Prevention and treatment of opioid misuse and addiction: a review

ND Volkow, EB Jones, EB Einstein, EM Wargo - JAMA psychiatry, 2019 - jamanetwork.com
Importance More than 42 000 Americans died of opioid overdoses in 2016, and the fatalities
continue to increase. This review analyzes the factors that triggered the opioid crisis and its …

Perioperative opioid analgesia—when is enough too much? A review of opioid-induced tolerance and hyperalgesia

LA Colvin, F Bull, TG Hales - The Lancet, 2019 - thelancet.com
Opioids are a mainstay of acute pain management but can have many adverse effects,
contributing to problematic long-term use. Opioid tolerance (increased dose needed for …

Opioid analgesia and opioid-induced adverse effects: a review

AK Paul, CM Smith, M Rahmatullah, V Nissapatorn… - Pharmaceuticals, 2021 - mdpi.com
Opioids are widely used as therapeutic agents against moderate to severe acute and
chronic pain. Still, these classes of analgesic drugs have many potential limitations as they …

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 …

Opioid receptors in immune and glial cells—implications for pain control

H Machelska, MÖ Celik - Frontiers in immunology, 2020 - frontiersin.org
Opioid receptors comprise μ (MOP), δ (DOP), κ (KOP), and nociceptin/orphanin FQ (NOP)
receptors. Opioids are agonists of MOP, DOP, and KOP receptors, whereas …

Advances in achieving opioid analgesia without side effects

H Machelska, MÖ Celik - Frontiers in pharmacology, 2018 - frontiersin.org
Opioids are the most effective drugs for the treatment of severe pain, but they also cause
addiction and overdose deaths, which have led to a worldwide opioid crisis. Therefore, the …

New concepts in opioid analgesia

C Stein - Expert opinion on investigational drugs, 2018 - Taylor & Francis
Introduction: Opioids are the oldest and most potent drugs for the treatment of severe pain,
but they are burdened by detrimental side effects such as respiratory depression, addiction …

Oxidative metabolism as a modulator of kratom's biological actions

S Chakraborty, R Uprety, ST Slocum, T Irie… - Journal of medicinal …, 2021 - ACS Publications
The leaves of Mitragyna speciosa (kratom), a plant native to Southeast Asia, are increasingly
used as a pain reliever and for attenuation of opioid withdrawal symptoms. Using the tools of …

Pharmacotherapy and the role of pharmacists in rehabilitation medicine

Y Yoshimura, A Matsumoto… - Progress in rehabilitation …, 2022 - jstage.jst.go.jp
Pharmacotherapy is important in older patients undergoing rehabilitation because such
patients, especially those with frailty and physical disabilities, are susceptible to drug-related …

A biased view of μ-opioid receptors?

AE Conibear, E Kelly - Molecular pharmacology, 2019 - ASPET
The field of biased agonism has grown substantially in recent years and the μ-opioid
receptor has been one of the most intensively studied receptor targets for developing biased …