RSD - Nothing Left To Chance

Whether you call it Reflex Sympathetic Dystrophy Syndrome or Chronic Regional Pain Syndrome - it's still a hideous soul-sucking disease.

27.7.06

*Synera* pain patch

Synera Approved To Soothe Discomfort After Needle Sticks

Synera™ (lidocaine 70 mg and tetracaine 70 mg) topical patch

The Synera anesthetic patch was approved by the Food and Drug Administration in June 2005 for use in relieving pain after intravenous infusions, blood draws and dermatology procedures and will now be available by prescription.

Synera™ is indicated for use on intact skin to provide local dermal analgesia for superficial venous access and superficial dermatological procedures such as excision, electrodessication and shave biopsy of skin lesions.

The Synera heating component generates a mild warming that is intended to enhance the delivery of the local anesthetic. Synera begins to heat once the patch is removed from the pouch and is exposed to oxygen in the air. Although the patch may increase skin temperature by up to approximately 5ºC, maximum skin temperature will not exceed 40ºC.

Venipuncture or Intravenous Cannulation:
Prior to venipuncture or intravenous cannulation, apply Synera to intact
skin for 20-30 minutes.

Superficial Dermatological Procedures:
For superficial dermatological procedures such as superficial excision or shave biopsy, apply Synera to intact skin for 30 minutes prior to the procedure.

FDA/APF

*new* Pain Drug - *Opana*

Prescription Drug Is Oral Form of Painkiller That Used to Be Injection-Only
By Miranda Hitti

June 23, 2006 -- The FDA has approved a new prescription drug to ease moderate to severe pain.

The drug, called Opana, is an opioid pain reliever taken by mouth. It will come in an extended-release form, called Opana ER, and an immediate-release version, simply called Opana.

"Both products are expected to be commercially available in the U.S. in the coming weeks," states Opana's maker, Endo Pharmaceuticals, in a news release.

The drugs contain oxymorphone hydrochloride, which was previously only available by injection. Endo Pharmaceuticals plans to relaunch the drug's injected version for hospital use under the new trade name.

Extended Release vs. Immediate Release

Opana and Opana ER have different uses.

Opana ER -- the first oral, extended-release version of oxymorphone -- is intended for patients with moderate to severe pain who need "continuous, around-the-clock opioid treatment for an extended period of time," states Endo Pharmaceuticals. Opana ER "is not intended to be used on an as-needed basis," the drug company notes.

Immediate-release Opana is for "moderate to severe acute pain where the use of an opioid is appropriate," states Endo Pharmaceuticals.

Opana ER tablets will come in four doses: 5 milligrams, 10 milligrams, 20 milligrams, and 40 milligrams. Opana's immediate-release tablets will come in two doses: 5 milligrams and 10 milligrams.

Drug's Trials

Fifteen clinical trials of Opana and Opana ER have included more than 3,000 patients. Two of those trials are described in Endo Pharmaceuticals' news release.

In one trial, patients with moderate to severe low back pain took Opana ER or a tablet lacking medicine (placebo) for 12 weeks without knowing which pill was which. Patients taking Opana ER had a greater drop in average pain intensity than those in the placebo group.

In another trial, patients with moderate to severe pain after abdominal surgery received immediate-release Opana or a placebo without knowing which pill they'd gotten. The Opana group took their tablets for less time than those in the placebo group.

Opana's Warnings

Like other opioids, Opana and Opana ER can be abused, warns Endo Pharmaceuticals.

In addition, "patients must not consume alcoholic beverages, or prescription or nonprescription medications containing alcohol, while on Opana ER therapy" due to possible overdose risk, the drug company notes.

According to Endo Pharmaceuticals, the most common adverse effects seen in clinical trials of Opana ER were nausea, constipationconstipation, dizzinessdizziness, vomiting, itchiness, sleepiness, headache, increased sweating, and sedation. The most common adverse effects seen in clinical trials of immediate-release Opana were nausea and fever.

WebMD Medical News Reviewed By Louise Chang, MD
on Friday, June 23, 2006

23.7.06

Have RSD/CRPS & no place to go for help?

FINDING A FREE CLINIC
by Christin Egelhardt

If you need to see a doctor but cannot afford one, a free or low-cost clinic may be able to help you. Keep in mind that all free clinics have eligibility rules for patients: typically free clinics see only patients who have low income and who do not have insurance for the treatment needed. Depending upon their eligibility rules, not all clinics will be able to treat you. However, there may be some flexibility with the eligibility rules, so even if you think you do not qualify, it may still be worth calling the clinic to ask about your situation. Sometimes the care at a free clinic is not completely free; there may be a small charge, depending upon any income you have. In addition, free clinics are not always able to provide care for complicated conditions like RSD/CRPS, but they still may be of at least some assistance.

If you are searching for a free clinic near you, you may be able to find one through your local phone books. You may also find a free clinic through the Internet and may need to try more than one website before you find a clinic to help you as not all the websites have complete lists. Several state and regional associations have their own websites.

Please cut & paste links in your browser:
*Arkansas Association of Charitable Clinics; http://www.aacclinics.org/
*Free Clinic Association of Pennsylvania; http://www.freeclinicpa.org/
*Free Clinics of the Great Lakes Region (for Illinois, Indiana, Iowa, Michigan, Minnesota, Ohio, Wisconsin); http://www.fcglr.org/directory/directory.htm
*Georgia Free Clinic Network; http://www.gfcn.org/
*North Carolina Association of Free Clinics; http://www.ncfreeclinics.org/mc/page.do
*Ohio Association of Free Clinics; http://www.ohiofreeclinics.org/
*South Carolina Free Medical Clinic Association; http://www.scfmca.org/
*Vermont Coalition of Clinics for the Uninsured; http://www.vccu.net/
*Virginia Association of Free Clinics; http://www.vafreeclinics.org/

If your state does not have its own website, there are three other websites which have information about free clinics across the country. Please cut & paste links in your browser:
1. The National Association of Free Clinics, a non-profit organization, has a list of state and regional associations of free clinics on its website; http://www.freeclinics.us/StateRegionalFreeClinicNews/tabid/72/Default.aspx
Find your state or region’s association, and contact that organization for a list of clinics near you.

2. RxAssist (an information center created by Volunteers in Health Care that helps people find out how to get medications) also has a list of state and regional associations of free clinics on its website;
http://www.rxassist.org/patients/res-free-clinics.cfm
Find your state or region’s association, and contact that organization for a list of clinics near you.

3. Medkind Corporation (which produces software for clinics) has a list of many free clinics on its website;
http://www.medkind.com/Scripts/Modules/Module6/A1.idcCode=1004&NewCode=3895369&Index=3336028
Choose the state that you want, and then click “Search” to get a list of clinics in that state.

You may also contact charities in your area (such as the Salvation Army or Catholic Charities) to see if they offer any health care services. If caregivers at the free clinic need a copy of the RSDSA Treatment Guidelines (published in June 2006), you can download it LINK or contact the RSDSA office to have a copy sent to the clinic.

New York, RSD run/walk, Aug. 6 - Central Park

District animal control officer to get rolling in fund-raiser for RSD research
By Pamela McLoughlin, Register Staff

Rettig, who now spends most of her days in a living room chair, except when she is moved by wheelchair, was stopped in her tracks in January by reflex sympathetic dystrophy, a nerve disorder that can appear after an injury.

But to help bring awareness to the condition and raise money for research through pledges, Rettig will be in New York City's Central Park Aug. 6 as part of a fund-raising run/walk for the Reflex Sympathethic Dystrophy Syndrome Association of America, which is headquartered in Milford. The RSD team will participate in the Achilles Hope and Possibility 5 mile run/walk, which is also raising money for other causes.

Rettig will do a 2-mile walk in a wheelchair, pushed by her dedicated partner of 30 years, Christine Santoro, a retired West Haven teacher.

"You don't think of a rare disease needing research until you have it," Rettig said. "This can happen to anybody. At any point, our life can take a change."

Though her condition really hasn't improved since January, Rettig hopes to return to work at the district shelter someday because she misses rescuing and caring for animals. Sometimes she visits the shelter to see her four-legged friends, but mostly these days she gets her animal fix on the Internet, looking at pictures of dogs for hours at a time on Petfinder.

"I sit here all day, thinking about animals," said Rettig, who still yearns to catch animals, clean them up and find them homes. Through the years, first in West Haven, Rettig became known among animal lovers for the extraordinary lengths she'd go to help animals any time of the day or night.

Rettig also has been an advocate for needy people, including collecting supplies for the homeless.

Rettig now pours some of that same energy into raising awareness of RSD. She wants to show support for the RSD Association because the organization's executive director, Jim Broatch, has been a wealth of help and information about it.

"I'm looking forward to the walk," said Rettig. "My motivation is also to help others who are suffering."

Since she can't go out to seek walk pledges, Rettig said anyone who would like to pledge on her behalf can send money or checks written to the association.

Rettig's RSD stems from a broken leg in January 2005, when she slid on ice at the shelter. Her right leg and foot are affected, and it has jumped to her wrist - a wrist she broke last week when she was trying to walk with crutches and fell because her bad leg gave out. There is no cure for RSD, only pain management, the disease was redefined by the medical community in 1990 as Complex Regional Pain Syndrome, although the term RSD is still commonly used. The pain is so extreme that most drugs - even oxycontin and morphine - barely take the edge off. The best hope is for remission, which can take years if it happens at all.

RSD causes burning pain disproportionate to the injury and makes the area so sensitive to the touch that even a sheet or pant leg can cause agony. Rettig, who wears a special boot over her affected leg, can't sit through a loud movie because vibrations cause pain. She said her leg feels "as if someone put gas on it and lit a match."

Rettig notes, however, that there are RSD sufferers far worse off than she. Some people have it in numerous limbs or full-body RSD. "I'm still optimistic that I'm going to get better," she said.

Broatch has said that while the medical community classifies the syndrome as "rare," meaning fewer than 200,000 cases exist, his organization believes more than 1 million people in the United States have it and have not been diagnosed.