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New Pain Medication Approved by the FDA

Writer's picture: Don DrakeDon Drake
Medicaid Planning
Medicaid Planning Rhode Island
Attorney RJ Connelly III

On January 30, 2025, the U.S. Food and Drug Administration (FDA) approved Journavx (suzetrigine). This new pain medication marks a significant advancement in pain management for adults experiencing moderate to severe acute pain. This approval is noteworthy as Journavx is the first non-opioid medication in its pharmacological category to receive FDA approval in over twenty years.


"Journavx employs an innovative mechanism designed to effectively alleviate pain while significantly mitigating the risks commonly associated with traditional opioid therapies, including addiction and adverse side effects," stated RJ Connelly III, a professional fiduciary and certified elder law attorney. "This is significant as many of our clients report that they experience chronic pain due to conditions such as arthritis, neuropathy, post-surgical recovery, and other age-related issues. However, the non-opioid pain relievers they have been prescribed have not sufficiently addressed their pain management needs. This advancement represents a critical shift in pain management strategies, particularly considering the concerns regarding opioid dependency and abuse among the elderly population. Further, it expands the range of treatment options available to healthcare providers and their older patients."


How It works

Unlike traditional opioids, which are potent medications frequently associated with the risks of addiction and dependence, Journavx emerges as a compelling alternative that significantly reduces the likelihood of misuse. "Administered orally, this innovative medication effectively intercepts pain signals before they can reach the brain, offering a novel mechanism of action," said Attorney Connelly. "Unlike opioids, which interact with specific receptors in the brain and spinal cord to alleviate discomfort, Journavx targets the root of the pain itself, delivering targeted relief rather than merely masking symptoms."


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This drug targets the pain at its source rather than in the brain

This approach not only ensures effective management of pain but also significantly minimizes the adverse side effects that often accompany opioid use. Journavx stands out for its immediate pain-relieving capabilities and its role in promoting safer prescribing practices. By addressing both pain management and the prevention of substance use disorders, Journavx represents a significant advancement in the quest for safer, more responsible alternatives to traditional pain therapies.


Journavx and Seniors

As the American population continues to age, a growing number of older adults, particularly those aged sixty-five and older, are grappling with the challenges linked to problematic opioid use and addiction. This pressing issue encompasses not only the misuse of prescribed opioids but also the consumption of illicit substances, creating a complex landscape of risk and vulnerability.


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Increased falls are associated with opioid use

"In this demographic, the misuse of opioids is associated with a range of adverse health outcomes that can severely undermine their quality of life," stated Attorney Connelly. "The detrimental effects include excessive sedation and cognitive impairment, which may worsen existing neurological conditions, creating a vicious cycle of physical and mental decline."


Additionally, the physical dangers posed by opioid use are significant, leading to an increased risk of falls and the subsequent heartbreaking consequences of fractures and injuries. Moreover, many older adults experience gastrointestinal complications such as constipation, a common side effect of opioid consumption, which can further exacerbate their health issues and lead to a more precarious state.


"Chronic pain is a particularly poignant concern within this population, as many seniors endure debilitating conditions that require effective pain management strategies," Attorney Connelly pointed out. "The presence of comorbid medical conditions ranging from arthritis and diabetes to heart disease often complicates treatment approaches, heightening the risk of opioid misuse. The situation is further exacerbated for those with coexisting disorders such as alcohol use disorder or depression, as these individuals may turn to opioids as a misguided method of coping or self-medication, thereby deepening their struggles. This new medication can address the challenges faced by seniors in managing pain effectively."


Cost of Treatment

The list price for Journavx is established at $15.50 per 50-milligram pill. Over two weeks, the total expenditure for a complete course of this medication amounts to $420. "The extent of coverage provided by various insurance plans for Journavx remains unclear," Attorney Connelly said. "However, patients requiring assistance can access support through dedicated patient support programs specifically designed for Journavx, which offer valuable resources and assistance."


Some Drawbacks

According to the literature, Journavx, as with all medications, can cause some side effects. Patients' most common side effects include itching, muscle spasms, increased creatine phosphokinase levels, and rash. Also, Journavx may temporarily lower women's chances of getting pregnant while being treated, which is not an issue for the age group we are discussing but is important to know.


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Discuss possible side effects with your provider

Do not take this medicine with strong or moderate CYP3A inhibitors. These include drugs like clarithromycin, telithromycin, nefazodone, itraconazole, ketoconazole, atazanavir, darunavir, indinavir, lopinavir, and nelfinavir. Avoid medications like amiodarone, erythromycin, fluconazole, miconazole, diltiazem, verapamil, delavirdine, amprenavir, fosamprenavir, and conivaptan. Also, grapefruit juice can affect CYP3A, possibly increasing drug levels and causing side effects.


Additionally, do not use  Journavx with CYP3A inducers like carbamazepine, phenobarbital, phenytoin, rifampin, and dexamethasone, as these can increase CYP3A activity and lead to drug interactions. Always speak with your doctor about the side effects of this medication.


A Final Note

"Journavx represents a significant advancement in pain relief solutions for the senior population, providing a safe and effective alternative to traditional treatments," stated Attorney Connelly. "This groundbreaking medication focuses on ensuring patient safety while effectively delivering therapeutic benefits, addressing a significant gap in the current market. The recent FDA approval highlights the urgent need for new, non-opioid alternatives in pain management, especially considering the ongoing opioid crisis that has affected countless individuals, including older adults. By promoting better chronic pain management, Journavx has the potential to relieve discomfort and improve the overall quality of life for seniors."

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Please note that the information provided in this blog is not intended to and should not be construed as legal, financial, or medical advice. The content, materials, and information presented in this blog are solely for general informational purposes and may not be the most up-to-date information available regarding legal, financial, or medical matters. This blog may also contain links to other third-party websites that are included for the convenience of the reader or user. Please note that Connelly Law Offices, Ltd. does not necessarily recommend or endorse the contents of such third-party sites. If you have any particular legal matters, financial concerns, or medical issues, we strongly advise you to consult your attorney, professional fiduciary advisor, or medical provider.

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