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Opioid Analgesics: Synthetic and Semisynthetic Opioids01:15

Opioid Analgesics: Synthetic and Semisynthetic Opioids

204
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...
204
Opioid Analgesics: Morphine and Other Natural Cogeners01:20

Opioid Analgesics: Morphine and Other Natural Cogeners

160
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...
160
Analgesia and Pain Management01:25

Analgesia and Pain Management

422
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...
422
Prescription, Nonprescription and Orphan Drugs01:02

Prescription, Nonprescription and Orphan Drugs

677
Prescription drugs require a prescription from a medical practitioner and can only be obtained from a pharmacy. They have many applications, including treating pain, anxiety, and hypertension.
The misuse and addiction to prescription drugs is a growing problem that can affect people of all age groups, specifically teenagers. This can happen when prescription medications are used in ways not intended by the prescriber, such as taking someone else's prescription or using medication for...
677
Opioid Receptors: Overview01:22

Opioid Receptors: Overview

422
Opioid receptors, including the mu (μ, MOR), delta (δ, DOR), and kappa (κ, KOR) types, belong to the rhodopsin family of G protein-coupled receptors. These receptors are located throughout the central and peripheral nervous systems and in non-neuronal tissues such as macrophages and astrocytes. Opioid receptor ligands can be categorized into agonists or antagonists. Highly selective agonists include [d-Ala2, MePhe4, Gly(ol)5]-enkephalin or DAMGO for MOR, [D-Pen2,...
422
Drug Delivery: Miscellaneous Routes01:22

Drug Delivery: Miscellaneous Routes

299
Drug delivery methods like oral inhalation, nasal sprays, transdermal patches, eye drops, intravitreal injection,  and rectal administration provide localized effects with reduced toxicity.
Oral inhalation and nasal sprays swiftly transfer drugs across the respiratory epithelium's mucosal layer. Inhaled glucocorticoids and bronchodilators directly target lung conditions such as asthma, while fluticasone nasal spray mitigates allergic rhinitis.
Transdermal patches transport drugs...
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走向没有过度使用阿片类药物的机会.

William E Rosa1, Felicia Marie Knaul2, Michael Touchton3

  • 1Department of Psychiatry and Behavioral Sciences, Memorial Sloan Kettering Cancer Center, New York, NY, USA.

The Lancet. Public health
|March 1, 2025
PubMed
概括
此摘要是机器生成的。

数以百万计的人患有未缓解的疼痛,而另一些人则面临阿片类药物成,这凸显了阿片类药物获取的全球不平衡. 解决这个问题需要一个平衡的方法来缓解疼痛作为全球公共利益.

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科学领域:

  • 全球健康 全球健康
  • 公共卫生政策 公共卫生政策
  • 疼痛管理 疼痛管理

背景情况:

  • 息护理被世界卫生大会第67.19号决议认可为全面护理和全民健康覆盖的必要条件.
  • 十年后,平衡的阿片类药物获取方法仍然难以捉摸,导致在管理严重健康相关苦难方面存在持续的差异.

研究的目的:

  • 描述平行全球公共卫生危机的痛苦和阿片类药物成.
  • 倡导疼痛缓解作为全球公共利益.
  • 确定管理角色,以实现平衡的阿片类药物获取.

主要方法:

  • 这种观点综合了现有的数据和政策分析.
  • 它考察了影响低收入和中等收入国家的"阿片类药物获取深".
  • 它与高收入国家的阿片类药物成流行病形成对比.

主要成果:

  • 超过5000万人因"疼痛大流行"而经历了严重的健康相关痛苦,主要是在低收入和中等收入国家.
  • 据估计,全球约有3950万人与阿片类药物使用障碍作斗争,主要在北美.
  • 在获得必要的疼痛缓解和成治疗方面存在显著的差异.

结论:

  • 迫切需要缩小全球疼痛差距,并确保"没有过度的阿片类药物接入".
  • 世卫组织成员国和当地参与者必须采取管理角色,以实现全球健康系统平衡的方法.
  • 努力与可持续发展目标3.5 (药物滥用预防) 和3.8 (全民健康覆盖) 保持一致至关重要.