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Opioid Therapies and Cytochrome P450 Interactions
被引:48
|作者:
Gudin, Jeffrey
[1
]
机构:
[1] Englewood Hosp & Med Ctr, Pain Management & Wellness Ctr, Englewood, NJ 07631 USA
关键词:
Adverse drug reactions;
cytochrome P450;
CYP3A4;
CYP2D6;
drug-drug interactions;
inhibitor;
inducer;
metabolism;
prodrug;
substrate;
opioids;
DRUG-DRUG INTERACTIONS;
ST-JOHNS-WORT;
CAFFEINE METABOLISM;
PHARMACOGENETICS;
INHIBITION;
CYP2D6;
PAIN;
VARIABILITY;
HYDROCODONE;
OXYMORPHONE;
D O I:
10.1016/j.jpainsymman.2012.08.013
中图分类号:
R19 [保健组织与事业(卫生事业管理)];
学科分类号:
摘要:
Adverse drug reactions are common and associated with substantial economic and human costs. Particularly among older adult populations, preventable adverse drug reactions are often caused by drug-drug interactions. All analgesics have side effect profiles and many have known drug-drug interactions. Opioids are recognized as a necessary option for managing moderate-to-severe pain, yet many opioid side effects can be enhanced by metabolic interactions within the liver, involving other drugs, diseases, or genetics. J Pain Symptom Manage 2012; 44: S4-S14. (C) 2012 U. S. Cancer Pain Relief Committee. Published by Elsevier Inc. All rights reserved.
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页码:S4 / S14
页数:11
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