QTc interval prolongation by d-propoxyphene

What about other analgesics?

Robert B. Raffa, Jeffrey J. Burmeister, Ekaterina Yuvasheva, Joseph V. Pergolizzi

Research output: Contribution to journalArticle

Abstract

Introduction: d-Propoxyphene, which was previously available in many single-agent and combination products, was recently voluntarily withdrawn from the US market following an FDA recommendation based partly on the concern that the risk associated with QT prolongation exceeded the clinical benefit of the drug. The drug had previously been withdrawn from European markets. These recent actions prompt the question: what is known about QT prolongation and analgesic drugs? Areas covered: A systematic search was conducted of 50 opioid and non-opioid analgesic drugs using PubMed, the FDA website, and the Internet. Search terms for opioids, NSAIDs, acetaminophen and other analgesics were used (including both generic and brand names), along with QTc, QTc prolongation, QTc interval, hERG, torsades de pointes (TdP), ventricular arrhythmias, and other relevant terms. Expert opinion: There is a paucity of available information on the QT interval for most analgesics. Of those for which there is a lot of data, only methadone, oxycodone, and LAAM (levo - acetylmethadol) appear to have a known and accepted level of effect on the QT interval.

Original languageEnglish (US)
Pages (from-to)1397-1409
Number of pages13
JournalExpert Opinion on Pharmacotherapy
Volume13
Issue number10
DOIs
StatePublished - Jul 2012

Fingerprint

Dextropropoxyphene
Analgesics
Methadyl Acetate
Opioid Analgesics
Oxycodone
Torsades de Pointes
Methadone
Expert Testimony
Non-Steroidal Anti-Inflammatory Agents
Acetaminophen
PubMed
Pharmaceutical Preparations
Internet
Names
Cardiac Arrhythmias

Keywords

  • Analgesics
  • HERG
  • Non-opioids
  • Opioids
  • QT interval

ASJC Scopus subject areas

  • Pharmacology (medical)
  • Pharmacology

Cite this

QTc interval prolongation by d-propoxyphene : What about other analgesics? / Raffa, Robert B.; Burmeister, Jeffrey J.; Yuvasheva, Ekaterina; Pergolizzi, Joseph V.

In: Expert Opinion on Pharmacotherapy, Vol. 13, No. 10, 07.2012, p. 1397-1409.

Research output: Contribution to journalArticle

Raffa, RB, Burmeister, JJ, Yuvasheva, E & Pergolizzi, JV 2012, 'QTc interval prolongation by d-propoxyphene: What about other analgesics?', Expert Opinion on Pharmacotherapy, vol. 13, no. 10, pp. 1397-1409. https://doi.org/10.1517/14656566.2012.682150
Raffa, Robert B. ; Burmeister, Jeffrey J. ; Yuvasheva, Ekaterina ; Pergolizzi, Joseph V. / QTc interval prolongation by d-propoxyphene : What about other analgesics?. In: Expert Opinion on Pharmacotherapy. 2012 ; Vol. 13, No. 10. pp. 1397-1409.
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