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

Paper Details 
Original Abstract of the Article :
Label="OBJECTIVE">Naldemedine, an oral peripheral <i>&#956;</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
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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 :
  1. Date Completed 2022-06-20
  2. Date Revised 2022-08-16
Further Info :

Pubmed ID

34955117

DOI: Digital Object Identifier

S1478951521001917

Related Literature

SNS
PICO Info
in preparation
Languages

English

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