT.)

Controlled-Release Oxycodone

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Drug Interactions and Adverse Effects

Breaking, crushing, or chewing OxyContin tablets

de-stroys the CR mechanism and may result in a potentially

fatal overdose The most common side effects are

con-stipation, nausea, and somnolence, which occur in

about 25% of patients Pruritus, dizziness, and vomiting

occur in an additional 15% Headache, dry mouth,

sweating, and orthostatic hypotension are less

com-mon.5,6

Risk of developing opioid dependency and addiction

is related to a patient’s previous history of substance abuse

or polymedication use Caution should be observed in

combination use with MAO inhibitors as well as with

var-ious other central nervous system depressants,

includ-ing sedatives, hypnotics, phenothiazines, antiemetics,

tranquilizers, and alcohol

In addition to dependency and addiction, interactive

effects can lead to respiratory depression, hypotension,

profound sedation, or coma In such a situation, a

re-duction in the starting dose of OxyContin should be

considered

A Drug Enforcement Administration survey of

oxy-codone/OxyContin–related deaths from 2000 to 2001,

in-volving 775 medical examiners in 32 states, found 949

verified deaths from oxycodone; 49% were attributed

spe-cifically to OxyContin.1Most deaths were associated with

multiple drug use Of those drugs found, 40% contained

benzodiazepines, 40% contained an opiate in addition to

oxycodone, 30% contained an antidepressant, 14%

con-tained over-the-counter antihistamines or cold

medica-tions, and 15% were positive for cocaine or its

metabo-lite Also noted was that, of the 464 deaths linked to

OxyContin, only 88 were associated with quantifiable

lev-els of alcohol.1

Accurately identifying patients with potential for abuse

may be difficult Katz et al13attempted to identify patients

with addiction by reviewing chronic noncancer pain

pa-tients treated in two centers; they found that 29% of

sub-jects had urine toxicology screens that were inconsistent

with their prescribed medications and that 22% had

be-havioral changes

Of 24.7 million people claiming back pain in 1999,

12.6% had at least one prescription for an opioid drug

Previous guidelines published by the Agency for

Health-care Research and Quality recommended against the

long-term use of opioids for back pain in consideration of

short-course opioids as an alternative therapy.7

Another major concern is the potential development

of drug tolerance, which may lead to increasing drug

dos-ages and, eventually, to dependency or addiction

How-ever, opinions vary, and some physicians and clinical

re-searchers think that drug tolerance generally does not

develop in patients with stable pain pathology.7

Conversion Factors

Postoperative conversion to oral OxyContin can be achieved by multiplying the amount of intravenous mor-phine used in the previous 24 hours by a conversion factor

of 1.5 to 3, depending on the intravenous morphine dosage used Other conversion factors are displayed in Table 1

Cost and Dosage

CR oxycodone is available in 10-, 20-, 40-, 80-, and

160-mg tablets The use of 80- and 160-160-mg tablets should

be carefully monitored because of the potential for respiratory depression and the increased peak serum levels noted with these two dosages after ingestion of a fatty meal The formulation is specific for use at 12-hour intervals, and more frequent or as-needed use is not recommended

IR 5-mg oxycodone can be used for breakthrough pain, with the CR dosage modified based on the amount of daily IR formulation used over the course of a week Drug cost versus dosing also can be a factor in choosing CR formulations (Table 2)

Table 1 Multiplication Factors for Converting the Daily Dose of Prior Opioids to the Daily Dose of Oral Oxycodone*

(mg/day Prior Opioid x Factor

= mg/day Oral Oxycodone)

Drug

Oral Prior Opioid

Parenteral Prior Opioid

Codeine 0.15 — Hydrocodone 0.9 — Hydromorphone 4 20 Levorphanol 7.5 15 Meperidine 0.1 0.4 Methadone 1.5 3 Morphine 0.5 3

* To be used only for conversion to oral oxycodone For pa-tients receiving high-dose parenteral opioids, a more conserva-tive conversion is warranted For example, for high-dose parenteral morphine, use 1.5 instead of 3 as a multiplication factor.

Reproduced with permission from the package insert for OxyContin Available at http://www.pharma.com/PI/

Prescription/Oxycontin.pdf

Alan M Levine, MD, and Richard K Burdick, CRNP

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Although evidence exists that the use of CR oxycodone

has marked advantages for use in cancer-related pain

trol, the benefits are less apparent for musculoskeletal con-ditions For chronic conditions, such as joint or back pain, the benefits of chronic opioid therapy even with CR for-mulations are less clear Most published studies show ef-fectiveness only in short-term trials when compared with placebo With longer term open-label studies, the inci-dence of side effects may limit usefulness Additionally, the potential need to escalate dosage increases both side effects and the potential for addiction in susceptible in-dividuals with known risk factors Identifying patients with addiction and behavioral changes can be difficult

In addition, patients with osteoarthritis or back pain who are on large doses of CR oxycodone may have a very small therapeutic margin for postoperative pain control if they need to undergo surgery Finally, for postoperative pain control, a CR formulation may be helpful for short-term use when converting from patient-controlled or epidu-ral analgesia However, in most cases, for postoperative pain management, a lower total opioid dose can be sim-ilarly efficacious, with fewer or lessened side effects, when

an oxycodone-acetaminophen formulation is used

References

1 Miller NS, Greenfeld A: Patient characteristics and risk factors

for development of dependence on hydrocodone and

oxy-codone Am J Ther 2004;11:26-32.

2 Davis MP, Varga J, Dickerson D, Walsh D, LeGrand SB, Lagman

R: Normal-release and controlled-release oxycodone:

Pharma-cokinetics, pharmacodynamics, and controversy Support Care

Cancer 2003;11:84-92.

3 Mandema JW, Kaiko RF, Oshlack B, Reder RF, Stanski DR:

Charac-terization and validation of a pharmacokinetic model for

controlled-release oxycodone Br J Clin Pharmacol 1996;42:747-756.

4 Benziger DP, Kaiko RF, Miotto JB, Fitzmartin RD, Reder RF,

Chasin M: Differential effects of food on the bioavailability of

controlled-release oxycodone tablets and immediate-release

oxycodone solution J Pharm Sci 1996;85:407-410.

5 Package insert from OxyContin Source: http://www.pharma.

com/PI/Prescription/Oxycontin.pdf Accessed January 5, 2005.

6 Hale ME, Fleischmann R, Salzman R, et al: Efficacy and safety

of controlled-release versus immediate-release oxycodone:

Randomized, double-blind evaluation in patients with chronic

back pain Clin J Pain 1999;15:179-183.

7 Luo X, Pietroban R, Hey L: Patterns and trends in opioid use

among individuals with back pain in the United States Spine

2004;29:884-891.

8 Roth SH, Fleischmann RM, Burch FX, et al: Around-the-clock, controlled-release oxycodone therapy for osteoarthritis-related

pain: Placebo-controlled trial and long-term evaluation Arch

Intern Med 2000;160:853-860.

9 Watson CP, Moulin D, Watt-Watson J, Gordon A, Eisenhoffer J: Controlled-release oxycodone relieves neuropathic pain: A

ran-domized controlled trial in painful diabetic neuropathy Pain

2003;105:71-78.

10 Sinatra RS, Torres J, Bustos AM: Pain management after major

orthopaedic surgery: Current strategies and new concepts J Am

Acad Orthop Surg 2002;10:117-129.

11 Cheville A, Chen A, Oster G, McGarry L, Narcessian E: A ran-domized trial of controlled-release oxycodone during inpatient

rehabilitation following unilateral total knee arthroplasty J Bone

Joint Surg Am 2001;83:572-576.

12 Gammaitoni AR, Galer BS, Bulloch S, et al: Randomized, double-blind, placebo-controlled comparison of the analgesic efficacy of oxycodone 10 mg/acetaminophen 325 mg versus

controlled-release oxycodone 20 mg in postsurgical pain J Clin

Pharmacol 2003;43:296-304.

13 Katz NP, Sherburne S, Beach M, et al: Behavioral monitoring and urine toxicology testing in patients receiving long-term

opi-oid therapy Anesth Analg 2003;97:1097-1102.

Table 2

Drug Comparison, Dose, and Price for a 24-Hour

Period

Drug Dose 24-Hour Dose

Duragesic patch 50 µg q 72 h $9.30

OxyContin 30 mg bid $9.14

MS Contin 45 mg bid $6.42

Hydromorphone 4 mg q 4 h $3.12

Oxycodone 10 mg q 4 h $2.84

Hydrocodone 15 mg q 4 h $5.22

Methadone 10 mg bid $0.48

Source: http://www.walgreens.com/library/finddrug/

druginfosearch.jhtml Accessed January 5, 2004.

Controlled-Release Oxycodone

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