Abstract
1. The analgesic efficacy of single oral doses (400 mg, 800 mg) of ibuprofen on argon laser-induced pain was studied in a double-blind, placebo controlled, three way cross-over comparison. Ten healthy volunteers participated. 2. Pain thresholds and plasma concentrations of the S- and R-enantiomers of ibuprofen were measured every hour up to 8 h after medication. 3. Ibuprofen (400 mg) produced an analgesic effect significantly superior (P less than 0.05) to placebo 1-4 h after medication. Ibuprofen (800 mg) was significantly superior to placebo 2-4 h after administration. No differences were found between 400 mg and 800 mg, when hourly threshold differences were compared. 4. Comparing total analgesic effect (area under effect curve), both active medications were superior to placebo (P less than 0.01-0.05), and 400 mg was superior to 800 mg (P less than 0.05). 5. Peak plasma concentrations of S- and R-ibuprofen occurred between 1.2 and 1.5 h. Concentrations after the 800 mg dose were higher than those after the 400 mg dose at all times.
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Selected References
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- Adams S. S., McCullough K. F., Nicholson J. S. The pharmacological properties of ibuprofen, an anti-inflammatory, analgesic and antipyretic agent. Arch Int Pharmacodyn Ther. 1969 Mar;178(1):115–129. [PubMed] [Google Scholar]
- Albert K. S., Gernaat C. M. Pharmacokinetics of ibuprofen. Am J Med. 1984 Jul 13;77(1A):40–46. doi: 10.1016/s0002-9343(84)80017-0. [DOI] [PubMed] [Google Scholar]
- Arendt-Nielsen L., Bjerring P. Sensory and pain threshold characteristics to laser stimuli. J Neurol Neurosurg Psychiatry. 1988 Jan;51(1):35–42. doi: 10.1136/jnnp.51.1.35. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Beaver W. T. Impact of non-narcotic oral analgesics on pain management. Am J Med. 1988 May 20;84(5A):3–15. doi: 10.1016/0002-9343(88)90471-8. [DOI] [PubMed] [Google Scholar]
- Berge O. G. Regulation of pain sensitivity, influence of prostaglandins. Cephalalgia. 1986;6 (Suppl 4):21–31. doi: 10.1177/03331024860060S403. [DOI] [PubMed] [Google Scholar]
- Bloomfield S. S., Barden T. P., Mitchell J. Comparative efficacy of ibuprofen and aspirin in episiotomy pain. Clin Pharmacol Ther. 1974 Jun;15(6):565–570. doi: 10.1002/cpt1974156565. [DOI] [PubMed] [Google Scholar]
- Chen A. C., Chapman C. R. Aspirin analgesia evaluated by event-related potentials in man: possible central action in brain. Exp Brain Res. 1980;39(4):359–364. doi: 10.1007/BF00239300. [DOI] [PubMed] [Google Scholar]
- Cooper S. A. Five studies on ibuprofen for postsurgical dental pain. Am J Med. 1984 Jul 13;77(1A):70–77. doi: 10.1016/s0002-9343(84)80022-4. [DOI] [PubMed] [Google Scholar]
- Cooper S. A., Needle S. E., Kruger G. O. Comparative analgesic potency of aspirin and ibuprofen. J Oral Surg. 1977 Nov;35(11):898–903. [PubMed] [Google Scholar]
- Cooper S. A. New peripherally-acting oral analgesic agents. Annu Rev Pharmacol Toxicol. 1983;23:617–647. doi: 10.1146/annurev.pa.23.040183.003153. [DOI] [PubMed] [Google Scholar]
- Cooper S. A. The relative efficacy of ibuprofen in dental pain. Compend Contin Educ Dent. 1986 Sep;7(8):578, 580-1, 584-8 passim. [PubMed] [Google Scholar]
- Cooper S. A., Wagenberg B., Zissu J., Kruger G. O., Reynolds D. C., Gallegos L. T., Allwein J. B., Desjardins P. J., Friedmann N., Danna R. P. The analgesic efficacy of suprofen in periodontal and oral surgical pain. Pharmacotherapy. 1986 Sep-Oct;6(5):267–276. doi: 10.1002/j.1875-9114.1986.tb03487.x. [DOI] [PubMed] [Google Scholar]
- Dawood M. Y. Ibuprofen and dysmenorrhea. Am J Med. 1984 Jul 13;77(1A):87–94. doi: 10.1016/s0002-9343(84)80025-x. [DOI] [PubMed] [Google Scholar]
- Doherty N. S., Beaver T. H., Chan K. Y., Coutant J. E., Westrich G. L. The role of prostaglandins in the nociceptive response induced by intraperitoneal injection of zymosan in mice. Br J Pharmacol. 1987 May;91(1):39–47. doi: 10.1111/j.1476-5381.1987.tb08981.x. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Dubinsky B., Schupsky J. J. Mechanism of action of suprofen, a new peripheral analgesic, as demonstrated by its effects on several nociceptive mediators. Prostaglandins. 1984 Aug;28(2):241–252. doi: 10.1016/0090-6980(84)90060-1. [DOI] [PubMed] [Google Scholar]
- Ferreira S. H. Local control of inflammatory pain. Agents Actions. 1981 Dec;11(6-7):636–638. doi: 10.1007/BF01978773. [DOI] [PubMed] [Google Scholar]
- Ferreira S. H., Moncada S., Vane J. R. Prostaglandins and the mechanism of analgesia produced by aspirin-like drugs. Br J Pharmacol. 1973 Sep;49(1):86–97. doi: 10.1111/j.1476-5381.1973.tb08270.x. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Forbes J. A., Barkaszi B. A., Ragland R. N., Hankle J. J. Analgesic effect of fendosal, ibuprofen and aspirin in postoperative oral surgery pain. Pharmacotherapy. 1984 Nov-Dec;4(6):385–391. doi: 10.1002/j.1875-9114.1984.tb03401.x. [DOI] [PubMed] [Google Scholar]
- Forbes J. A., Beaver W. T., White E. H., White R. W., Neilson G. B., Shackleford R. W. Diflunisal. A new oral analgesic with an unusually long duration of action. JAMA. 1982 Nov 5;248(17):2139–2142. doi: 10.1001/jama.248.17.2139. [DOI] [PubMed] [Google Scholar]
- Iles J. D. Relief of postoperative pain by ibuprofen: a report of two studies. Can J Surg. 1980 May;23(3):288–290. [PubMed] [Google Scholar]
- Kantor T. G. Ibuprofen. Ann Intern Med. 1979 Dec;91(6):877–882. doi: 10.7326/0003-4819-91-6-877. [DOI] [PubMed] [Google Scholar]
- Källström E., Heikinheimo M., Quiding H. Bioavailability of three commercial preparations of ibuprofen 600 mg. J Int Med Res. 1988 Jan-Feb;16(1):44–49. doi: 10.1177/030006058801600105. [DOI] [PubMed] [Google Scholar]
- Laska E. M., Sunshine A., Marrero I., Olson N., Siegel C., McCormick N. The correlation between blood levels of ibuprofen and clinical analgesic response. Clin Pharmacol Ther. 1986 Jul;40(1):1–7. doi: 10.1038/clpt.1986.129. [DOI] [PubMed] [Google Scholar]
- Lee E. J., Williams K. M., Graham G. G., Day R. O., Champion G. D. Liquid chromatographic determination and plasma concentration profile of optical isomers of ibuprofen in humans. J Pharm Sci. 1984 Nov;73(11):1542–1544. doi: 10.1002/jps.2600731112. [DOI] [PubMed] [Google Scholar]
- Leslie J. B., Watkins W. D. Eicosanoids in the central nervous system. J Neurosurg. 1985 Nov;63(5):659–668. doi: 10.3171/jns.1985.63.5.0659. [DOI] [PubMed] [Google Scholar]
- McLean J. R., Gluckman M. I. On the mechanism of the pharmacologic activity of meclofenamate sodium. Arzneimittelforschung. 1983;33(4A):627–631. [PubMed] [Google Scholar]
- Miller R. R. Evaluation of the analgesic efficacy of ibuprofen. Pharmacotherapy. 1981 Jul-Aug;1(1):21–27. doi: 10.1002/j.1875-9114.1981.tb03550.x. [DOI] [PubMed] [Google Scholar]
- Muckle D. S. Comparative study of ibuprofen and aspirin in soft-tissue injuries. Rheumatol Rehabil. 1974 Aug;13(3):141–147. doi: 10.1093/rheumatology/13.3.141. [DOI] [PubMed] [Google Scholar]
- Müller F. O., Hundt H. K., Van Dyk M., Groenewoud G., Luus H. G. Ibuprofen bio-availability. A comparison of Brufen and Inza. S Afr Med J. 1986 Aug 16;70(4):197–199. [PubMed] [Google Scholar]
- Seymour R. A. Analgesic efficacy and plasma concentration of three analgesics in pain after lower third molar removal. SAAD Dig. 1983 Jul;5(7):172–188. [PubMed] [Google Scholar]
- Stambaugh J. E., Jr, Drew J. The combination of ibuprofen and oxycodone/acetaminophen in the management of chronic cancer pain. Clin Pharmacol Ther. 1988 Dec;44(6):665–669. doi: 10.1038/clpt.1988.209. [DOI] [PubMed] [Google Scholar]
- Winter L., Jr, Bass E., Recant B., Cahaly J. F. Analgesic activity of ibuprofen (Motrin) in postoperative oral surgical pain. Oral Surg Oral Med Oral Pathol. 1978 Feb;45(2):159–166. doi: 10.1016/0030-4220(78)90079-8. [DOI] [PubMed] [Google Scholar]
