An overview of treatment approaches for chronic pain management

N Hylands-White, RV Duarte, JH Raphael - Rheumatology international, 2017 - Springer
Pain which persists after healing is expected to have taken place, or which exists in the
absence of tissue damage, is termed chronic pain. By definition chronic pain cannot be …

[HTML][HTML] Perioperative pain management and opioid stewardship: a practical guide

SJ Hyland, KK Brockhaus, WR Vincent, NZ Spence… - Healthcare, 2021 - mdpi.com
Surgical procedures are key drivers of pain development and opioid utilization globally.
Various organizations have generated guidance on postoperative pain management …

Low intrinsic efficacy for G protein activation can explain the improved side effect profiles of new opioid agonists

A Gillis, AB Gondin, A Kliewer, J Sanchez, HD Lim… - Science …, 2020 - science.org
Biased agonism at G protein–coupled receptors describes the phenomenon whereby some
drugs can activate some downstream signaling activities to the relative exclusion of others …

Mu opioids and their receptors: evolution of a concept

GW Pasternak, YX Pan - Pharmacological reviews, 2013 - ASPET
Opiates are among the oldest medications available to manage a number of medical
problems. Although pain is the current focus, early use initially focused upon the treatment of …

[HTML][HTML] A narrative pharmacological review of buprenorphine: a unique opioid for the treatment of chronic pain

J Gudin, J Fudin - Pain and therapy, 2020 - Springer
Buprenorphine is a Schedule III opioid analgesic with unique pharmacodynamic and
pharmacokinetic properties that may be preferable to those of Schedule II full μ-opioid …

Buprenorphine–an attractive opioid with underutilized potential in treatment of chronic pain

IK Khanna, S Pillarisetti - Journal of pain research, 2015 - Taylor & Francis
Despite proven clinical utility, buprenorphine has not been used widely for the treatment of
chronic pain. Questions about “ceiling effect” or bell-shaped curve observed for analgesia in …

Acute pain management in opioid-tolerant patients: a growing challenge

CA Huxtable, LJ Roberts, AA Somogyi… - … and intensive care, 2011 - journals.sagepub.com
In Australia and New Zealand, in parallel with other developed countries, the number of
patients prescribed opioids on a long-term basis has grown rapidly over the last decade …

Non-analgesic effects of opioids: opioid-induced respiratory depression

M Boom, M Niesters, E Sarton, L Aarts… - Current …, 2012 - ingentaconnect.com
Opioids induce respiratory depression via activation of μ-opioid receptors at specific sites in
the central nervous system including the pre-Bötzinger complex, a respiratory rhythm …

Surgery induced immunosuppression

BV Hogan, MB Peter, HG Shenoy, K Horgan… - The Surgeon, 2011 - Elsevier
Surgery and anaesthesia result in a variety of metabolic and endocrine responses, which
result in a generalised state of immunosuppression in the immediate post-operative period …

Treating chronic pain: an overview of clinical studies centered on the buprenorphine option

MP Davis, G Pasternak, B Behm - Drugs, 2018 - Springer
The buprenorphine receptor binding profile is unique in that it binds to all three major opioid
receptors (mu, kappa, delta), and also binds to the orphan-like receptor, the receptor for …