Peripherally Acting μ-Opioid Receptor Antagonists for the Treatment of Opioid-Related Side Effects: Mechanism of Action and Clinical Implications.

Author: BilskyEdward J, StreicherJohn M

Paper Details 
Original Abstract of the Article :
Opioid receptors are distributed throughout the central and peripheral nervous systems and on many nonneuronal cells. Therefore, opioid administration induces effects beyond analgesia. In the enteric nervous system (ENS), stimulation of µ-opioid receptors triggers several inhibitory responses that c...See full text at original site
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引用元:
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6291905/

データ提供:米国国立医学図書館(NLM)

Unlocking the Mysteries of Opioid-Induced Constipation

The world of medicine is like a vast desert, full of complex challenges. One such challenge is the management of opioid-induced bowel dysfunction (OBD), a common side effect of opioid use. This research, like a map leading to a hidden oasis, explores the mechanism of action of peripherally acting μ-opioid receptor antagonists (PAMORAs) in treating OBD, specifically opioid-induced constipation (OIC). These medications, like desert plants that thrive in harsh conditions, specifically target the peripheral nervous system, leaving the central nervous system largely unaffected. This selective targeting allows for effective relief of constipation without compromising the pain-relieving effects of opioids. The study provides a comprehensive overview of the burden of OIC, shedding light on the negative impact it has on patients' quality of life.

The Promise of PAMORAs

The study underscores the potential of PAMORAs to significantly improve patient quality of life by alleviating constipation. It highlights their effectiveness as a treatment option beyond laxatives, offering a more direct approach to addressing the root cause of OIC. The study also discusses the potential applications of PAMORAs in reducing the increased cardiac risk or potential tumorigenic effects of opioids, demonstrating their broad-reaching therapeutic potential.

Navigating the Side Effects

Just as navigating a desert requires a careful understanding of its challenges, managing opioid use requires awareness of potential side effects. This research provides valuable insights into the mechanism of action of PAMORAs and their effectiveness in managing OIC, helping healthcare providers and patients make informed decisions about treatment options.

Dr.Camel's Conclusion

This research is like discovering a new oasis in the desert - offering hope and relief to those struggling with opioid-induced constipation. PAMORAs, with their targeted approach and potential for broader applications, represent a significant step forward in managing the challenges associated with opioid use.

Date :
  1. Date Completed 2020-06-11
  2. Date Revised 2022-03-31
Further Info :

Pubmed ID

28946783

DOI: Digital Object Identifier

PMC6291905

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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