<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1134-8046</journal-id>
<journal-title><![CDATA[Revista de la Sociedad Española del Dolor]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. Soc. Esp. Dolor]]></abbrev-journal-title>
<issn>1134-8046</issn>
<publisher>
<publisher-name><![CDATA[Inspira Network Group, S.L ]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1134-80462009000400008</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Targin® recibe la aprobación europea para controlar el dolor crónico intenso]]></article-title>
<article-title xml:lang="en"><![CDATA[European approval of Targin® for the control of intense chronic pain]]></article-title>
</title-group>
<aff id="A">
<institution><![CDATA[,  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>05</month>
<year>2009</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>05</month>
<year>2009</year>
</pub-date>
<volume>16</volume>
<numero>4</numero>
<fpage>256</fpage>
<lpage>257</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_arttext&amp;pid=S1134-80462009000400008&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_abstract&amp;pid=S1134-80462009000400008&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_pdf&amp;pid=S1134-80462009000400008&amp;lng=en&amp;nrm=iso"></self-uri></article-meta>
</front><body><![CDATA[ <p><font face="Verdana" size="2"><b>CARTA AL DIRECTOR</b></font></p>     <p>&nbsp;</p>     <p><font face="Verdana" size="4"><b>Targin<sup>®</sup> recibe la aprobación europea para controlar el dolor crónico intenso</b></font></p>     <p><font face="Verdana" size="4"><b>European approval of Targin<sup>®</sup> for the control of intense chronic pain</b></font></p>     <p>&nbsp;</p>     <p>&nbsp;</p>     <p><font face="Verdana" size="2">Este innovador medicamento permite controlar el dolor cr&oacute;nico intenso y prevenir la disfunci&oacute;n intestinal inducida por los opioides al combinar la acci&oacute;n de oxicodona y naloxona.</font></p>     <p><font face="Verdana" size="2">El dolor cr&oacute;nico afecta a 1 de cada 10 personas en nuestro país.</font></p>     <p><font face="Verdana" size="2">Madrid, 27 de abril de 2009. La compa&ntilde;ía farmac&eacute;utica Mundipharma ha anunciado la aprobaci&oacute;n europea del innovador analg&eacute;sico Targin<sup>&reg;</sup> indicado para el tratamiento del dolor cr&oacute;nico intenso. Este nuevo medicamento, que ha recibido la aprobaci&oacute;n europea a trav&eacute;s de un procedimiento de registro descentralizado en el que ha participado Espa&ntilde;a, permite controlar el dolor cr&oacute;nico intenso mientras que reduce significativamente el riesgo de estre&ntilde;imiento inducido por los opioides<sup>1-3</sup>.</font></p>     <p><font face="Verdana" size="2">La aprobaci&oacute;n de este medicamento est&aacute; basada en un extenso programa de desarrollo clínico realizado en varios países europeos, incluyendo Espa&ntilde;a, que ha demostrado que Targin<sup>&reg;</sup> proporciona desde la primera dosis el mismo alivio analg&eacute;sico que la oxicodona de liberaci&oacute;n prolongada, reduciendo de forma significativa el riesgo de estre&ntilde;imiento inducido por los opioides. Targin<sup>&reg;</sup> es una combinaci&oacute;n oral de oxicodona de liberaci&oacute;n prolongada, un agonista opioide mayor y naloxona de liberaci&oacute;n prolongada, un antagonista opioide<sup>1-3</sup>.</font></p>     ]]></body>
<body><![CDATA[<p><font face="Verdana" size="2">Los opioides son los analg&eacute;sicos m&aacute;s potentes para el control del dolor osteoarticular y de origen oncol&oacute;gico, pero su uso se asocia a la aparici&oacute;n de trastornos gastrointestinales, cuyo principal síntoma es el estre&ntilde;imiento<sup>4</sup>. &Eacute;ste afecta hasta el 90% de los pacientes tratados con opioides<sup>5</sup> e impacta en su calidad de vida<sup>6</sup>, lo que puede provocar el abandono del tratamiento y comprometer el cumplimiento terap&eacute;utico en pacientes con necesidad de una analgesia efectiva<sup>7</sup>.</font></p>     <p><font face="Verdana" size="2">"Targin<sup>&reg;</sup> es el primer analg&eacute;sico de su clase específicamente dise&ntilde;ado para proporcionar un control del dolor sin comprometer la funci&oacute;n intestinal. Targin<sup>&reg;</sup> a&uacute;na una alta eficacia analg&eacute;sica a un perfil &uacute;nico de tolerabilidad que contribuye decisivamente a mejorar la calidad de vida de los pacientes que sufren dolor cr&oacute;nico intenso", afirma la Dra. Karen Reimer, Directora Europea de Investigaci&oacute;n y Desarrollo de Mundipharma.</font></p>     <p><font face="Verdana" size="2">En opini&oacute;n de Alberto Martínez, Director General de Mundipharma en Espa&ntilde;a, "con el lanzamiento de Targin<sup>&reg;</sup> (previsto en 2010), Mundipharma pondr&aacute; a disposici&oacute;n tanto de los pacientes como de los profesionales de la salud un innovador tratamiento que favorece un salto cualitativo en el tratamiento del dolor cr&oacute;nico en Espa&ntilde;a. El dolor cr&oacute;nico afecta a 1 de cada 10 personas en nuestro país<sup>8</sup> y esperamos que Targin<sup>&reg;</sup> permita, por primera vez, que los pacientes no renuncien a su calidad de vida por conseguir un control efectivo de su dolor".</font></p>     <p>&nbsp;</p>     <p><font face="Verdana" size="2"><b>Acerca de Targin<sup>&reg;</sup></b></font></p>     <p><font face="Verdana" size="2">Los comprimidos de Targin<sup>&reg;</sup> combinan oxicodona, un analg&eacute;sico opioide mayor, y naloxona, un antagonista de los receptores opioides, en una formulaci&oacute;n oral de liberaci&oacute;n prolongada.</font></p>     <p><font face="Verdana" size="2">Targin<sup>&reg;</sup> ha demostrado clínicamente proporcionar una eficacia analg&eacute;sica comparable a la de oxicodona, mientras contrarresta significativamente el estre&ntilde;imiento inducido por opioides, un efecto de clase com&uacute;n a todos ellos.</font></p>     <p><font face="Verdana" size="2">Este medicamento ya est&aacute; comercializado en algunos países europeos.</font></p>     <p>&nbsp;</p>     <p><font face="Verdana" size="2"><b>Acerca de Mundipharma</b></font></p>     ]]></body>
<body><![CDATA[<p><font face="Verdana" size="2">Mundipharma, Napp y Purdue son compa&ntilde;ías independientes asociadas, presentes en los principales mercados farmac&eacute;uticos mundiales, que investigan y trabajan para ofrecer a los pacientes y profesionales de la salud nuevas opciones terap&eacute;uticas en el control del dolor, las enfermedades oncohematol&oacute;gicas y respiratorias. Para m&aacute;s informaci&oacute;n, visite: <a target="_blank" href="http://www.mundipharma.co.uk">www.mundipharma.co.uk</a>.</font></p>     <p>&nbsp;</p>     <p><font face="Verdana" size="2"><b>Para más información, contactar con:</b></font></p>     <p><font face="Verdana" size="2">Susana Traseira    <br>Directora M&eacute;dica    <br>Mundipharma Pharmaceuticals S.L.    <br>Tel: 91 382 27 04    <br>Fax: 91 382 18 71    <br>E-mail: <a href="mailto:susana.traseira@mundipharma.es">susana.traseira@mundipharma.es</a></font></p>     <p>&nbsp;</p>     ]]></body>
<body><![CDATA[<p><font face="Verdana" size="2"><b>Bibliograf&iacute;a</b></font></p>     <!-- ref --><p><font face="Verdana" size="2">1. Vondrackova D, Leyendecker P, Meissner W Hopp M, Szombati I, Hermanns K, et al. Analgesic efficacy and safety of oxycodone in combination with naloxone as prolonged release tablets in patients with moderate to severe chronic pain. J Pain. 2008;9:1144-54.</font>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;[&#160;<a href="javascript:void(0);" onclick="javascript: window.open('/scielo.php?script=sci_nlinks&ref=4879364&pid=S1134-8046200900040000800001&lng=','','width=640,height=500,resizable=yes,scrollbars=1,menubar=yes,');">Links</a>&#160;]<!-- end-ref --><!-- ref --><p><font face="Verdana" size="2">2. Meissner W, Leyendecker P, Müller-Lissner S, et al. A randomised controlled trial with prolonged-release oral oxycodone and naloxone to prevent and reverse opioid-induced constipation. Eur J Pain. 2008; doi: 10.1016/j.ejpain.2008.06.012.</font>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;[&#160;<a href="javascript:void(0);" onclick="javascript: window.open('/scielo.php?script=sci_nlinks&ref=4879365&pid=S1134-8046200900040000800002&lng=','','width=640,height=500,resizable=yes,scrollbars=1,menubar=yes,');">Links</a>&#160;]<!-- end-ref --><!-- ref --><p><font face="Verdana" size="2">3. Simpson K, Leyendecker P, Hopp M, Müller-Lissner S, Löwenstein O, De Andrés J, et al. Fixed-ratio combination oxycodone/ naloxone compared with oxycodone alone for the relief of opioid-induced constipation in moderate-to-severe non-cancer pain. Curr Med Res Opin. 2008;24:3503-12.</font>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;[&#160;<a href="javascript:void(0);" onclick="javascript: window.open('/scielo.php?script=sci_nlinks&ref=4879366&pid=S1134-8046200900040000800003&lng=','','width=640,height=500,resizable=yes,scrollbars=1,menubar=yes,');">Links</a>&#160;]<!-- end-ref --><!-- ref --><p><font face="Verdana" size="2">4. Bell TJ, Panchal SJ, Miaskowski C, Bolge SC, Milanova T, Williamson R. The prevalence, severity and impact of opioid-induced bowel dysfunction: Results of a US and European patient survey (PROBE 1). Pain Medicine. 2008;10:35-42.</font>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;[&#160;<a href="javascript:void(0);" onclick="javascript: window.open('/scielo.php?script=sci_nlinks&ref=4879367&pid=S1134-8046200900040000800004&lng=','','width=640,height=500,resizable=yes,scrollbars=1,menubar=yes,');">Links</a>&#160;]<!-- end-ref --><!-- ref --><p><font face="Verdana" size="2">5. Yuan CS, Pappagallo M. Opioid bowel dysfunction. En: Yuan CS, editor. Handbook of opioid bowel syndrome. New York: Haworth Medical Press; 2005.</font>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;[&#160;<a href="javascript:void(0);" onclick="javascript: window.open('/scielo.php?script=sci_nlinks&ref=4879368&pid=S1134-8046200900040000800005&lng=','','width=640,height=500,resizable=yes,scrollbars=1,menubar=yes,');">Links</a>&#160;]<!-- end-ref --><!-- ref --><p><font face="Verdana" size="2">6. Panchal SJ, Müller-Schwefe P, Wurzelmann JI. Opioid-induced bowel dysfunction: prevalence, pathophysiology and burden. Int J Clin Pract. 2007;61:1181-7.</font>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;[&#160;<a href="javascript:void(0);" onclick="javascript: window.open('/scielo.php?script=sci_nlinks&ref=4879369&pid=S1134-8046200900040000800006&lng=','','width=640,height=500,resizable=yes,scrollbars=1,menubar=yes,');">Links</a>&#160;]<!-- end-ref --><!-- ref --><p><font face="Verdana" size="2">7. Thorpe DM. Management of opioid-induced constipation. Curr Pain Headache Rep. 2001;5:237-40.</font>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;[&#160;<a href="javascript:void(0);" onclick="javascript: window.open('/scielo.php?script=sci_nlinks&ref=4879370&pid=S1134-8046200900040000800007&lng=','','width=640,height=500,resizable=yes,scrollbars=1,menubar=yes,');">Links</a>&#160;]<!-- end-ref --><!-- ref --><p><font face="Verdana" size="2">8. Breivik H, Collett B, Ventafridda V, Cohen R, Gallacher D. Survey of chronic pain in Europe: prevalence, impact on daily life and treatment. Eur J Pain. 2006;10:287-333.</font>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;[&#160;<a href="javascript:void(0);" onclick="javascript: window.open('/scielo.php?script=sci_nlinks&ref=4879371&pid=S1134-8046200900040000800008&lng=','','width=640,height=500,resizable=yes,scrollbars=1,menubar=yes,');">Links</a>&#160;]<!-- end-ref --> ]]></body><back>
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