The Role of Opioidergic Systems in Breathing Based Analgesia



Status:Completed
Conditions:Chronic Pain
Therapuetic Areas:Musculoskeletal
Healthy:No
Age Range:18 - 55
Updated:2/14/2018
Start Date:March 13, 2017
End Date:June 27, 2017

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The Role of Endogenous Opioidergic Systems in Breathing Based Analgesia

The purpose of this psychophysical and pharmacologic study is to determine if slow-breathing
induced pain relief is mediated by endogenous opioids in response to intravenous (IV)
administration of the opioid antagonist naloxone during noxious heat stimulation. We were
also interested in disentangling the endogenous analgesic mechanisms supporting
mindfulness-based analgesia.

The proposed study will employ a graded analytical approach to compare mindfulness to
placebo-meditation and a slow-breathing exercise in response to double-blind intravenous
administration (IV) of naloxone/placebo-saline and noxious heat stimulation. The aim of this
study is to determine if slow-breathing induced analgesia is associated with the release of
endogenous opioids. The proposed study will disentangle the specific stage of cognitive
and/or respiration-based involvement (if any) of opioidergically mediated pain relief, a
critical step in identifying the specific analgesic mechanisms corresponding to mindfulness
based cognitive techniques.

Inclusion Criteria:

- Normal volunteers with no history of chronic pain problems

- Volunteers had no prior meditation experience

- Volunteers could be male and non-pregnant females.

- Volunteers of all ethnic backgrounds were included.

Exclusion Criteria:

- Female volunteers could not be pregnant.

- They could not be taking opioids or antidepressants.

- Subjects with a repeated history of syncope, loss of consciousness, light headedness,
nausea, dizziness, or vomiting in response to needles or blood could not participate
in the study.

- Subject could not be using exogenous opiates for the complete duration of the study.
We found this trial at
1
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Winston-Salem, North Carolina 27157
336-716-2011
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