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Opioid therapy: optimizing analgesic outcomes 

Opioid therapy: optimizing analgesic outcomes
Chapter:
Opioid therapy: optimizing analgesic outcomes
Author(s):

Marie T. Fallon

and Nathan I. Cherny

DOI:
10.1093/med/9780199656097.003.0094
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date: 19 August 2019

Treatment with analgesic drugs is the mainstay of cancer pain management. The major group of drugs used in cancer pain management is the opioid analgesics. During the last 30 years, there has been a dramatic increase in our knowledge of the sites and mechanism of action of the opioids. The development of analytical methods has also been of great importance in facilitating pharmacokinetic studies of the disposition and fate of opioids in patients. More recently, advances in genomic research have indicated the potential importance of pharmacogenetic factors in the response to opioid analgesics. These studies have begun to offer us a better understanding of some of the sources of variation between individuals in their response to opioids and to suggest ways of minimizing some of their adverse effects. This chapter presents a comprehensive discussion of the pre-clinical pharmacology and clinical aspects of opioid analgesia and the principles of opioid administration.

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