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Acute opioid withdrawal syndrome from naloxone/naloxegol interaction.
Author: ComaEva, González-BarboteoJesús, MorenoDeborah, OlmoMontserrat, SerranoGala
Original Abstract of the Article :
Naloxegol is a new peripherally acting mu-opioid receptor antagonist to treat opioid-induced constipation with supposedly no effect on opioid analgesia. We present a patient with cancer-related pain who developed acute opioid withdrawal symptoms due to an interaction between the opioid antagonist na...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://doi.org/10.1136/bmjspcare-2020-002387
データ提供:米国国立医学図書館(NLM)
Opioid Withdrawal Syndrome: A Case of Naloxone/Naloxegol Interaction
This research delves into the complex world of opioid withdrawal syndrome. It utilizes a case study approach to examine the unexpected consequences of combining naloxone and naloxegol, two medications used to manage opioid-induced constipation. The researchers found that this combination can lead to severe acute withdrawal symptoms, even in patients with cancer-related pain who are already receiving opioids. This discovery highlights the importance of careful monitoring and a thorough understanding of drug interactions.
A Cautionary Tale: The Importance of Drug Interactions
The case study reveals a potentially dangerous interaction between naloxone and naloxegol. The researchers note that after switching from oxycodone to oxycodone/naloxone, the patient experienced severe agitation, anxiety, sweating, tachycardia, disorientation, and yawning. This adverse event emphasizes the importance of being mindful of drug interactions, particularly when dealing with potent medications like opioids.
Navigating Opioid Therapy: Considerations for Patients and Physicians
The findings of this study suggest that combining naloxone and naloxegol may pose significant risks to patients. This underscores the need for doctors and patients to carefully consider the potential for drug interactions. It is crucial to ensure appropriate monitoring and management of opioid therapy, especially when using medications with known interactions.
Dr. Camel's Conclusion
Just like a camel navigating a vast desert, doctors must be cautious in navigating the complexities of opioid therapy. The combination of naloxone and naloxegol can be a dangerous oasis in disguise, leading to unforeseen withdrawal symptoms. This case study emphasizes the importance of careful consideration and thorough monitoring to ensure patient safety.
Date :
- Date Completed 2021-11-22
- Date Revised 2021-11-22
Further Info :
Related Literature
English
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