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Naldemedine-induced opioid withdrawal syndrome with severe psychiatric symptoms in an advanced cervical cancer patient without brain metastasis.
Author: AdachiNasako, HiraokaMie, IshidaMayumi, IshiguroTomohito, ItogaTomoko, OnishiHideki, SuganoKoji, YaguchiAyako
Original Abstract of the Article :
Label="OBJECTIVE">Naldemedine, an oral peripheral <i>μ</i>-opioid receptor antagonist, was developed for the treatment of constipation, a side effect of opioid use. Naldemedine is not generally recognized as causing opioid withdrawal in which associated symptoms affecting the central nervous sy...See full text at original site
Dr.Camel's Paper Summary Blogラクダ博士について
ラクダ博士は、Health Journal が論文の内容を分かりやすく解説するために作成した架空のキャラクターです。
難解な医学論文を、専門知識のない方にも理解しやすいように、噛み砕いて説明することを目指しています。
* ラクダ博士による解説は、あくまで論文の要点をまとめたものであり、原論文の完全な代替となるものではありません。詳細な内容については、必ず原論文をご参照ください。
* ラクダ博士は架空のキャラクターであり、実際の医学研究者や医療従事者とは一切関係がありません。
* 解説の内容は Health Journal が独自に解釈・作成したものであり、原論文の著者または出版社の見解を反映するものではありません。
引用元:
https://pubmed.ncbi.nlm.nih.gov/34955117
データ提供:米国国立医学図書館(NLM)
Naldemedine: A Cautionary Tale in Opioid Withdrawal
The world of [Opioid withdrawal] is a complex one, often characterized by a range of challenging symptoms. This case report explores a patient who experienced a severe opioid withdrawal syndrome after being administered naldemedine, a peripheral μ-opioid receptor antagonist. The patient, who had advanced cervical cancer, exhibited severe psychiatric symptoms, highlighting the potential for naldemedine to induce opioid withdrawal even in patients without brain metastasis.
Navigating the Desert of Opioid Withdrawal
This case report underscores the potential for naldemedine to induce opioid withdrawal, even in patients without brain metastasis. This finding is significant because naldemedine is not generally recognized as causing opioid withdrawal. The researchers suggest that clinicians should be aware of the potential for naldemedine to induce opioid withdrawal, especially in patients with a history of opioid use.
A Cautionary Note for Clinicians
This case report provides a cautionary note for clinicians who prescribe naldemedine. It highlights the importance of carefully considering patient history, particularly those with a history of opioid use, and monitoring for signs of opioid withdrawal. The researchers emphasize the need for vigilance and awareness of the potential for naldemedine to induce withdrawal symptoms.
Dr.Camel's Conclusion
This case report serves as a reminder of the complexities of opioid withdrawal, highlighting the potential for even seemingly benign medications to induce withdrawal symptoms. It's a journey through a desert landscape, where unexpected challenges can arise. This study underscores the importance of clinical vigilance and careful consideration of patient history when prescribing medications that can affect the opioid system.
Date :
- Date Completed 2022-06-20
- Date Revised 2022-08-16
Further Info :
Related Literature
English
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