Oral Topical Doxepin Rinse: Anesthetic Effect in Normal Subjects

Oral doxepin rinse has been reported to provide pain relief in patients with oral mucosal lesions due to cancer or cancer therapy. The purpose of this study was to assess the anesthetic effect of doxepin oral rinse in normal subjects to identify the duration of effect and to contrast the anesthetic...

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Main Authors: Joel B Epstein, Edmond L Truelove, Hal Oien, Nhu D Le, Mathew S Epstein
Format: Article
Language:English
Published: Wiley 2003-01-01
Series:Pain Research and Management
Online Access:http://dx.doi.org/10.1155/2003/431308
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author Joel B Epstein
Edmond L Truelove
Hal Oien
Nhu D Le
Mathew S Epstein
author_facet Joel B Epstein
Edmond L Truelove
Hal Oien
Nhu D Le
Mathew S Epstein
author_sort Joel B Epstein
collection DOAJ
description Oral doxepin rinse has been reported to provide pain relief in patients with oral mucosal lesions due to cancer or cancer therapy. The purpose of this study was to assess the anesthetic effect of doxepin oral rinse in normal subjects to identify the duration of effect and to contrast the anesthetic effect with reported pain relief in patients with oral mucosal lesions. Normal volunteers were provided a solution of doxepin (5 mg/mL) for oral rinsing. Oral numbness and adverse effects were recorded for a period of 4 h after rinsing. Doxepin rinse resulted in mucosal anesthesia in all subjects. Sedation/fatigue was reported in four of seven subjects. There were no taste complaints and no nausea reported. The limited duration of numbness/anesthesia in normal subjects compared with prior studies showing pain relief for more than 3 h in patients with mucosal lesions, suggests that the extended duration of pain relief in patients was due to analgesic effects rather than anesthetic effects. The majority of normal subjects reported sedation after use, but this was less common in patients with mucosal lesions.
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spelling doaj-art-9a5882bf63824992a3243ab39ec887312025-02-03T01:03:01ZengWileyPain Research and Management1203-67652003-01-018419519710.1155/2003/431308Oral Topical Doxepin Rinse: Anesthetic Effect in Normal SubjectsJoel B Epstein0Edmond L Truelove1Hal Oien2Nhu D Le3Mathew S Epstein4Department of Oral Medicine and Diagnostic Sciences, College of Dentistry, University of Illinois, Chicago, Illinois, USADepartment of Oral Medicine, University of Washington, Seattle, Washington, USABeaverton, Oregon, USACancer Control Research, British Columbia Cancer Agency, Vancouver, British Columbia, CanadaFred Hutchinson Cancer Research Center, Seattle, Washington, USAOral doxepin rinse has been reported to provide pain relief in patients with oral mucosal lesions due to cancer or cancer therapy. The purpose of this study was to assess the anesthetic effect of doxepin oral rinse in normal subjects to identify the duration of effect and to contrast the anesthetic effect with reported pain relief in patients with oral mucosal lesions. Normal volunteers were provided a solution of doxepin (5 mg/mL) for oral rinsing. Oral numbness and adverse effects were recorded for a period of 4 h after rinsing. Doxepin rinse resulted in mucosal anesthesia in all subjects. Sedation/fatigue was reported in four of seven subjects. There were no taste complaints and no nausea reported. The limited duration of numbness/anesthesia in normal subjects compared with prior studies showing pain relief for more than 3 h in patients with mucosal lesions, suggests that the extended duration of pain relief in patients was due to analgesic effects rather than anesthetic effects. The majority of normal subjects reported sedation after use, but this was less common in patients with mucosal lesions.http://dx.doi.org/10.1155/2003/431308
spellingShingle Joel B Epstein
Edmond L Truelove
Hal Oien
Nhu D Le
Mathew S Epstein
Oral Topical Doxepin Rinse: Anesthetic Effect in Normal Subjects
Pain Research and Management
title Oral Topical Doxepin Rinse: Anesthetic Effect in Normal Subjects
title_full Oral Topical Doxepin Rinse: Anesthetic Effect in Normal Subjects
title_fullStr Oral Topical Doxepin Rinse: Anesthetic Effect in Normal Subjects
title_full_unstemmed Oral Topical Doxepin Rinse: Anesthetic Effect in Normal Subjects
title_short Oral Topical Doxepin Rinse: Anesthetic Effect in Normal Subjects
title_sort oral topical doxepin rinse anesthetic effect in normal subjects
url http://dx.doi.org/10.1155/2003/431308
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