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Assessment of Morphine-induced Hyperalgesia and Analgesic Tolerance in Mice Using Thermal and Mechanical Nociceptive Modalities
Published on: July 29, 2014
Unwarranted allergy labels against opioids
Peter Gaarsdal Uhrbrand1,2, Kenneth Skov3,4, Andreas Halgreen Eiset5,6
1Bedøvelse og Operation, Aarhus Universitetshospital.
Abstract:
Allergy warnings against opioids are often registered in patient notes which may limit options for pain management. IgE-mediated allergic reactions and anaphylaxis to opioids are infrequent. More frequently, morphine and other opioids cause non-IgE-mediated histamine release leading to milder symptoms which may partly mimic an anaphylactic reaction and cause clinicians to treat it as such. This case report describes a 28-year-old female whose mild reactions were repeatedly misinterpreted as severe allergic reactions, leading to incorrect allergy labels and surgery delay.
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