Opioid therapies and cytochrome p450 interactions

J Pain Symptom Manage. 2012 Dec;44(6 Suppl):S4-14. doi: 10.1016/j.jpainsymman.2012.08.013.

Abstract

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.

MeSH terms

  • Analgesics, Opioid / administration & dosage*
  • Analgesics, Opioid / adverse effects
  • Analgesics, Opioid / pharmacokinetics*
  • Cytochrome P-450 Enzyme System / metabolism*
  • Humans
  • Liver / drug effects
  • Liver / metabolism*
  • Models, Biological
  • Opioid-Related Disorders / enzymology*
  • Pain / drug therapy*
  • Pain / enzymology*

Substances

  • Analgesics, Opioid
  • Cytochrome P-450 Enzyme System