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Related Concept Videos

Analgesia and Pain Management01:25

Analgesia and Pain Management

Pain is critical to various clinical pathologies, provoking an urgent need for effective management. Pain, whether acute or chronic, is a complex neurochemical process. Its alleviation depends on the type, with nonopioid analgesics effective for mild to moderate pain, such as musculoskeletal or inflammatory pain, while neuropathic pain responds best to anticonvulsants, tricyclic antidepressants, or serotonin/norepinephrine reuptake inhibitors. For severe acute or chronic pain, opioids may be...
Opioid Analgesics: Morphine and Other Natural Cogeners01:20

Opioid Analgesics: Morphine and Other Natural Cogeners

Opioids are a class of drugs that mimic endogenous opioid peptides and act on opioid receptors, and help in pain relief. These compounds are classified as natural, synthetic, or semi-synthetic. Natural opioids, like morphine, codeine, and thebaine, are derived from the opium poppy plant (Papaver somniferum or Papaver album) and are termed opiates. Synthetic opioids are artificial, while semi-synthetic opioids combine natural and synthetic compounds. Morphine, a prototypical opioid, possesses a...
Opioid Analgesics: Synthetic and Semisynthetic Opioids01:15

Opioid Analgesics: Synthetic and Semisynthetic Opioids

Synthetic and semisynthetic opioids are pivotal in pain management and tackling opioid addiction. Semisynthetic opioids, including morphinans (morphine derivatives), oxycodone, oxymorphone, hydrocodone, and hydromorphone, have improved pharmacokinetic profiles compared to morphine. Additionally, heroin and 6-MAM (6-Monoacetylmorphine) show better CNS penetration than morphine due to heightened lipid solubility. Hydromorphone, a potent opioid, undergoes hepatic metabolism to form the active...
Angina II: Classification01:27

Angina II: Classification

Angina, also known as angina pectoris, is a chest pain resulting from diminished blood flow to the heart muscle and is often a symptom of coronary artery disease. Angina presents several variants with distinctive attributes, etiologies, and therapeutic approaches. The main types of angina include stable, unstable, variant (Prinzmetal's), microvascular, intractable, and silent ischemia.Stable angina is caused by atherosclerosis, which leads to the formation of plaques that narrow the coronary...
Angina IV: Management01:26

Angina IV: Management

IntroductionThe management of angina requires a comprehensive approach that includes pharmacological therapies, medical procedures, and lifestyle modifications.Pharmacological TherapiesAntiplatelet agents, such as aspirin, clopidogrel, prasugrel, and ticagrelor, play a pivotal role in preventing thrombus formation in patients with angina. These medications inhibit platelet aggregation and reduce the likelihood of myocardial infarction and other cardiovascular events.Anticoagulants, including...
Peripheral Artery Disease V: Postoperative Nursing Management01:23

Peripheral Artery Disease V: Postoperative Nursing Management

During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...

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Related Experiment Video

Updated: Jul 9, 2026

Intracranial Pharmacotherapy and Pain Assays in Rodents
02:26

Intracranial Pharmacotherapy and Pain Assays in Rodents

Published on: April 9, 2019

Opioids in pain management.

H McQuay1

  • 1Pain Research, Nuffield Department of Anaesthetics, University of Oxford, The Churchill, Oxford Radcliffe Hospital, Headington, UK. henry.mcquay@pru.ox.ac.uk

Lancet (London, England)
|July 7, 1999
PubMed
Summary

Opioid analgesics are powerful pain relievers, but their optimal use is hindered by societal factors and insufficient knowledge. Addressing these issues is crucial for effective pain management, especially in chronic and cancer pain patients.

Area of Science:

  • Pain Management
  • Pharmacology
  • Public Health Policy

Background:

  • Opioids are potent analgesics with a long history of use.
  • Societal factors, including historical prejudice and political influences, have impacted opioid prescribing practices.
  • Restrictions on opioid availability persist globally, affecting patient access to pain relief.

Purpose of the Study:

  • To review the current state of opioid prescribing for pain management.
  • To highlight the challenges and barriers to optimal opioid use.
  • To emphasize the importance of informed prescribing and legislation for chronic and cancer pain.

Main Methods:

  • Literature review focusing on opioid use in chronic and cancer pain.
  • Analysis of historical and contemporary factors influencing opioid prescribing.

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  • Discussion of the impact of policy and societal attitudes on pain management.
  • Main Results:

    • Opioid prescribing is often suboptimal due to political and societal factors, not just clinical considerations.
    • Historical precedents demonstrate how non-medical arguments have influenced drug regulation.
    • Current restrictions may lead to prolonged and unnecessary suffering for patients with chronic pain.

    Conclusions:

    • Optimizing opioid prescribing requires addressing political, societal, and educational barriers.
    • Informed legislation and practice are essential to prevent undue suffering in patients with chronic and cancer pain.
    • Further research and open discussion are needed to ensure effective pain management with opioids.