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Opioid rotation or opioid switching is the process of changing one opioid to another to improve pain control or reduce unwanted side effects. [1] This technique was introduced in the 1990s to help manage severe chronic pain and improve the opioid response in cancer patients. [ 2 ]
Opioid-induced hyperalgesia (OIH) or opioid-induced abnormal pain sensitivity, also called paradoxical hyperalgesia, is an uncommon condition of generalized pain caused by the long-term use of high dosages of opioids [1] such as morphine, [2] oxycodone, [3] and methadone. [4] [5] OIH is not necessarily confined to the original affected site. [6]
Such tables are used in opioid rotation practices, and to describe an opioid by comparison to morphine, the reference opioid. Equianalgesic tables typically list drug half-lives, and sometimes equianalgesic doses of the same drug by means of administration, such as morphine: oral and intravenous.
The FDA's sign-off on the medication comes as the agency says it is prioritizing supporting the development of non-opioid pain treatment. Suzetrigine is the first non-opioid analgesic ...
The opioid epidemic, also referred to as the opioid crisis, is the rapid increase in the overuse, misuse/abuse, and overdose deaths attributed either in part or in whole to the class of drugs called opiates/opioids since the 1990s. It includes the significant medical, social, psychological, demographic and economic consequences of the medical ...
Vertex began researching the drug in the 2000s when overdoses were rocketing upward, principally driven by mass prescribing of opioid painkillers for common ailments like arthritis and back pain.
Opioid tolerance is often addressed with opioid rotation therapy in which a patient is routinely switched between two or more non-cross-tolerant opioid medications in order to prevent exceeding safe dosages in the attempt to achieve an adequate analgesic effect. Opioid tolerance should not be confused with opioid-induced hyperalgesia. The ...
Opioid agonist therapy; Opioid excess theory; Opioid food peptides; Opioid overdose; Opioid rotation; Opioid withdrawal; Opioid-induced endocrinopathy; Opioid-induced hyperalgesia; Opioidergic; Opioids and pregnancy; Opium; Oxycodone; Oxymorphone-3-methoxynaltrexonazine