The Polyanalgesic Consensus Conference (PACC): recommendations on intrathecal drug infusion systems best practices and guidelines

TR Deer, JE Pope, SM Hayek, A Bux, E Buchser… - … : Technology at the …, 2017 - Elsevier
Introduction Pain treatment is best performed when a patient-centric, safety-based
philosophy is used to determine an algorithmic process to guide care. Since 2007, the …

Regulation of µ-opioid receptors: desensitization, phosphorylation, internalization, and tolerance

JT Williams, SL Ingram, G Henderson, C Chavkin… - Pharmacological …, 2013 - ASPET
Morphine and related µ-opioid receptor (MOR) agonists remain among the most effective
drugs known for acute relief of severe pain. A major problem in treating painful conditions is …

Analysis of opioid efficacy, tolerance, addiction and dependence from cell culture to human

MM Morgan, MDJ Christie - British journal of pharmacology, 2011 - Wiley Online Library
Opioid agonists are the most effective treatment for pain, but their use is limited by side
effects, tolerance and fears of addiction and dependence. A major goal of opioid research is …

Functional selectivity at the μ-opioid receptor: implications for understanding opioid analgesia and tolerance

KM Raehal, CL Schmid, CE Groer, LM Bohn - Pharmacological reviews, 2011 - ASPET
Opioids are the most effective analgesic drugs for the management of moderate or severe
pain, yet their clinical use is often limited because of the onset of adverse side effects. Drugs …

The anomalous pharmacology of fentanyl

E Kelly, K Sutcliffe, D Cavallo… - British journal of …, 2023 - Wiley Online Library
Fentanyl is a key therapeutic, used in anaesthesia and pain management. It is also
increasingly used illicitly and is responsible for a large and growing number of opioid …

Differences between opioids: pharmacological, experimental, clinical and economical perspectives

AM Drewes, RD Jensen, LM Nielsen… - British journal of …, 2013 - Wiley Online Library
Clinical studies comparing the response and side effects of various opioids have not been
able to show robust differences between drugs. Hence, recommendations of the regulatory …

Endogenous opiates and behavior: 2005

RJ Bodnar, GE Klein - Peptides, 2006 - Elsevier
This paper is the 28th consecutive installment of the annual review of research concerning
the endogenous opioid system, now spanning over a quarter-century of research. It …

[PDF][PDF] Pharmacology of opioids in the treatment of chronic pain syndromes

R Vallejo, RL Barkin, VC Wang - Pain physician, 2011 - researchgate.net
Opium, derived from the Greek word for “juice,” is extracted from the latex sap of the opium
poppy (Papaverum somniferum). The juice of the poppy is the source of some 20 different …

Cellular tolerance induced by chronic opioids in the central nervous system

S Adhikary, JT Williams - Frontiers in Systems Neuroscience, 2022 - frontiersin.org
Opioids are powerful analgesics that elicit acute antinociceptive effects through their action
the mu opioid receptor (MOR). However opioids are ineffective for chronic pain …

Comprehensive molecular pharmacology screening reveals potential new receptor interactions for clinically relevant opioids

KM Olson, DI Duron, D Womer, R Fell, JM Streicher - PloS one, 2019 - journals.plos.org
Most clinically used opioids are thought to induce analgesia through activation of the mu
opioid receptor (MOR). However, disparities have been observed between the efficacy of …