Treatment of Acute Pain in Patients on Naltrexone: A Narrative Review

Purpose of Review The tissue damage and trauma associated with surgery almost always result in acute postoperative pain. The intensity of postoperative pain can range from mild to severe. Naltrexone is suitable for patients who do not wish to be on an agonist treatment such as methadone or buprenorphine. However, naltrexone has been shown to complicate postoperative pain management. Recent Findings Multiple studies have found that the use of naltrexone can increase the opioid requirement for postoperative pain control. Other modalities exist that can help outside of opioids such as ketamine, lidocaine/bupivacaine, duloxetine, and non-pharmacological management can help manage pain. Multimodal pain regiments should also be employed in patients. Summary In addition to traditional methods for postoperative pain management, other methods of acute pain control exist that can help mitigate opioid dependence and help control pain in patients who use naltrexone for their substance use disorders..

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:27

Enthalten in:

Current pain and headache reports - 27(2023), 7 vom: 28. Apr., Seite 183-192

Sprache:

Englisch

Beteiligte Personen:

Edinoff, Amber N. [VerfasserIn]
Flanagan, Chelsi J. [VerfasserIn]
Sinnathamby, Evan S. [VerfasserIn]
Pearl, Nathan Z. [VerfasserIn]
Jackson, Eric D. [VerfasserIn]
Wenger, Danielle M. [VerfasserIn]
Cornett, Elyse M. [VerfasserIn]
Kaye, Adam M. [VerfasserIn]
Kaye, Alan D. [VerfasserIn]

Links:

Volltext [lizenzpflichtig]

BKL:

44.90$jNeurologie

Themen:

Acute pain
Multimodal pain control
Naltrexone
Opioids
Post-surgical pain

Anmerkungen:

© The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature 2023. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.

doi:

10.1007/s11916-023-01110-9

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

OLC214361506X

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