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Med Clin North Am. 2007 Mar;91(2):199-211.

Opioid tolerance and hyperalgesia.

Author information

1
Massachusetts General Hospital Pain Center, Division of Pain Medicine, Department of Anesthesia and Critical Care, Massachusetts General Hospital, Harvard Medical School, Boston, MA 02114, USA.

Abstract

Opioids have been successfully used for the management of acute and cancer-related pain. Concerns regarding side effects, tolerance, dependence, addiction, and hyperalgesia have limited the use of opioids for the management of chronic nonmalignant pain. This article will review updated information from both clinical and preclinical studies regarding opioid-induced hyperalgesia, tolerance, and dependence. The implications of these issues in clinical opioid therapy also will be discussed.

PMID:
17321281
DOI:
10.1016/j.mcna.2006.10.003
[Indexed for MEDLINE]

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