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On Thursday, the U.S. Food and Drug Administration (FDA) granted approval to a groundbreaking, opioid-free pain medication, offering patients a safe and non-addictive alternative for managing pain.
Developed by Vertex, Journavx (suzetrigine) stands as the “first and only approved non-opioid oral pain signal inhibitor,” according to a press release from the Massachusetts-based company. This new medication targets adults experiencing moderate to severe acute pain.
As many patients recover from surgery or survive traumatic injuries, they often rely on opioid medications, which can lead to addiction. Dr. Julie Pilitsis, a neurosurgeon at Banner – University Medicine and chair of the Department of Neurosurgery at the University of Arizona College of Medicine, emphasizes the crucial need for alternatives. “For many patients, this is their first introduction to opioids, and some face a risk of developing dependency,” she explains.
Dr. Pilitsis further states, “Patients suffering from pain have lacked options that do not carry a risk of addiction or intolerable side effects.” This new medication addresses that gap significantly.
Traditional pain relievers often interact with brain receptors, which can result in addiction and unwanted side effects. In contrast, Journavx operates by inhibiting sodium channels, functioning outside the brain on pain receptors. Dr. Pilitsis notes, “The ability to prescribe a non-opioid solution is exciting. After nearly two decades without new options for acute pain, this marks a significant breakthrough.”
Acute pain, defined as sudden or urgent pain from injury or surgery, affects over 80 million Americans annually and is a leading cause for visits to emergency departments. Statistics show that approximately half of those experiencing acute pain are prescribed opioids, with about 10% continuing prolonged use.
In a concerning trend, over five million Americans, age 12 and older, reported a “prescription use disorder” within the last year. Moreover, nearly 294,000 people succumbed to prescription opioid overdoses between 1999 and 2022.
Journavx may provide effective management of acute pain, potentially preventing the transition to chronic pain without the risk of dependency. Dr. Jianguo Cheng, a pain management specialist at the Cleveland Clinic, stresses this crucial benefit: “Existing therapies often rely on opioids, contributing to misuse and dependency. Journavx’s non-opioid mechanism minimizes these risks, making it a safer choice for acute pain management.”
Beyond acute pain, Dr. Cheng notes that Journavx might also help with neuropathic (nerve) pain pending further studies. This exploration opens new doors for patients suffering from various types of pain.
Dr. Marc Siegel, a clinical professor of medicine at NYU Langone Health and Fox News senior medical analyst, commended the approval of Journavx. He remarked, “With no signs of addiction, this medication represents a critical advancement in our battle against the opioid epidemic.”
Furthermore, clinical trials demonstrated high satisfaction among patients, with 83% reporting good to excellent pain relief. Dr. Cheng noted that Journavx effectively reduced pain by about 50%, qualifying its performance as excellent.
Patients in need of acute pain management can now access Journavx. Dr. Pilitsis advises, “It’s crucial for patients to find physicians comfortable prescribing this medication and to verify with their insurance providers regarding coverage.”
The medication is anticipated to align with the upcoming Non-Opioids Prevent Addiction in the Nation (NOPAIN) Act set to take effect in January 2025. This act will enhance Medicare coverage for FDA-approved non-opioid pain therapies, according to Dr. Cheng.
The company notes that common side effects of Journavx may include itching, muscle spasms, rashes, and increased levels of creatine phosphokinase enzyme in the blood. Furthermore, patients should be aware that temporary fertility challenges can occur.
As with any medication, patients are encouraged to consult their doctor if side effects become bothersome or persist. It’s also critical to consider potential interactions with other medications and foods, particularly those containing grapefruit, which may affect the drug’s effectiveness.
The introduction of Journavx signifies a pivotal shift in managing acute pain without the looming threat of addiction. As patients and healthcare providers embrace this novel option, it fosters hope for improved treatment outcomes in pain management.