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Re: Japanese Cucumber for - Chronic PKD pain
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Diane Smith
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Nov 03, 2009 16:56 PST
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Opps the picture didn't come through.
Try here:
http://www.kitazawaseed.com/seed_143-23.html
I have juiced cucumbers and honey dew melons. I find the cold cucumber
juice to be totally refreshing on a hot summer's day.
Diane
On Nov 3, 2009, at 2:41 PM, Diane wrote:
| | Here is a picture of a Japanese cucumber
<japanes cucumber.jpg>
On Nov 3, 2009, at 6:42 AM, Tzee Ky wrote:
| | My opinion:
I eat Japanese cucumber at lease one per day. It helps me to avoid
liver cyst Symptoms (pain, heat, itch, swollen, and uncomfortable)
in my liver cyst. Japanese cucumber really works for me. My
symptom starts from November every year. I went to see my doctor
and he referred me to an expert. It did not help at all. Finally,
I found the solution - Japaneses cucumber. I see no doctor from
that on.
I hope it works for you.
Best Regards,
Tzee Ky
From: "jcro-@aol.com" <jcro-@aol.com>
To: pk-@topica.com
Sent: Tue, November 3, 2009 6:41:54 AM
Subject: Re: PKD-PLD Chronic PKD pain
Dear Diane,
At the beginning of my journey with PKD some 14 years ago, I had a
lot of cyst ruptures, excruciating pain that would leave me
bedridden for days. I was 28 years old. Then, I started reading
and searching until I learned about you, the diets and how to
change my diet to improve things. Although, I am not 100%
vegetarian, I did changed many items of my diet and added some
others. I can honestly say that I have not had any pain episodes
in years. I can't tell you when was the last time because I truly
do not remember.
Both my natives are larger than they were then but I do not have
not had any more ruptures or pain. I think for me the secret has
been: no red meats, no artificial foods. I also drink nothing but
natural juices and water. I do not drink sodas, whole milk or
alcohol and I drink a tall glass of cranberry juice every single
morning and some afternoons for the last 14 years.
BTW...I am reading The China Project. What an amazing and
interesting book. You are living proof that what they found does
work. I can wait to finish reading it.
Rgds,
JC
In a message dated 10/29/2009 7:40:33 P.M. Eastern Standard Time, Dia-@pkdiet.com
writes:
I understand what you are saying JC. Many many years ago, in my
hippy days, I traveled extensively throughout Asia, it was so sad
to meet up with fellow travelers later after they had become
addicted to opium or heroin. They were like walking skeletons.
Opiates happen to be something I cannot take. I just throw up and
cannot keep it down. Following my liver resection surgery the docs
got very creative on what to give me to relieve pain.
There are several with PKD who have written to me that the only way
they can function is by taking opiates to control the daily chronic
pain from PKD.
By removing a cystic PKD kidney this has been shown to lessen
painful episodes. A very observant surgeon developed a denervation
procedure of PKD kidneys as another treatment to lessen severe PKD
pain.
There is a PKD pain study underway at the Mayo Clinic with Dr.
Marie Hogan that utilizes an interventional procedure known as -
Videothracoscopic Splanchnicectomy (VSPL) similar to
Videothoracoscopic splanchnicectomy done for pancreatitis pain. For
more information on this clinical trial :
http://www.pkdiet.com/pages/pain/painchronic.htm
I too did not realize how difficult and how severe PKD pain can
become with some individuals until I went to PKD conference and met
with a few individuals using fentanyl patches and more to function.
"FDA announced on February 12, 2008, that PriCara, Division of
Ortho-McNeil-Janssen Pharmaceuticals, Inc.has recalled all lots of
25 mcg DURAGESIC® (fentanyl transdermal system) patches sold by
PriCara in the United States and all 25 mcg/hr fentanyl patches
sold by Sandoz Inc.(See:Sandoz Fentanyl Patch Recall) in the United
States are being voluntarily recalled."
At this same PKD conference there was a PKD pain lecture given by
both Dr. Torres [giving the medical aspects of PKD pain relief] and
the laparoscopic surgeon who developed the denervation procedure. I
always learn so much from these conferences, though I have not gone
to one since Dr. Torres stopped going.
Warmly,
Diane
<Diane1.jpg>
On Oct 29, 2009, at 12:23 PM, jcro-@aol.com wrote:
| | I refused to take Opiates at all cost. Part of my work is working
with drug addicted patients and I have seen what Opiates do to a
persons life. It literally destroys them physically, financially,
mentally and emotionally to the point that they can not function.
It is very sad. Do not take them if you can help it. They are
extremely addictive.
Rgds,
JC
In a message dated 10/29/2009 2:40:55 P.M. Eastern Daylight Time, Dia-@pkdiet.com
writes:
Some members have chronic pain from PLD and take opiods which can
lead to constipation. Here is a new drug to ask your docs about if
this applys to you.
ACG: Compound Eases Constipation for Opioid Patients
By Kristina Fiore, Staff Writer, MedPage Today
Published: October 28, 2009
Reviewed by Zalman S. Agus, MD; Emeritus Professor
University of Pennsylvania School of Medicine and
Dorothy Caputo, MA, RN, BC-ADM, CDE, Nurse Planner
<16658.jpg>
SAN DIEGO -- An investigational drug increased spontaneous bowel
movements for patients with opioid-induced constipation,
researchers said here.
Bowel movements per week increased from about one at baseline to
five or six, depending on the dose used, Lynn Webster, MD, of
Lifetree Clinical Research in Salt Lake City, and colleagues
reported at the American College of Gastroenterology meeting here.
The drug, NKTR-118, "increased the frequency of bowel movements
without a reversal of analgesia, and it was reasonably safe with
no serious problems in this study," Webster said.
He said constipation is a common side effect of opioid therapy,
affecting about 40% to 60% of patients on chronic or acute
treatments.
The investigational compound is a polymer form of naloxone that
antag onizes peripheral opioid receptors in the gut. It can act
selectively, preventing it from reversing opioid pain management,
the researchers said.
For their Phase-II, randomized, double-blind, placebo-controlled
trial, the researchers recruited patients on stable regimens of
opioids who consistently had fewer than three spontaneous bowel
movements per week.
A total of 208 patients were randomized to either a 5-mg, 25-mg,
or 50-mg dose of NKTR-118 or placebo for four weeks.
The researchers found that spontaneous bowel movements increased
significantly for patients on the 25-mg and 50-mg dose compared
with placebo.
Patients on the 25-mg dose increased to five spontaneous bowel
movements per week, up from 1.4 per week at baseline, whereas
placebo patients increased to just 3.1 per week from 1.2 at
baseline.
Those on the 50-mg dose had six spontaneous bowel movements per
week, up from 1.6 at baseline -- a significant improvement
compared with those on placebo, who increased to 3.3 per week from
1.4 at baseline.
Spontaneous bowel movements for patients on the 5-mg dose did not
differ significantly from those on placebo, the researchers said.
The median time to first bowel movement was 6.6 hours for those in
the 25-mg dose, compared with 48.6 hours for those on placebo
(P=0.001). It was 2.9 hours for those on the 50-mg dose, compared
with 44.9 hours with placebo (P=0.002).
Webster said that there was no change in patient pain, and there
were no changes in the amount of opioid used for any patient.
However, dropout rates were significantly higher for the 50-mg
dose of the drug compared with placebo, "probably due to the side
effect profile," Webster said.
The most sign ificant side effects associated with the drug were
gastrointestinal in nature, and included nausea and abdominal pain.
Side effects were not significantly different for the 5-mg dose
compared with placebo, and there was more nausea in the placebo
group for the 25-mg dose, but side effects were significantly
higher in the 50-mg dose compared with placebo.
There was also one serious adverse event in the 50-mg dose, with a
patient admitted to the hospital for excessive abdominal cramping.
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<html><head></head><body style="word-wrap: break-word; -webkit-nbsp-mode: space; -webkit-line-break: after-white-space; ">Opps the picture didn't come through. <div><br></div><div>Try here:</div><div><br></div><div><a href="http://www.kitazawaseed.com/seed_143-23.html">http://www.kitazawaseed.com/seed_143-23.html</a></div><div><br></div><div>I have juiced cucumbers and honey dew melons. I find the cold cucumber juice to be totally refreshing on a hot summer's day.</div><div><br></div><div>Diane<br><div><div>On Nov 3, 2009, at 2:41 PM, Diane wrote:</div><br class="Apple-interchange-newline"><blockquote type="cite"><div style="word-wrap: break-word; -webkit-nbsp-mode: space; -webkit-line-break: after-white-space; ">Here is a picture of a Japanese cucumber<div><br></div><div><span><japanes cucumber.jpg></span><br><div><div>On Nov 3, 2009, at 6:42 AM, Tzee Ky wrote:</div><br class="Apple-interchange-newline"><blockquote type="cite"><div><div style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; font-family: 'times new roman', 'new york', times, serif; font-size: 12pt; "><div style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; ">My opinion:</div><div style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; "> </div><div style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; ">I eat Japanese cucumber at lease one per day. It helps me to avoid liver cyst<span class="Apple-converted-space"> </span><span style="font-size: 11pt; line-height: 17px; font-family: Calibri, sans-serif; ">Symptoms</span><span class="Apple-converted-space"> </span>(pain, heat, itch, swollen, and uncomfortable) in my liver cyst. Japanese cucumber really works for me. My symptom starts from November every year. I went to see my doctor and he referred me to an expert. It did not help at all. Finally, I found the solution - Japaneses cucumber. I see no doctor from that on.</div><div style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; "> </div><div style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; ">I hope it works for you.</div><div style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; "> </div><div style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; ">Best Regards,</div><div style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; "> </div><div style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; ">Tzee Ky</div><div style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; "><br> </div><div style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; font-size: 12pt; font-family: 'times new roman', 'new york', times, serif; "><br><div style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; font-size: 12pt; font-family: 'times new roman', 'new york', times, serif; "><font face="Tahoma" size="2"><hr size="1"><b><span style="font-weight: bold; ">From:</span></b><span class="Apple-converted-space"> </span>"<a href="mailto:jcro-@aol.com">jcro-@aol.com</a>" <<a href="mailto:jcro-@aol.com">jcro-@aol.com</a>><br><b><span style="font-weight: bold; ">To:</span></b><span class="Apple-converted-space"> </span><a href="mailto:pk-@topica.com">pk-@topica.com</a><br><b><span style="font-weight: bold; ">Sent:</span></b><span class="Apple-converted-space"> </span>Tue, November 3, 2009 6:41:54 AM<br><b><span style="font-weight: bold; ">Subject:</span></b><span class="Apple-converted-space"> </span>Re: PKD-PLD Chronic PKD pain<br></font><br><font id="role_document" face="Arial" color="#000000" size="2"><div style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; "><div style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; ">Dear Diane,</div><div style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; "> </div><div style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; ">At the beginning of my journey with PKD some 14 years ago, I had a lot of cyst ruptures, excruciating pain that would leave me bedridden for days. I was 28 years old. Then, I started reading and searching until I learned about you, the diets and how to change my diet to improve things. Although, I am not 100% vegetarian, I did changed many items of my diet and added some others. I can honestly say that I have not had any pain episodes in years. I can't tell you when was the last time because I truly do not remember.</div><div style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; "> </div><div style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; ">Both my natives are larger than they were then but I do not have not had any more ruptures or pain. I think for me the secret has been: no red meats, no artificial foods. I also drink nothing but natural juices and water. I do not drink sodas, whole milk or alcohol and I drink a tall glass of cranberry juice every single morning and some afternoons for the last 14 years.</div><div style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; "> </div><div style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; ">BTW...I am reading The China Project. What an amazing and interesting book. You are living proof that what they found does work. I can wait to finish reading it.</div><div style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; "> </div><div style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; ">Rgds,</div><div style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; "> </div><div style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; ">JC</div><div style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; "> </div><div style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; "> </div><div style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; "> </div><div style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; ">In a message dated 10/29/2009 7:40:33 P.M. Eastern Standard Time,<span class="Apple-converted-space"> </span><a href="mailto:Dia-@pkdiet.com">Dia-@pkdiet.com</a><span class="Apple-converted-space"> </span>writes:</div><blockquote style="padding-left: 5px; margin-left: 5px; border-left-color: blue; border-left-width: 2px; border-left-style: solid; "><font face="Arial" color="#000000" size="2" style="background-color: transparent; "><br>I understand what you are saying JC. Many many years ago, in my hippy days, I traveled extensively throughout Asia, it was so sad to meet up with fellow travelers later after they had become addicted to opium or heroin. They were like walking skeletons.<div style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; "><br></div><div style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; ">Opiates happen to be something I cannot take. I just throw up and cannot keep it down. Following my liver resection surgery the docs got very creative on what to give me to relieve pain. </div><div style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; "><br></div><div style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; ">There are several with PKD who have written to me that the only way they can function is by taking opiates to control the daily chronic pain from PKD. </div><div style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; "><br></div><div style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; ">By removing a cystic PKD kidney this has been shown to lessen painful episodes. A very observant surgeon developed a denervation procedure of PKD kidneys as another treatment to lessen severe PKD pain.</div><div style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; "><br></div><div style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; ">There is a PKD pain study underway at the Mayo Clinic with Dr. Marie Hogan that utilizes an interventional procedure known as - Videothracoscopic Splanchnicectomy (VSPL) similar to Videothoracoscopic splanchnicectomy done for pancreatitis pain. For more information on this clinical trial :</div><div style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; "><br></div><div style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; "><a href="http://www.pkdiet.com/pages/pain/painchronic.htm">http://www.pkdiet.com/pages/pain/painchronic.htm</a></div><div style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; "><br></div><div style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; ">I too did not realize how difficult and how severe PKD pain can become with some individuals until I went to PKD conference and met with a few individuals using fentanyl patches and more to function. </div><div style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; "><br></div><div style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; "><font class="Apple-style-span" size="3"><span class="Apple-style-span" style="font-size: 12px; "><i>"FDA announced on February 12, 2008, that PriCara, Division of Ortho-McNeil-Janssen Pharmaceuticals, Inc.has recalled all lots of 25 mcg DURAGESIC® (fentanyl transdermal system) patches sold by PriCara in the United States and all 25 mcg/hr fentanyl patches sold by Sandoz Inc.(See:Sandoz Fentanyl Patch Recall) in the United States are being voluntarily recalled."</i></span></font></div><div style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; "><br></div><div style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; "><br></div><div style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; ">At this same PKD conference there was a PKD pain lecture given by both Dr. Torres [giving the medical aspects of PKD pain relief] and the laparoscopic surgeon who developed the denervation procedure. I always learn so much from these conferences, though I have not gone to one since Dr. Torres stopped going.</div><div style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; "><br></div><div style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; ">Warmly,</div><div style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; ">Diane</div><div style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; "><span><Diane1.jpg></span><br> <br><div style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; "><div style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; ">On Oct 29, 2009, at 12:23 PM,<span class="Apple-converted-space"> </span><a title="mailto:jcro-@aol.com" href="mailto:jcro-@aol.com" target="_blank" rel="nofollow" ymailto="mailto:jcro-@aol.com">jcro-@aol.com</a><span class="Apple-converted-space"> </span>wrote:</div><br class="Apple-interchange-newline"><blockquote type="cite"><div style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; font-size: 10pt; color: rgb(0, 0, 0); font-family: Arial; "><font face="Arial" color="#000000" size="2"><div style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; "><div style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; ">I refused to take Opiates at all cost. Part of my work is working with drug addicted patients and I have seen what Opiates do to a persons life. It literally destroys them physically, financially, mentally and emotionally to the point that they can not function. It is very sad. Do not take them if you can help it. They are extremely addictive.</div><div style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; "> </div><div style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; ">Rgds,</div><div style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; "> </div><div style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; ">JC</div><div style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; "> </div><div style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; "> </div><div style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; "> </div><div style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; "> </div><div style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; ">In a message dated 10/29/2009 2:40:55 P.M. Eastern Daylight Time,<span class="Apple-converted-space"> </span><a title="mailto:Dia-@pkdiet.com" href="mailto:Dia-@pkdiet.com" target="_blank" rel="nofollow" ymailto="mailto:Dia-@pkdiet.com">Dia-@pkdiet.com</a><span class="Apple-converted-space"> </span>writes:</div><blockquote style="padding-left: 5px; margin-left: 5px; border-left-color: blue; border-left-width: 2px; border-left-style: solid; "><font face="Arial" color="#000000" size="2" style="background-color: transparent; ">Some members have chronic pain from PLD and take opiods which can lead to constipation. Here is a new drug to ask your docs about if this applys to you.<div style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; "><br></div><div style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; "><span class="Apple-style-span" style="font-size: 11px; font-family: Arial, Helvetica, sans-serif; "><table cellspacing="0" cellpadding="0" width="500" align="center" border="0"><tbody><tr><td valign="top" height="40" style="font-weight: bold; font-size: 17px; color: rgb(0, 51, 153); font-family: georgia; "><h1 style="font-weight: bold; font-size: 19px; color: rgb(0, 51, 153); font-family: georgia; ">ACG: Compound Eases Constipation for Opioid Patients</h1></td></tr><tr><td height="40" style="border-top-color: rgb(204, 204, 204); border-top-width: 1px; border-top-style: solid; font-size: 11px; border-bottom-color: rgb(204, 204, 204); border-bottom-width: 1px; border-bottom-style: solid; "><div id="pageContent" style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; display: block; "><table border="0"><tbody><tr><td style="font-size: 11px; "><table border="0"><tbody><tr><td style="padding-right: 0px; padding-left: 0px; font-size: 11px; padding-bottom: 5px; padding-top: 5px; "><span style="font-size: 11px; color: rgb(0, 0, 0); font-family: arial; ">By Kristina Fiore, Staff Writer, MedPage Today<br><span style="color: rgb(102, 102, 102); ">Published: October 28, 2009</span><br>Reviewed by <a class="tbhdln" title="http://www.medpagetoday.com/reviewer.cfm?reviewerid=30" href="http://www.medpagetoday.com/reviewer.cfm?reviewerid=30" target="_blank" rel="nofollow" style="font-size: 12px; color: rgb(0, 0, 153); text-decoration: none; ">Zalman S. Agus, MD</a>; Emeritus Professor <br>University of Pennsylvania School of Medicine and<br>Dorothy Caputo, MA, RN, BC-ADM, CDE, Nurse Planner</span></td><td align="right" style="font-size: 11px; padding-top: 5px; "><a title="http://www.medpagetoday.com/posttest.cfm?testpage=16658&TBID=16658&topicid=315" href="http://www.medpagetoday.com/posttest.cfm?testpage=16658&TBID=16658&topicid=315" target="_blank" rel="nofollow" style="font-size: 12px; color: rgb(0, 0, 153); text-decoration: none; "></a><br></td></tr></tbody></table></td></tr><tr><td style="font-size: 11px; padding-top: 10px; "><span style="font-size: 12px; line-height: 15px; font-family: arial; "><table width="120" align="right" border="0"><tbody><tr><td valign="top" align="right" style="font-size: 11px; "><span><16658.jpg></span></td></tr></tbody></table><div style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; font: normal normal normal 12px/normal Arial; color: rgb(21, 21, 21); ">SAN DIEGO -- An investigational drug increased spontaneous bowel movements for patients with opioid-induced constipation, researchers said here.<br><br>Bowel movements per week increased from about one at baseline to five or six, depending on the dose used, Lynn Webster, MD, of Lifetree Clinical Research in Salt Lake City, and colleagues reported at the American College of Gastroenterology meeting here.<br><br>The drug, NKTR-118, "increased the frequency of bowel movements without a reversal of analgesia, and it was reasonably safe with no serious problems in this study," Webster said.<div style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; line-height: 15px; "><br class="webkit-block-placeholder"></div>He said constipation is a common side effect of opioid therapy, affecting about 40% to 60% of patients on chronic or acute treatments.<div style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; line-height: 15px; "><br class="webkit-block-placeholder"></div><p style="line-height: 15px; ">The investigational compound is a polymer form of naloxone that antag onizes peripheral opioid receptors in the gut. It can act selectively, preventing it from reversing opioid pain management, the researchers said.</p><p style="line-height: 15px; ">For their Phase-II, randomized, double-blind, placebo-controlled trial, the researchers recruited patients on stable regimens of opioids who consistently had fewer than three spontaneous bowel movements per week.</p><p style="line-height: 15px; ">A total of 208 patients were randomized to either a 5-mg, 25-mg, or 50-mg dose of NKTR-118 or placebo for four weeks.</p><p style="line-height: 15px; ">The researchers found that spontaneous bowel movements increased significantly for patients on the 25-mg and 50-mg dose compared with placebo.</p><p style="line-height: 15px; ">Patients on the 25-mg dose increased to five spontaneous bowel movements per week, up from 1.4 per week at baseline, whereas placebo patients increased to just 3.1 per week from 1.2 at baseline.</p><p style="line-height: 15px; ">Those on the 50-mg dose had six spontaneous bowel movements per week, up from 1.6 at baseline -- a significant improvement compared with those on placebo, who increased to 3.3 per week from 1.4 at baseline.</p><p style="line-height: 15px; ">Spontaneous bowel movements for patients on the 5-mg dose did not differ significantly from those on placebo, the researchers said.</p><p style="line-height: 15px; ">The median time to first bowel movement was 6.6 hours for those in the 25-mg dose, compared with 48.6 hours for those on placebo (<em>P</em>=0.001). It was 2.9 hours for those on the 50-mg dose, compared with 44.9 hours with placebo (<em>P</em>=0.002).</p><p style="line-height: 15px; ">Webster said that there was no change in patient pain, and there were no changes in the amount of opioid used for any patient.</p><p style="line-height: 15px; ">However, dropout rates were significantly higher for the 50-mg dose of the drug compared with placebo, "probably due to the side effect profile," Webster said.</p><p style="line-height: 15px; ">The most sign ificant side effects associated with the drug were gastrointestinal in nature, and included nausea and abdominal pain.</p><p style="line-height: 15px; ">Side effects were not significantly different for the 5-mg dose compared with placebo, and there was more nausea in the placebo group for the 25-mg dose, but side effects were significantly higher in the 50-mg dose compared with placebo.</p><p style="line-height: 15px; ">There was also one serious adverse event in the 50-mg dose, with a patient admitted to the hospital for excessive abdominal cramping.</p></div></span></td></tr></tbody></table></div></td></tr></tbody></table></span></div><div style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; "><br></div></font></blockquote></div><div style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; "></div><div style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; "> </div></font></div></blockquote></div><br></div></font></blockquote></div><div style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; "></div><div style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; "> </div></font></div></div></div><br></div></blockquote></div><br></div>
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