Opioid Induced Constipation
Conditions
Interventions
None listed
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1) Patients 18 years of age or older with chronic musculoskeletal pain 2) Patients newly prescribed weak opioid analgesics and plan to take them for over 2 weeks 3) Patients before or within 1 day of starting weak opioid analgesics 4) Patients with more than 3 spontaneous bowel movements in a week before 5) Patients who can download the application and answer the web questionnaire by using mobile devices (smart phone, tablet etc.) 6) Patients who have given their consent to participate in this study
Exclusion criteria
Exclusion criteria: 1) Patients with a history of treated with opioids within the past 4 weeks 2) Hospitalized patients 3) Patients with malignant tumors 4) Patients with two or more of the following constipation symptoms in the past week prior to starting weak opioid analgesics a. Straining during more than 1/4 (25%) of defecations b. Lumpy or hard stools (Bristol Stool Form Scale 1-2) during more than 1/4 (25%) of defecations c. Sensation of incomplete evacuation during more than 1/4 (25%) of defecations d. Sensation of anorectal obstruction/blockage during more than 1/4 (25%) of defecations e. Manual maneuvers to facilitate more than 1/4 (25%) of defecations (e.g., digital evacuation, support of the pelvic floor) f. Fewer than three SBM (spontaneous bowel movement) per week
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Incidence of OIC in 2 weeks after starting weak opioid analgesics (ROME-IV diagnostic criteria) | — |
Secondary
| Measure | Time frame |
|---|---|
| The following outcomes in 2 weeks after starting weak opioid analgesics - Incidence of OIC (per day, per week) - Incidence of symptoms of OIC - Proportion of patients who consider themselves to be constipated - PAC-SYM score - SF-36 v2 acute score - NRS score - Proportion of patients who take laxatives | — |
Countries
Japan
Contacts
Shionogi & Co., Ltd. Medical Affairs Department