Pain Clinical Trial
Official title:
Non Opioid Treatment for Experimental Dyspnea
The purpose of this protocol is to test the effects of the non opioid nefopam on experimental dyspnea and on the counterirritation (ie inhibition of one pain by another pain) induced by dyspnea in healthy subjects.
Dyspnea and pain share many features. One of them is the counterirritation phenomenon:
defined in pain research as the attenuation of one pain by another pain. Dyspnea induced
with inspiratory threshold loading (increased sense of work/effort ) has been shown to
attenuate electrical pain as shown through nociceptive flexion reflex inhibition, or thermal
pain, as measured with cortical evoked responses (laser evoked potentials-LEP).
The investigators will study whether nefopam modulates the counterirritation of laboratory
induced dyspnea in healthy subjects. The effect of nefopam on experimental dyspnea will be
measured with a visual analog scale (VAS) and a validated multidimensional dyspnea profile
(MDP). The effect of treatment on counterirritation will be measured by recording LEP
obtained using a CO2 laser system. The amplitude of the N2-P2 component of the LEP is the
main study outcome.
;
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Crossover Assignment, Masking: Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor), Primary Purpose: Treatment
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