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The longitudinal impact of low-dose morphine on diurnal cortisol profiles in people with chronic breathlessness and chronic obstructive pulmonary disease (COPD): an exploratory study


Study Overview

This study explored how low-dose morphine affects cortisol levels and breathlessness in people with chronic obstructive pulmonary disease (COPD). Cortisol is a hormone linked to stress, and understanding its levels can help in managing health outcomes.

Study Details

The research was part of a larger clinical trial involving 20 mostly female participants who were former smokers. The participants received either low-dose morphine or a placebo. They collected saliva samples to measure cortisol levels over 12 weeks.

Key Findings

  • There was no significant difference in cortisol levels between the morphine and placebo groups at the start and after one week.
  • Older participants with more health issues had lower cortisol levels.
  • In a smaller group still participating after 12 weeks, those on morphine showed improvement in breathlessness and better cortisol profiles.

Practical Healthcare Results

The study suggests that reducing breathlessness may help improve cortisol levels in some patients with COPD. This could lead to better overall health outcomes.

Measurable Outcomes

  • Reduction in average breathlessness scores.
  • Improvement in cortisol slopes over time.

Goals for Clinics and Patients

Clinics should aim to:

  • Monitor breathlessness and cortisol levels in COPD patients.
  • Consider low-dose morphine as a treatment option for managing chronic breathlessness.

Next Steps

To implement findings, clinics can start with pilot projects using AI tools to track patient outcomes based on this study.

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