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. Author manuscript; available in PMC: 2007 Mar 30.
Published in final edited form as: J Pain Symptom Manage. 2007 Jan;33(1):67–77. doi: 10.1016/j.jpainsymman.2006.07.011

Table 4.

Prevalence of Analgesic Side Effects by Type of Analgesic Prescription

Side effect No Opioid
n = 19
Only PRN Opioid
n = 72
Only ATC Opioid
n = 32
ATC + PRN Opioid
N = 50
Statistic
% % % %
Difficulty concentrating 10.5 26.8 41.9 52.1 X2=14.0, P =0.003
Lack of energy 52.6 57.7 71.0 79.2 X2=7.7, P =0.05
Nightmares  0.0  8.5  6.7 24.5 X2=11.6, P =0.009
Nausea 31.6 28.2 41.9 53.1 X2=8.1, P =0.04
Vomiting  5.3  7.1 32.3 18.4 X2=12.6, P =0.006
Constipation 15.8 44.3 54.8 63.3 X2=13.4, P =0.004
Difficulty sleeping 56.2 47.9 45.2 47.9 X2=.26, P =0.97
Feeling drowsy 31.6 57.1 71.0 83.3 X2=18.6, P <0.0001
Light headedness 10.5 23.9 48.4 26.5 X2=10.0, P =0.02
Poor coordination  5.3 26.8 38.7 39.6 X2=9.1, P =0.03
Indigestion/upset stomach 31.6 38.0 51.6 47.9 X2=3.1, P =0.37

ATC = around-the-clock; PRN = pro re nata.

Post hoc contrasts:

Difficulty concentrating – only PRN < ATC + PRN (P =0.007).

Lack of energy – no opioid and only PRN < ATC + PRN (both P ≤ 0.004).

Nightmares - no significant pair wise differences were found in the post hoc contrasts using the Bonferroni criteria.

Nausea – only PRN < ATC + PRN (P =0.008).

Vomiting - no significant pair wise differences were found in the post hoc contrasts using the Bonferroni criteria.

Constipation – no opioid < only ATC and ATC + PRN (both P ≤ 0.008).

Feeling drowsy – no opioid < only ATC and ATC + PRN (both P ≤ 0.009); only PRN < ATC + PRN (P =0.003).

Light headedness – no opioid < only ATC (P = 0.007).

Poor coordination – no opioid < only ATC and ATC + PRN (both P ≤ 0.009).