The analgesic effects of caffeine in headache.

Abstract:

:Caffeine is frequently added to mild analgesic preparations but its effect when used alone on pain has never been studied in humans. Using a double-blind placebo-controlled multiple crossover design, 53 patients with non-migrainous headaches were given placebo, acetaminophen, 2 doses of caffeine and 2 combinations of caffeine with acetaminophen. Caffeine appeared to have independent analgesic effects that were equivalent to acetaminophen and were still significant when statistical adjustments were made for prior caffeine consumption and caffeine's effects on mood.

journal_name

Pain

journal_title

Pain

authors

Ward N,Whitney C,Avery D,Dunner D

doi

10.1016/0304-3959(91)90129-L

subject

Has Abstract

pub_date

1991-02-01 00:00:00

pages

151-155

issue

2

eissn

0304-3959

issn

1872-6623

pii

00006396-199102000-00007

journal_volume

44

pub_type

临床试验,杂志文章

相关文献

PAIN文献大全
  • Inflammation-induced changes in rostral ventromedial medulla mu and kappa opioid receptor mediated antinociception.

    abstract::Acute microinjection of mu-, delta-, or kappa-opioid receptor (MOPr, DOPr, KOPr) agonists into the rostral ventromedial medulla (RVM) produces antinociception. Thermal antinociception produced by MOPr and DOPr agonists is potentiated during inflammation [Hurley RW, Hammond DL. The analgesic effects of supraspinal mu a...

    journal_title:Pain

    pub_type: 杂志文章

    doi:10.1016/j.pain.2007.07.010

    authors: Schepers RJ,Mahoney JL,Shippenberg TS

    更新日期:2008-06-01 00:00:00

  • Childhood victimization and pain in adulthood: a prospective investigation.

    abstract::Evidence of the relationship between childhood abuse and pain problems in adulthood has been based on cross-sectional studies using retrospective self-reports of childhood victimization. The objective of the current study was to determine whether childhood victimization increases risk for adult pain complaints, using ...

    journal_title:Pain

    pub_type: 杂志文章

    doi:10.1016/s0304-3959(01)00270-6

    authors: Raphael KG,Widom CS,Lange G

    更新日期:2001-05-01 00:00:00

  • Functional abdominal pain patient subtypes in childhood predict functional gastrointestinal disorders with chronic pain and psychiatric comorbidities in adolescence and adulthood.

    abstract::Although pediatric functional abdominal pain (FAP) has been linked to abdominal pain later in life, childhood predictors of long-term outcomes have not been identified. This study evaluated whether distinct FAP profiles based on patterns of pain and adaptation in childhood could be identified and whether these profile...

    journal_title:Pain

    pub_type: 杂志文章

    doi:10.1016/j.pain.2012.03.026

    authors: Walker LS,Sherman AL,Bruehl S,Garber J,Smith CA

    更新日期:2012-09-01 00:00:00

  • Sensation evoked by bipolar intrapulpal stimulation in man.

    abstract::Bipolar intrapulpal stimulation was applied to human teeth using the same procedure as in animal experiments. The effects of variation of stimulus parameters on the quality of sensation were studied. A prepain sensation exists which cannot be explained by diffusion of the stimulus to periodontal tissues. When the inte...

    journal_title:Pain

    pub_type: 杂志文章

    doi:10.1016/0304-3959(77)90128-2

    authors: Azerad J,Woda A

    更新日期:1977-12-01 00:00:00

  • Antihyperalgesic effects of intrathecal neuropeptide Y during inflammation are mediated by Y1 receptors.

    abstract::Inflammation induces an up-regulation of neuropeptide tyrosine (NPY) and its receptors in the dorsal horn, suggesting an important role in nociceptive transmission. Our initial studies revealed that NPY dose-dependently increased hotplate response latency, and to a lesser degree, thermal paw withdrawal latency (PWL); ...

    journal_title:Pain

    pub_type: 杂志文章

    doi:10.1016/S0304-3959(01)00481-X

    authors: Taiwo OB,Taylor BK

    更新日期:2002-04-01 00:00:00

  • Cooperation of NMDA and tachykinin NK(1) and NK(2) receptors in the medullary transmission of vagal afferent input from the acid-threatened rat stomach.

    abstract::Noxious challenge of the rat gastric mucosa by hydrochloric acid (HCl) is signaled to the nucleus tractus solitarii (NTS) and area postrema (AP). This study examined the participation of glutamate and tachykinins in the medullary transmission process. Activation of neurons was visualized by in situ hybridization autor...

    journal_title:Pain

    pub_type: 杂志文章

    doi:10.1016/s0304-3959(00)00357-2

    authors: Jocic M,Schuligoi R,Schöninkle E,Pabst MA,Holzer P

    更新日期:2001-01-01 00:00:00

  • Temporal dynamics of pain: an application of regime-switching models to ecological momentary assessments in patients with rheumatic diseases.

    abstract::Advances in pain measurement using ecological momentary assessments offer novel opportunities for understanding the temporal dynamics of pain. This study examined whether regime-switching models, which capture processes characterized by recurrent shifts between different states, provide clinically relevant information...

    journal_title:Pain

    pub_type: 杂志文章

    doi:10.1097/j.pain.0000000000001215

    authors: Schneider S,Junghaenel DU,Ono M,Stone AA

    更新日期:2018-07-01 00:00:00

  • The evaluation of acute pain in individuals with cognitive impairment: a differential effect of the level of impairment.

    abstract::The present study investigated whether the level of cognitive impairment (CI) affects acute pain behavior and how it is manifested. Participants were 159 individuals (mean age 42+/-12), 121 with CI (divided into four groups according to the level of CI: mild, moderate, severe, profound) and 38 with normal cognition (c...

    journal_title:Pain

    pub_type: 临床试验,杂志文章

    doi:10.1016/j.pain.2006.04.031

    authors: Defrin R,Lotan M,Pick CG

    更新日期:2006-10-01 00:00:00

  • Menstrual pain is associated with rapid structural alterations in the brain.

    abstract::Dysmenorrhea is the most prevalent gynecological disorder in women of child-bearing age. Dysmenorrhea is associated with central sensitization and functional and structural changes in the brain. Our recent brain morphometry study disclosed that dysmenorrhea is associated with trait-related abnormal gray matter (GM) ch...

    journal_title:Pain

    pub_type: 杂志文章

    doi:10.1016/j.pain.2013.05.022

    authors: Tu CH,Niddam DM,Yeh TC,Lirng JF,Cheng CM,Chou CC,Chao HT,Hsieh JC

    更新日期:2013-09-01 00:00:00

  • Tonic cholinergic inhibition of spinal mechanical transmission.

    abstract::The present study examined the role of spinal cholinergic modulation of spinal mechanical and thermal transmission. Intrathecal administration of the cholinergic muscarinic receptor antagonists atropine or scopolamine in awake rats produced a dose-dependent decrease in the nociceptive mechanical withdrawal threshold o...

    journal_title:Pain

    pub_type: 杂志文章

    doi:10.1016/0304-3959(91)90078-C

    authors: Zhuo M,Gebhart GF

    更新日期:1991-08-01 00:00:00

  • Suckling- and sucrose-induced analgesia in human newborns.

    abstract::This experiment had three goals: 1. To identify the basis of sucking-induced analgesia in healthy, term, newborn humans undergoing the painful, routine, procedure of heel lance and blood collection. 2. To evaluate how taste-induced and sucking-induced analgesias combine to combat pain. 3. To determine whether facial g...

    journal_title:Pain

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1016/S0304-3959(99)00166-9

    authors: Blass EM,Watt LB

    更新日期:1999-12-01 00:00:00

  • Dissociation of hypertension and enhanced clonidine-induced antinociception in spontaneously hypertensive rats.

    abstract::In the present study, we evaluated the relationship between hypertension and the antinociceptive effect of clonidine in genetically hypertensive rats. Intraperitoneal (i.p.) administration of clonidine (0.69 mg/kg) produced hypoalgesia without lowering blood pressure in conscious spontaneously hypertensive (SH), spont...

    journal_title:Pain

    pub_type: 杂志文章

    doi:10.1016/0304-3959(93)90055-T

    authors: Lin JC,Tsao WL,Lee HK,Wang Y

    更新日期:1993-04-01 00:00:00

  • N-acetyl-cysteine attenuates neuropathic pain by suppressing matrix metalloproteinases.

    abstract::The treatment of neuropathic pain remains a clinical challenge because of its unclear mechanisms and broad clinical morbidity. Matrix metalloproteinase (MMP)-9 and MMP-2 have previously been described as key components in neuropathic pain because of their facilitation of inflammatory cytokine maturation and induction ...

    journal_title:Pain

    pub_type: 杂志文章

    doi:10.1097/j.pain.0000000000000575

    authors: Li J,Xu L,Deng X,Jiang C,Pan C,Chen L,Han Y,Dai W,Hu L,Zhang G,Cheng Z,Liu W

    更新日期:2016-08-01 00:00:00

  • Psychophysical and vasomotor evidence for interdependency of TRPA1 and TRPV1-evoked nociceptive responses in human skin: an experimental study.

    abstract::The TRPA1 and TRPV1 receptors are important pharmaceutical targets for antipruritic and analgesic therapy. Obtaining further knowledge on their roles and interrelationship in humans is therefore crucial. Preclinical results are contradictory concerning coexpression and functional interdependency of TRPV1 and TRPA1, bu...

    journal_title:Pain

    pub_type: 杂志文章

    doi:10.1097/j.pain.0000000000001298

    authors: Nielsen TA,Eriksen MA,Gazerani P,Andersen HH

    更新日期:2018-10-01 00:00:00

  • Effects of doxepin on perception of laboratory-induced pain in man.

    abstract::Beneficial effects have been observed in University of Washington Pain Clinic patients treated with tricyclic antidepressants, but such effects occur much earlier than predicted mood elevation. A laboratory investigation of pain perception was employed to test the hypothesis that doxepin, a tricyclic antidepressant, h...

    journal_title:Pain

    pub_type: 临床试验,杂志文章

    doi:10.1016/0304-3959(78)90012-X

    authors: Chapman RC,Butler SH

    更新日期:1978-10-01 00:00:00

  • An association between phantom limb sensations and stump skin conductance during transcutaneous electrical nerve stimulation (TENS) applied to the contralateral leg: a case study.

    abstract::This report describes a placebo-controlled study of transcutaneous electrical nerve stimulation (TENS) applied to the contralateral lower leg and outer ears of an amputee with non-painful phantom sensations. The subject received TENS or placebo stimulation on separate sessions in which baseline periods of no stimulati...

    journal_title:Pain

    pub_type: 临床试验,杂志文章

    doi:10.1016/0304-3959(89)90098-5

    authors: Katz J,France C,Melzack R

    更新日期:1989-03-01 00:00:00

  • Patient utilities in chronic musculoskeletal pain: how useful is the standard gamble method?

    abstract::The main goal of current pain management approaches is to increase the patients' quality of life by improving pain coping skills and by reducing the levels of disability in daily life, often despite persistent pain. Direct measurement of quality of life is of crucial importance in economic evaluation research, in whic...

    journal_title:Pain

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1016/s0304-3959(98)00232-2

    authors: Goossens ME,Vlaeyen JW,Rutten-van Mölken MP,van der Linden SM

    更新日期:1999-03-01 00:00:00

  • The influence of children's vocal expressions, age, medical diagnosis and information obtained from parents on nurses' pain assessments and decisions regarding interventions.

    abstract::This article reports on a study that examines the influence of task-related factors on nurses' pain assessments and decision regarding interventions. In an experimental design pediatric nurses (n = 202), were exposed to different cases, each case being a combination of a vignette and a videotape. For every case subjec...

    journal_title:Pain

    pub_type: 杂志文章

    doi:10.1016/0304-3959(95)00147-6

    authors: Hamers JPH,Abu-Saad HH,van den Hout MA,Halfens RJG,Kester ADM

    更新日期:1996-04-01 00:00:00

  • Modulation of central nervous system-specific microRNA-124a alters the inflammatory response in the formalin test in mice.

    abstract::microRNAs (miRNAs) are small noncoding RNAs that have been linked to a number of disease-related signal transduction pathways. Several studies indicate that they are also involved in nociception. It is not clear, however, which miRNAs are important and which genes are modulated by miRNA-associated mechanisms. This stu...

    journal_title:Pain

    pub_type: 杂志文章

    doi:10.1016/j.pain.2012.11.010

    authors: Kynast KL,Russe OQ,Möser CV,Geisslinger G,Niederberger E

    更新日期:2013-03-01 00:00:00

  • Pharmacological modulations on the nociceptive flexion reflex in man.

    abstract::Pharmacological actions on the nociceptive flexion flexes of the hindlimb were investigated in 14 normal subjects. These reflexes were used as an index of pain and were recorded in the biceps femoris muscle, elicited by electrical stimulation of the ipsilateral sural nerve (RIII,su) and of the skin in the distal recep...

    journal_title:Pain

    pub_type: 杂志文章

    doi:10.1016/0304-3959(77)90074-4

    authors: Willer JC,Bathien N

    更新日期:1977-04-01 00:00:00

  • The effect of age on the onset of pain interference in a general population of older adults: prospective findings from the North Staffordshire Osteoarthritis Project (NorStOP).

    abstract::Pain that interferes with daily life appears to be strongly age-related in cross-sectional studies, although the nature of this relationship over time has not been established. We have investigated the onset and persistence of pain and pain interference over a 3-year period to determine their association with age in o...

    journal_title:Pain

    pub_type: 杂志文章

    doi:10.1016/j.pain.2006.09.027

    authors: Thomas E,Mottram S,Peat G,Wilkie R,Croft P

    更新日期:2007-05-01 00:00:00

  • A dynamic set point for thermal adaptation requires phospholipase C-mediated regulation of TRPM8 in vivo.

    abstract::The ability to sense and respond to thermal stimuli at varied environmental temperatures is essential for survival in seasonal areas. In this study, we show that mice respond similarly to ramping changes in temperature from a wide range of baseline temperatures. Further investigation suggests that this ability to adap...

    journal_title:Pain

    pub_type: 杂志文章

    doi:10.1016/j.pain.2014.08.001

    authors: Brenner DS,Golden JP,Vogt SK,Dhaka A,Story GM,Gereau RW IV

    更新日期:2014-10-01 00:00:00

  • Coping with chronic pain: flexible goal adjustment as an interactive buffer against pain-related distress.

    abstract::In the present study, Brandtstädter's (1992) distinction between assimilation and accommodation as two fundamental means of coping is applied to the field of chronic pain. Assimilative coping involves active attempts (e.g. instrumental activities, self-corrective actions, compensatory measures) to alter unsatisfactory...

    journal_title:Pain

    pub_type: 杂志文章

    doi:10.1016/0304-3959(96)03108-9

    authors: Schmitz U,Saile H,Nilges P

    更新日期:1996-09-01 00:00:00

  • Contributions of change in clinical status parameters to Patient Global Impression of Change (PGIC) scores among persons with fibromyalgia treated with milnacipran.

    abstract::Clinical trials on the treatment of pain syndromes have adopted Patient Global Impression of Change (PGIC) as a primary outcome. However, little is known about how change in clinical status influences these ratings. The present study examined relationships between changes in pain, depressed mood, physical functioning,...

    journal_title:Pain

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1016/j.pain.2010.02.043

    authors: Geisser ME,Clauw DJ,Strand V,Gendreau MR,Palmer R,Williams DA

    更新日期:2010-05-01 00:00:00

  • Cytokine involvement in dynorphin-induced allodynia.

    abstract::Dynorphin A is an endogenous opioid peptide, which has previously been shown to produce a long-lasting allodynia and hyperalgesia in mice, behavioral states consistent with signs of clinically observed neuropathic pain. This dynorphin-induced allodynia was used as a pharmacological, central model of neuropathic pain. ...

    journal_title:Pain

    pub_type: 杂志文章

    doi:10.1016/s0304-3959(99)00195-5

    authors: Laughlin TM,Bethea JR,Yezierski RP,Wilcox GL

    更新日期:2000-02-01 00:00:00

  • The effect of trans-ACPD, a metabotropic excitatory amino acid receptor agonist, on the responses of primate spinothalamic tract neurons.

    abstract::The responses of primate spinothalamic tract (STT) neurons to innocuous and noxious mechanical stimuli applied to the skin can be enhanced for more than an hour following prolonged noxious stimulation. This increased responsiveness is thought to reflect sensitization of dorsal horn neurons and may help account for sec...

    journal_title:Pain

    pub_type: 杂志文章

    doi:10.1016/0304-3959(94)90164-3

    authors: Paleček J,Palečková V,Dougherty PM,Willis WD

    更新日期:1994-03-01 00:00:00

  • Age-related differences in endogenous pain modulation: a comparison of diffuse noxious inhibitory controls in healthy older and younger adults.

    abstract::Despite decades of research, hundreds of studies, and a number of recent reviews, the effects of aging on the experience of pain remain poorly understood. Many prior investigators have reported increases in persistent pain conditions and diminished tolerance for certain types of laboratory-induced pain among the elder...

    journal_title:Pain

    pub_type: 杂志文章

    doi:10.1016/s0304-3959(02)00324-x

    authors: Edwards RR,Fillingim RB,Ness TJ

    更新日期:2003-01-01 00:00:00

  • The effects of feedback and contingent reinforcement on the exercise behavior of chronic pain patients.

    abstract::The purpose of this study was to increase knowledge through research in the area of operant management of chronic back pain, using a strong experimental design. Reinforcement was made contingent on rate of walking, and feedback about progress was provided at certain intervals during each observation session. The chang...

    journal_title:Pain

    pub_type: 杂志文章

    doi:10.1016/0304-3959(92)90141-W

    authors: Geiger G,Todd DD,Clark HB,Miller RP,Kori SH

    更新日期:1992-05-01 00:00:00

  • Hypoalgesia elicited by a conditioned stimulus is blocked by a mu, but not a delta or a kappa, opioid antagonist injected into the rostral ventromedial medulla.

    abstract::The present study investigated the role of micro, delta, and kappa receptors within the RVM in mediating expression of conditional hypoalgesia (CHA). Five groups of rats with RVM cannulae were given daily sessions of paired or unpaired presentations of an auditory CS (white noise) and foot shock across three consecuti...

    journal_title:Pain

    pub_type: 杂志文章

    doi:10.1016/S0304-3959(99)00125-6

    authors: Foo H,Helmstetter FJ

    更新日期:1999-12-01 00:00:00

  • Ventrolateral medullary lesions block the antinociceptive and cardiovascular responses elicited by stimulating the dorsal periaqueductal grey matter in rats.

    abstract::In rats anaesthetised with Saffan (Glaxovet), inhibition of the tail flick reflex evoked by electrical stimulation in the dorsal periaqueductal grey matter (PAG) was accompanied by an increase in blood pressure, tachycardia, vasodilatation in hind limb muscle, an increase in respiration, pupillodilatation and widening...

    journal_title:Pain

    pub_type: 杂志文章

    doi:10.1016/0304-3959(85)90088-0

    authors: Lovick TA

    更新日期:1985-03-01 00:00:00