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4. A comprehensive review of the typical and atypical side effects of gabapentin.

Author

Nwankwo, Angela, Koyyalagunta, Dhanalakshmi, Huh, Billy, D'Souza, Ryan Steven, and Javed, Saba

Subjects
*RESPIRATORY disease risk factors, *MENTAL illness risk factors, *NEURALGIA, *FEMALE reproductive organ diseases, *DRUG side effects, *DIABETIC neuropathies, *MUSCULOSKELETAL system diseases, *DESCRIPTIVE statistics, *CARDIOVASCULAR diseases risk factors, *MEDLINE, *SYSTEMATIC reviews, *GABAPENTIN, *POLYNEUROPATHIES, *DATA analysis software, *ONLINE information services, *CENTRAL nervous system diseases, *DISEASE risk factors
Abstract

Background: Gabapentin, a widely prescribed medication for various neuropathic pain conditions, has demonstrated efficacy in managing diverse neurological disorders. While conventional side effects are well‐documented, a growing body of evidence suggests the existence of atypical side effects, necessitating comprehensive exploration. This paper aims to systematically review and summarize the literature on the atypical side effects of gabapentin, shedding light on manifestations beyond the conventional spectrum. Methods: A systematic review was conducted, encompassing peer‐reviewed articles published up to the knowledge cutoff date in November 2023. Databases, specifically PubMed, were searched for relevant studies, focusing on atypical side effects such as myoclonus, ataxia, pediatric aggression, respiratory depression, pneumonia, pregnancy complications, sleep interference, encephalopathy, peripheral edema, suicidal ideation, dyskinesia, anorgasmia, and myopathy. Inclusion criteria comprised studies with a focus on gabapentin‐related atypical side effects, published in recognized journals and involving human subjects. Results: The review identified a spectrum of atypical side effects associated with gabapentin use, ranging from neurological manifestations like myoclonus and ataxia to behavioral changes such as pediatric aggression and suicidal ideation. Additionally, respiratory complications, pregnancy‐related issues, sleep disturbances, and rare complications like encephalopathy and myopathy were observed. Literature synthesis provided insights into the incidence, clinical presentation, and potential mechanisms underlying these atypical side effects. Conclusion: This comprehensive review highlights the diverse range of atypical side effects associated with gabapentin use, expanding beyond conventional knowledge. Healthcare practitioners must be cognizant of these manifestations, recognizing their potential impact on patient well‐being. As clinical decision‐making relies on a thorough understanding of a medication's side effect profile, this review contributes to enhancing awareness and fostering informed practices in the prescription and management of gabapentin. Further research is warranted to elucidate the mechanisms and risk factors associated with these atypical side effects, refining our understanding of gabapentin's safety profile. [ABSTRACT FROM AUTHOR]

Published
2024
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5. General Pain Management Concepts

Author

Koyyalagunta, Dhanalakshmi, Simmonds, Maureen J., Novy, Diane M., Gulati, Amitabh, editor, Puttanniah, Vinay, editor, Bruel, Brian M., editor, Rosenberg, William S., editor, and Hung, Joseph C., editor

Published
2019
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15. Impact of Ketamine on Opioid Use and Persistent Pain After Cytoreductive Surgery with Hyperthermic Chemotherapy

Author

Cata,Juan P, Owusu-Agyemang,Pascal, Koyyalagunta,Dhanalakshmi, Corrales,German, Feng,Lei, Fournier,Keith, Cata,Juan P, Owusu-Agyemang,Pascal, Koyyalagunta,Dhanalakshmi, Corrales,German, Feng,Lei, and Fournier,Keith

Abstract

Juan P Cata,1,2 Pascal Owusu-Agyemang,1,2 Dhanalakshmi Koyyalagunta,3 German Corrales,1,2 Lei Feng,4 Keith Fournier2,3 1Department of Anesthesiology and Perioperative Medicine, The University of Texas MD Anderson Cancer Center, Houston, TX, USA; 2Anesthesiology and Surgical Oncology Research Group, Houston, TX, USA; 3Department of Surgical Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX, USA; 4Department of Biostatistics, The University of Texas MD Anderson Cancer Center, Houston, TX, USACorrespondence: Juan P CataDepartment of Anesthesiology and Perioperative Medicine, The University of Texas MD Anderson Cancer Centre, Houston, TX, USATel +1 713-792-4582Fax +1 713-792-4582Email JCata@mdanderson.orgBackground: Persistent pain and opioid use can be devastating after cytoreductive surgery (CRS) and hyperthermic intraoperative chemotherapy (HIPEC).Methods: We conducted a retrospective study to investigate the impact of ketamine use on postoperative complications and persistent and chronic pain after CRS-HIPEC.Results: Ketamine reduced perioperative opioid use before and after implementation of recovery after surgery programs. Ketamine did not impact the formation of persistent and chronic pain formation and long-term opioid use. Postoperative complications and postoperative re-operations were independent predictors of persistent pain. Interestingly, the risk of having a complication was increased by 1% for every doubling in opioids used intraoperatively.Conclusion: Ketamine use reduces perioperative opioid consumption in patients undergoing CRS-HIPEC, but it is not associated with improvements in long-term opioid use and chronic pain.Keywords: chronic pain, cancer, neoplasm, opioids, ketamine, surgery, cytoreductive surgery

Published
2021

18. Contributors

Author

Abdi, Salahadin, primary, Abrams, Bernard M., additional, Akhouri, Vimal, additional, Aldrete, J. Antonio, additional, Andrasik, Frank, additional, Adhikary, Sanjib Das, additional, Aniq, Hifz, additional, Asaad, Bassem, additional, Atluri, Sairam L., additional, Bajwa, Zahid H., additional, Ballas, Samir K., additional, Bankston, David P., additional, Baron, Ralf, additional, Binder, Andreas, additional, Bogduk, Nikolai, additional, Borenstein, David, additional, Boswell, Mark V., additional, Bove, Geoffrey M., additional, Braiteh, Fadi, additional, Bruera, Eduardo, additional, Burton, Allen, additional, Cady, Roger, additional, Campbell, Robert, additional, Candido, Kenneth D., additional, Chiang, Joseph S., additional, Childers, Martin K., additional, Chohan, Saima, additional, Conaghan, Philip G., additional, Correll, Darin J., additional, Cozad, Scott C., additional, Craig, Edward V., additional, Creamer, Paul, additional, Datta, Sukded, additional, Day, Miles R., additional, Deangelo, Debra Ann, additional, Deer, Timothy R., additional, Diamond, Seymour, additional, Dickenson, Anthony, additional, Donohoe, Charles D., additional, Savillion Eckmann, Maxim, additional, Evans, James J., additional, Falco, Frank J.E., additional, Farmer, Kathleen, additional, Fitzgerald, Colleen M., additional, Freitag, Frederick G., additional, Garcia, M. Kay, additional, Gloth, F. Michael, additional, Gordin, Vitaly, additional, Grabois, Martin, additional, Greenfield, Mark A., additional, Michael Guo, H., additional, Hainline, Brian, additional, Hall, Howard, additional, Hazleman, Brian L., additional, Heavner, James E., additional, Henshaw, D. Ross, additional, Hsu, Bernard H., additional, Igarashi, Takashi, additional, Janata, Jeffrey W., additional, Kapoor, Ravish, additional, Katz, Joel, additional, Kawaguchi, Yoshiharu, additional, Keating, Richard M., additional, Kidd, Bruce L., additional, Kidder, Katherine A., additional, King, Paul T., additional, Kormylo, Nicholas, additional, Koyyalagunta, Dhanalakshmi, additional, Landers, Milton H., additional, Lawson, Erin F., additional, Lema, Mark J., additional, Levin, Jennifer B., additional, Liu, John, additional, Lovrincevic, Mirjana, additional, Luo, Z. David, additional, Lyftogt, John A., additional, MacDonald, James A., additional, Malinowski, Mark N., additional, Manchikanti, Laxmaiah, additional, Mazloomdoost, Danesh, additional, McGuirk, Brian, additional, Melzack, Ronald, additional, Meyer, Jeffrey P., additional, Nissan, George R., additional, Pappas, John L., additional, Parris, Winston C.V., additional, Patel, Divya J., additional, Patt, Richard B., additional, Patterson, David R., additional, Perez-Toro, Marco R., additional, Petersen, David, additional, Quave, Brett T., additional, B. Racz, Gabor, additional, Raj, P. Prithvi, additional, Ramamurthy, Somayaji, additional, Ranson, Matthew T., additional, Reeves, K. Dean, additional, Reynolds, Lowell W., additional, Rime, Carla, additional, Rosenthal, Richard M., additional, Rupert, Matthew P., additional, Saberski, Lloyd R., additional, Schattschneider, Jörn, additional, Schrattenholzer, Thomas, additional, Schreiber, Curtis P., additional, Schultz, David M., additional, Scott, Jared, additional, Sekhadia, Mehul, additional, Sharar, Sam R., additional, Sial, Khuram A., additional, Sills, Shawn M., additional, Simon, Steven, additional, Simopoulos, Thomas T., additional, Singh, Vijay, additional, Solanki, Daneshvari, additional, Soto-Quijano, David A., additional, Sridhara, C.R., additional, Stanton-Hicks, Michael, additional, Stiles, M. Alan, additional, Supernaw, Robert B., additional, Swenson, Rand S., additional, Taylor, Victor M., additional, Treffer, Kevin D., additional, Trout, Robert, additional, Urban, George J., additional, Vinjamuri, Sobhan, additional, Waldman, Corey W., additional, Waldman, Howard J., additional, Waldman, Jennifer E., additional, Waldman, Steven D., additional, Wallace, Mark S., additional, Warfield, Carol A., additional, Whitworth, Michael L., additional, Wiechman, Shelley A., additional, Winnie, Alon P., additional, Wong, Cynthia A., additional, Yaksh, Tony L., additional, and Ybarra, Manuel, additional

Published
2011
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21. Bone cancer pain

Author

Koyyalagunta, Dhanalakshmi, primary, Hernández-Porras, BCarolina, additional, Plancarte, Ricardo, additional, and Andrade, JuanMiguel Jimenez, additional

Published
2021
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23. Reply to Boland and Bennett

Author

Novy, Diane M., primary, Nelson, David V., additional, Koyyalagunta, Dhanalakshmi, additional, Cata, Juan P., additional, Gupta, Pankaj, additional, and Gupta, Kalpna, additional

Published
2020
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24. Contributors

Author

Abdelhalim, Ahmed N., primary, Abdi, Salahadin, additional, Abrams, Bernard M., additional, Akhouri, Vimal, additional, Alberico, Ronald A., additional, Aldrete, J. Antonio, additional, Andrasik, Frank, additional, Atluri, Sairam, additional, Askay, Shelley Wiechman, additional, Bajwa, Zahid H., additional, Bankston, David P., additional, Baron, Ralf, additional, Barry, Jonathan, additional, Binder, Andreas, additional, Bloodworth, Donna, additional, Bogduk, Nikolai, additional, Borenstein, David, additional, Boswell, Mark V., additional, Bove, Geoffrey, additional, Braiteh, Fadi, additional, Brown, David L., additional, Bruera, Eduardo, additional, Burton, Allen W., additional, Cady, Roger K., additional, Candido, Kenneth D., additional, Carrino, John A., additional, Chiang, Joseph S., additional, Childers, Martin K., additional, Chou, Eric T., additional, Conaghan, Philip G., additional, Correll, Darin J., additional, Cozad, Scott C., additional, Craig, Edward V., additional, Creamer, Paul, additional, Day, Miles R., additional, DeAngelo, Debra A., additional, Diamond, Seymour, additional, Dieppe, Paul, additional, Donohoe, Charles D., additional, Evans, James, additional, Fam, Adel G., additional, Farmer, Kathleen U., additional, Freitag, Frederick G., additional, Garcia, M. Kay, additional, Goodman, Scott, additional, Gordin, Vitaly, additional, Grabois, Martin, additional, Gracey, Douglas R., additional, Greenfield, Mark A., additional, Gupta, Rakesh, additional, Hainline, Brian, additional, Hall, Howard R., additional, Hassenbusch, Samuel J., additional, Hazleman, Brian L., additional, Heavner, James E., additional, Henshaw, D. Ross, additional, Hou, David Dai-Fu, additional, Jain, Subhash, additional, Janata, Jeffrey W., additional, Katz, Joel, additional, Kidd, Bruce L., additional, Kline, Matthew T., additional, Kopacz, Dan J., additional, Koyyalagunta, Dhanalakshmi, additional, Kropp, Lawrence, additional, Landers, Milton H., additional, Lema, Mark J., additional, Levin, Jennifer B., additional, Lovrincevic, Mirjana, additional, Luo, Z. David, additional, Manchikanti, Laxmaiah, additional, Markert, Chad, additional, McGuirk, Brian, additional, Melzack, Ronald, additional, Mendez, Jose L., additional, Meyer, Jeffrey P., additional, Munz, Michael, additional, Myers, David P., additional, Nielsen, Joel A., additional, Nissan, George R., additional, Nguyen, Son Truong, additional, O'Leary, Kathleen A., additional, Overbaugh, Robert H., additional, Pappas, John L., additional, Parris, Winston C.V., additional, Patel, Divya, additional, Patt, Richard B., additional, Patterson, David R., additional, Quave, Brett T., additional, Racz, Gabor B., additional, Raj, P. Prithvi, additional, Ramamurthy, Somayaji, additional, Reeves, K. Dean, additional, Reynolds, Lowell W., additional, Rime, Carla, additional, Rosen, Steven, additional, Rupert, Matthew P., additional, Saberski, Lloyd R., additional, Schattschneider, Jörn, additional, Schrattenholzer, Thomas F., additional, Schreiber, Curtis P., additional, Schultz, David M., additional, Sharar, Sam R., additional, Sills, Shawn M., additional, Sial, Khuram A., additional, Simon, Steven, additional, Simopoulos, Thomas T., additional, Singh, Vijay, additional, Smith-Martin, Kimberley, additional, Solanki, Daneshvari R., additional, Soto-Quijano, David A., additional, Stanton-Hicks, Michael D., additional, Stiles, M. Alan, additional, Supernaw, Robert B., additional, Swenson, Rand S., additional, Thompson, Gale E., additional, Treffer, Kavin D., additional, Trout, Robert, additional, Urban, George, additional, Vladutu, Luminita, additional, Waldman, Howard J., additional, Waldman, Katherine A., additional, Waldman, Steven D., additional, Warfield, Carol A., additional, Whitworth, Michael L., additional, Winnie, Alon P., additional, Wong, Gilbert Y., additional, Yaksh, Tony L., additional, Yarussi, Anthony T., additional, Yin, Way, additional, and Yoon, Michael S., additional

Published
2007
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32. Efficacy of Superior Hypogastric Plexus Neurolysis for the Treatment of Cancer-Related Pelvic Pain.

Author

Hou, Saiyun, Novy, Diane, Felice, Francis, and Koyyalagunta, Dhanalakshmi

Abstract

Objective. Cancer-related abdominal and pelvic pain syndromes can be debilitating and difficult to treat. The objective of this study was to evaluate the efficacy of superior hypogastric plexus blockade or neurolysis (SHPN) for the treatment of cancer-related pelvic pain. Design. Retrospective study. Setting. MD Anderson Cancer Center, Houston, Texas. Methods. We enrolled 46 patients with cancer-related pelvic pain who underwent SHPN. A numeric rating scale (NRS) was used for pain intensity, and symptom burden was evaluated using the Edmonton Symptom Assessment System at baseline, visit 1 (within one month), and visit 2 (within one to six months). Results. Forty-six patients who received SHPN showed a significant reduction in pain score from 6.9 to 5.6 at visit 1 (P=0.01). Thirty of the 46 patients continued to complete visit 2 follow-up, and the NRS score was consistently lower at 4.5 at visit 2 (P<0.0001), with anxiety and appetite improved significantly. There was no significant change in the morphine equivalent dose at visits 1 and 2. The efficacy of the block was not influenced by patients’ age, gender, type of cancer, cancer stage, regimen of chemotherapy and/or radiation therapy, diagnostic block, approach or laterality of procedure, or type or amount of neurolytic agent. Nonsmokers with high baseline pain scores were more likely to have improved treatment outcomes from SHPN at short-term follow-up. Adverse effects with SHPN were mild and well tolerated. Conclusions. SHPN was an effective and relatively safe procedure for pain associated with pelvic malignancies. There is a need for larger prospective trials. [ABSTRACT FROM AUTHOR]

Published
2020
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37. Compliance with Opioid Therapy: Distinguishing Clinical Characteristics and Demographics Among Patients with Cancer Pain.

Author

Koyyalagunta, Dhanalakshmi, Bruera, Eduardo, Engle, Mitchell P., Driver, Larry, Wenli Dong, Demaree, Chris, and Novy, Diane M.

Subjects
*CANCER pain, *ALCOHOL drinking, *DRUGS, *DRUGS of abuse, *LONGITUDINAL method, *MEDICAL prescriptions, *MORPHINE, *NARCOTICS, *PATIENT compliance, *REGRESSION analysis, *STATISTICS, *SUBSTANCE abuse, *SYMPTOMS, *RETROSPECTIVE studies, *PATIENTS' attitudes
Abstract

Background. Because an increase of patients who misuse opioids has been identified in our cancer clinical setting through urine drug testing (UDT) and the Screener and Opioid Assessment for Patient's with Pain-Short Form (SOAPP-SF), we conducted this retrospective cohort study to identify patient characteristics that are associated with UDT that indicates noncompliance. Methods. Over a two-year period, 167 of 8,727 patients (2.4%) seen in the pain clinic and who underwent UDT were evaluated to determine compliance with prescribed opioid regimens. Descriptive clinical and demographic data were collected, and group differences based on compliance with opioid therapy were evaluated. Results. Fifty-eight percent of the patients were noncompliant with their prescribed opioid therapy. Noncompliant patients were younger than compliant patients, with a median age of 46 vs 49 years (P=0.0408). Noncompliant patients were more likely to have higher morphine equivalent daily doses; however, the difference was not statistically significant. Patients with a history of alcohol (ETOH) (P=0.0332), illicit drug use (P=0.1014), and smoking (P=0.4184) were more likely noncompliant. Univariate regression analysis showed that a history of ETOH use (P=0.034), a history of anxiety (P=0.027), younger age (P=0.07), and a SOAPP-SF score of 4 or higher (P=0.05) were associated with an abnormal UDT. Conclusions. History of ETOH use, anxiety, high SOAPP-SF score, and younger age were associated with UDT that indicates noncompliance. Given the very small percentage of UDT testing, it is quite likely that a significant number of patients who did not undergo UDT were also nonadherent with treatment recommendations. [ABSTRACT FROM AUTHOR]

Published
2018
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50. Contributors

Author

Abdi, Salahadin, Abrams, Bernard M., Akhouri, Vimal, Aldrete, J. Antonio, Andrasik, Frank, Adhikary, Sanjib Das, Aniq, Hifz, Asaad, Bassem, Atluri, Sairam L., Bajwa, Zahid H., Ballas, Samir K., Bankston, David P., Baron, Ralf, Binder, Andreas, Bogduk, Nikolai, Borenstein, David, Boswell, Mark V., Bove, Geoffrey M., Braiteh, Fadi, Bruera, Eduardo, Burton, Allen, Cady, Roger, Campbell, Robert, Candido, Kenneth D., Chiang, Joseph S., Childers, Martin K., Chohan, Saima, Conaghan, Philip G., Correll, Darin J., Cozad, Scott C., Craig, Edward V., Creamer, Paul, Datta, Sukded, Day, Miles R., Deangelo, Debra Ann, Deer, Timothy R., Diamond, Seymour, Dickenson, Anthony, Donohoe, Charles D., Savillion Eckmann, Maxim, Evans, James J., Falco, Frank J.E., Farmer, Kathleen, Fitzgerald, Colleen M., Freitag, Frederick G., Garcia, M. Kay, Gloth, F. Michael, III, Gordin, Vitaly, Grabois, Martin, Greenfield, Mark A., Michael Guo, H., Hainline, Brian, Hall, Howard, Hazleman, Brian L., Heavner, James E., Henshaw, D. Ross, Hsu, Bernard H., Igarashi, Takashi, Janata, Jeffrey W., Kapoor, Ravish, Katz, Joel, Kawaguchi, Yoshiharu, Keating, Richard M., Kidd, Bruce L., Kidder, Katherine A., King, Paul T., Kormylo, Nicholas, Koyyalagunta, Dhanalakshmi, Landers, Milton H., Lawson, Erin F., Lema, Mark J., Levin, Jennifer B., Liu, John, Lovrincevic, Mirjana, Luo, Z. David, Lyftogt, John A., MacDonald, James A., Malinowski, Mark N., Manchikanti, Laxmaiah, Mazloomdoost, Danesh, McGuirk, Brian, Melzack, Ronald, Meyer, Jeffrey P., Nissan, George R., Pappas, John L., Parris, Winston C.V., Patel, Divya J., Patt, Richard B., Patterson, David R., Perez-Toro, Marco R., Petersen, David, Quave, Brett T., B. Racz, Gabor, Raj, P. Prithvi, Ramamurthy, Somayaji, Ranson, Matthew T., Reeves, K. Dean, Reynolds, Lowell W., Rime, Carla, Rosenthal, Richard M., Rupert, Matthew P., Saberski, Lloyd R., Schattschneider, Jörn, Schrattenholzer, Thomas, Schreiber, Curtis P., Schultz, David M., Scott, Jared, Sekhadia, Mehul, Sharar, Sam R., Sial, Khuram A., Sills, Shawn M., Simon, Steven, Simopoulos, Thomas T., Singh, Vijay, Solanki, Daneshvari, Soto-Quijano, David A., Sridhara, C.R., Stanton-Hicks, Michael, Stiles, M. Alan, Supernaw, Robert B., Swenson, Rand S., Taylor, Victor M., Treffer, Kevin D., Trout, Robert, Urban, George J., Vinjamuri, Sobhan, Waldman, Corey W., Waldman, Howard J., Waldman, Jennifer E., Waldman, Steven D., Wallace, Mark S., Warfield, Carol A., Whitworth, Michael L., Wiechman, Shelley A., Winnie, Alon P., Wong, Cynthia A., Yaksh, Tony L., and Ybarra, Manuel

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