3. 11/16/2020 pain management : prof
g.s.patnaik
Pain ….Quotes
• Pain is such an uncomfortable
feeling that even a tiny amount
of it is enough to ruin every
enjoyment. Will Rogers
• We cannot learn without pain.
Aristotle
5. 11/16/2020 pain management : prof
g.s.patnaik
Pain in poetry……
pain surrounds you day to day
nothing helps it go away
pain in muscles pain in joints
pain so bad in trigger points.
pain that comes and pain that goes
pain that keeps you on your toes.
pain that people think is in your head.
pain that it took
To just be me
pain i go through.
but people can't see.
6. 11/16/2020 pain management : prof
g.s.patnaik
PAIN
• Pain (from Ancient Greek ποινή - poine)
is defined by the International
Association for the Study of Pain (IASP)
as “an unpleasant sensory and
emotional experience associated with
actual or potential tissue damage, or
described in terms of such damage”.
18. 11/16/2020 pain management : prof
g.s.patnaik
Need of the Hour
•Highest Safety
•Rapid Action.
•Effective Analgesia
19. 11/16/2020 pain management : prof
g.s.patnaik
Need of hour ….
NSAID with injection like
action without the G.I. Side
effects of NSAID’s.
20. 11/16/2020 pain management : prof
g.s.patnaik
• Piroxicam in new incarnation.
• Piroxicam sublingual tablets.
• The faster and safest form of NSAID.
Piroxicam fits the bill….
21. 11/16/2020 pain management : prof
g.s.patnaik 21
Faster onset of action
Revolutionary
SUB-LINGUAL ROUTE
Safety with Rapid Action
22. 11/16/2020 pain management : prof
g.s.patnaik
Piroxicam – High Safety
22
By-passes the 1st Pass Metabolism
By-passes the G.I. Tract for Safety & Efficacy & Speedy Action.
24. 11/16/2020 pain management : prof
g.s.patnaik
Establishing the superiority by
facts…
BRITISH JOURNAL OF UROLOGY
THE
TRIAL
REPORT
Efficacy and Safety
The revolution
in Analgesia
25. 11/16/2020 pain management : prof
g.s.patnaik
40mg sublingual piroxicam
compared with
intramuscular 75mg diclofenac
IN ACUTE RENAL COLIC
in a randomized, double blind
controlled clinical trial.
BRITISH JOURNAL OF UROLOGY TRIAL REPORT
26. 11/16/2020 pain management : prof
g.s.patnaik
The overall efficacy of the treatment was 81%.
Contd…
The Pain Relief was significant at 30 minutes
in both the groups.
Piroxicam sublingual is as effective as
parentral diclofenac in emergency renal colic treatment.
Furthermore, its ease of self-administration increases
patient compliance and potential use in general practice.
(Sublingual v/s Injection)
12
27. 11/16/2020 pain management : prof
g.s.patnaik
Various studies…
• Double-Blind, Placebo-Controlled,
Randomized Clinical Trial of
Sublingual or Intramuscular
Piroxicam in the Treatment of Renal
Colic---A Comparative Study
B. Altaya, K. etall..
Department of Urology,
Etfal Training and Research Hospital,
Istanbul, Turkey
29. 11/16/2020 pain management : prof
g.s.patnaik
Objective:
Bioavailibility study of Piroxicam 40mg (20mg x 2)
tablets administered sublingually in comparison with
Piroxicam 40mg / 2ml injections {Dolonex}
administered intramuscularly.
Conclusion:
Bioavailibility of Sublingual Piroxicam is equivalent
to that of intramuscular Piroxicam
Piroxicam bioavailibility study at
the Leading College of Pharmacy, Mumbai.``
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g.s.patnaik 31
• Piroxicam,
which is a time,
trusted
analgesic has
been
REVOLUTIONIZED
into more safer
and faster
acting
analgesics
32. 11/16/2020 pain management : prof
g.s.patnaik
Therefore……
• The secret of success
is learning how to use
pain and pleasure
instead of having pain
and pleasure use you.
If you do that, you're in
control of your life. If
you don't, life controls
you. Anthony Robbins
• Pain is never
permanent. --Teresa of
Avila