Pharmacodynamic effects of oral oxymorphone: abuse liability, analgesic profile and direct physiologic effects in humans.

Author: BabalonisShanna, LofwallMichelle R, NuzzoPaul A, WalshSharon L

Paper Details 
Original Abstract of the Article :
Oxymorphone is a semisynthetic μ-opioid agonist, marketed as a prescription analgesic purported to be twice as potent as oxycodone for pain relief. Oral formulations of oxymorphone were reintroduced in the United States in 2006 and reports of abuse ensued; however, there are limited data available o...See full text at original site
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引用元:
https://pubmed.ncbi.nlm.nih.gov/25130052

データ提供:米国国立医学図書館(NLM)

Oxymorphone: A Potent Painkiller with Potential for Abuse

This study investigates the pharmacodynamic effects of oral oxymorphone, a semisynthetic μ-opioid agonist, in comparison with oxycodone, another commonly prescribed opioid analgesic. The researchers conducted a controlled study in healthy opioid abusers, assessing the direct physiologic effects, abuse liability, analgesic profile, and overall pharmacodynamic potency of oxymorphone relative to oxycodone. The study aimed to provide a comprehensive understanding of the potential benefits and risks associated with oxymorphone use.

Oxymorphone: A Double-Edged Sword

The study found that oxymorphone produced less potent effects than oxycodone on several measures, including miosis, respiratory depression, and experimental pain models. However, at higher doses, oxymorphone's abuse liability was similar to that of oxycodone, highlighting the potential for misuse and addiction with this potent analgesic. The study emphasizes the need for careful monitoring and appropriate use of oxymorphone in clinical practice.

Balancing the Scales: Pain Relief and Abuse Potential

This study highlights the complex nature of opioid analgesics, balancing their potential for pain relief with their inherent risks of abuse and addiction. The study's findings emphasize the need for a cautious approach to prescribing oxymorphone, considering individual patient needs and potential risk factors for misuse. Further research is needed to optimize the use of oxymorphone and minimize its potential for abuse, ensuring its safe and effective application in clinical settings.

Dr. Camel's Conclusion

Oxymorphone, like a shimmering oasis in the desert of pain relief, holds the potential to quench the thirst for pain management. However, it is important to remember that this potent analgesic can also be a dangerous mirage, leading to addiction and abuse. This study serves as a reminder that the responsible use of opioids is paramount, ensuring their benefits are maximized while minimizing their potential risks.

Date :
  1. Date Completed 2016-11-01
  2. Date Revised 2021-10-21
Further Info :

Pubmed ID

25130052

DOI: Digital Object Identifier

NIHMS673036

SNS
PICO Info
in preparation
Languages

English

Positive IndicatorAn AI analysis index that serves as a benchmark for how positive the results of the study are. Note that it is a benchmark and requires careful interpretation and consideration of different perspectives.

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