“DR. TREVOR” STEFANSKI, M.D.
Minimally Invasive Specialist
Suzetrigine (Journavx): A Promising Non-Opioid Pain Relief Option

Suzetrigine (Journavx): A Promising Non-Opioid Pain Relief Option


Introduction

For those experiencing moderate to severe pain, finding an effective, non-addictive alternative to opioids is a top priority. Suzetrigine (Journavx) is an exciting new FDA-approved medication that provides strong pain relief while avoiding the risks associated with opioids, such as addiction, drowsiness, and nausea.

Unlike traditional pain medications, which block pain receptors in the brain, Suzetrigine dampens pain signals in the nerves before they ever reach the brain. This novel mechanism allows for effective pain relief while reducing mental fog, dizziness, and dependence concerns.

How Does Suzetrigine Work?

Suzetrigine (Journavx) is part of a new class of non-opioid pain medications. It works by selectively blocking NaV1.8 pain-signaling channels found in peripheral nerves, preventing pain signals from traveling to the brain. This allows for pain relief without impairing cognitive function, respiratory function, or causing opioid-like side effects.

Who Can Benefit from Suzetrigine (Journavx)?

  • Patients recovering from surgery (e.g., joint replacement, bunionectomy, abdominal surgery)
  • Individuals seeking an opioid-free pain solution
  • Patients who have not responded well to NSAIDs but need stronger pain relief

Top 100 CYP3A Inhibitors That May Interact with Suzetrigine

CategoryCommon Medications
AntibioticsClarithromycin, Erythromycin, Telithromycin, Ciprofloxacin, Azithromycin, Roxithromycin
AntifungalsKetoconazole, Itraconazole, Voriconazole, Fluconazole (high doses), Posaconazole, Clotrimazole
HIV MedicationsRitonavir, Cobicistat, Indinavir, Nelfinavir, Saquinavir, Efavirenz
Heart MedicationsDiltiazem, Verapamil, Amiodarone, Nicardipine, Quinidine, Ranolazine
Stomach MedicationsCimetidine, Grapefruit Juice, Omeprazole, Lansoprazole, Pantoprazole, Esomeprazole
Psychiatric MedicationsFluoxetine, Fluvoxamine, Nefazodone, Sertraline, Paroxetine, Clomipramine
Neurological MedicationsCarbamazepine, Phenytoin, Valproic Acid, Topiramate, Lamotrigine, Levetiracetam

What Prescribers Need to Know

Dosing Guidelines:

  • Loading dose: 100 mg
  • Maintenance dose: 50 mg every 12 hours
  • Maximum duration: 14 days

Monitoring & Safety:

  • Assess pain relief and side effects within the first 48 hours
  • Monitor for muscle spasms and elevated creatine phosphokinase (CPK) levels
  • Avoid strong CYP3A inhibitors to prevent excessive drug accumulation

Conclusion

Suzetrigine (Journavx) offers effective pain management without the risks of opioids. While its long-term effects are still being studied, it represents a significant step forward in pain relief.

For more information, visit my Patient Education Portal.

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