Opportunities and challenges for nonaddictive interventions in chronic pain.

Addiction Analysis Balzani Bonci Chronic pain Fanelli Malafoglia Mitochondrial dysfunction Morphine tolerance Muscoli Opioid use disorder Opioids Pain biomarkers Pain management Pain treatment Pharmacologic Pharmacology Raffaeli Risk of addiction Side effects Tenti

Journal

Current opinion in pharmacology
ISSN: 1471-4973
Titre abrégé: Curr Opin Pharmacol
Pays: England
ID NLM: 100966133

Informations de publication

Date de publication:
04 2021
Historique:
received: 25 11 2020
revised: 10 02 2021
accepted: 11 02 2021
pubmed: 3 4 2021
medline: 26 10 2021
entrez: 2 4 2021
Statut: ppublish

Résumé

The worlds of chronic pain and addiction continue to intersect too often in many ways. Chronic pain significantly impairs and disrupts the quality of life of millions of people worldwide. Opioids remain the most prescribed pharmacotherapy offered to patients to alleviate chronic pain. The extensive and often unnecessary prescription of opioids has created a surge in the prevalence of opioid use disorders and opioid overdose-related deaths. In this brief review, we aim to provide a bench-to-bedside overview of promising biomarkers, therapeutic targets, and challenges related to treating patients with chronic pain. We hope this review will inspire new opportunities and insights into the development of novel, nonaddictive treatments for chronic pain that will be available to patients in the near future.

Identifiants

pubmed: 33799001
pii: S1471-4892(21)00012-6
doi: 10.1016/j.coph.2021.02.007
pii:
doi:

Substances chimiques

Analgesics, Opioid 0

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

184-191

Informations de copyright

Copyright © 2021. Published by Elsevier Ltd.

Déclaration de conflit d'intérêts

Conflict of interest statement All authors have participated in conception and design, or analysis and interpretation of the data; drafting the article or revising it critically for important intellectual content; and approval of the final version. This manuscript has not been submitted to, nor is under review at, another journal or other publishing venue. The authors have no affiliation with any organization with a direct or indirect financial interest in the subject matter discussed in the manuscript.

Auteurs

Valentina Malafoglia (V)

ISAL Foundation Institute for Research on Pain, Torre Pedrera, Italy.

Michael Tenti (M)

ISAL Foundation Institute for Research on Pain, Torre Pedrera, Italy.

Sara Ilari (S)

Department of Health Science, Institute of Research for Food Safety & Health (IRC-FSH), University "Magna Graecia" of Catanzaro, Viale Europa, Loc. Germaneto, Catanzaro, Italy.

Eleonora Balzani (E)

Department of Medicine and Surgery, University of Turin, Torino, Italy.

Andrea Fanelli (A)

Anesthesia and Pain Medicine Unit, Department of Emergency and Urgency, Policlinico S.Orsola-Malpighi Hospital, Bologna, Italy.

Carolina Muscoli (C)

Department of Health Science, Institute of Research for Food Safety & Health (IRC-FSH), University "Magna Graecia" of Catanzaro, Viale Europa, Loc. Germaneto, Catanzaro, Italy.

William Raffaeli (W)

ISAL Foundation Institute for Research on Pain, Torre Pedrera, Italy.

Antonello Bonci (A)

ISAL Foundation Institute for Research on Pain, Torre Pedrera, Italy; Global Institute on Addictions, 1501, Biscayne Blvd, Miami, FL, USA. Electronic address: Anto.Bonci@GIA.Miami.

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