{"title":"Opioids in pain medicine","authors":"Adam Green, Helen Laycock","doi":"10.1016/j.mpaic.2025.03.002","DOIUrl":null,"url":null,"abstract":"<div><div>Opioids represent an important class of analgesic medication and are effective in moderate to severe acute and cancer pain management. Opioids bind to G protein coupled receptors leading to a variety of physiological effects, including analgesia. Choosing the most appropriate opioid for each individual patient will depend upon the opioids individual pharmacokinetics and pharmacodynamics, their actions across different physiological systems, side effect profiles, available routes of administration and patient factors that impact on drug efficacy. Appropriate governance and opioid stewardship is required to ensure safety and avoidance of misuse.</div></div>","PeriodicalId":45856,"journal":{"name":"Anaesthesia and Intensive Care Medicine","volume":"26 5","pages":"Pages 260-266"},"PeriodicalIF":0.2000,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Anaesthesia and Intensive Care Medicine","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1472029925000463","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"ANESTHESIOLOGY","Score":null,"Total":0}
引用次数: 0
Abstract
Opioids represent an important class of analgesic medication and are effective in moderate to severe acute and cancer pain management. Opioids bind to G protein coupled receptors leading to a variety of physiological effects, including analgesia. Choosing the most appropriate opioid for each individual patient will depend upon the opioids individual pharmacokinetics and pharmacodynamics, their actions across different physiological systems, side effect profiles, available routes of administration and patient factors that impact on drug efficacy. Appropriate governance and opioid stewardship is required to ensure safety and avoidance of misuse.
期刊介绍:
Anaesthesia and Intensive Care Medicine, an invaluable source of up-to-date information, with the curriculum of both the Primary and Final FRCA examinations covered over a three-year cycle. Published monthly this ever-updating text book will be an invaluable source for both trainee and experienced anaesthetists. The enthusiastic editorial board, under the guidance of two eminent and experienced series editors, ensures Anaesthesia and Intensive Care Medicine covers all the key topics in a comprehensive and authoritative manner. Articles now include learning objectives and eash issue features MCQs, facilitating self-directed learning and enabling readers at all levels to test their knowledge. Each issue is divided between basic scientific and clinical sections. The basic science articles include anatomy, physiology, pharmacology, physics and clinical measurement, while the clinical sections cover anaesthetic agents and techniques, assessment and perioperative management. Further sections cover audit, trials, statistics, ethical and legal medicine, and the management of acute and chronic pain.