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Published in: Current Pain and Headache Reports 4/2018

01-04-2018 | Other Pain (A Kaye and N Vadivelu, Section Editors)

Novel Pharmacological Nonopioid Therapies in Chronic Pain

Authors: Alan David Kaye, Elyse M. Cornett, Brendon Hart, Shilpadevi Patil, Andrew Pham, Matthew Spalitta, Kenneth F. Mancuso

Published in: Current Pain and Headache Reports | Issue 4/2018

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Abstract

Purpose of Review

Opioid use and abuse has led to a worldwide opioid epidemic. And while opioids are clinically useful when appropriately indicated, they are associated with a wide range of dangerous side effects and whether they are effective at treating or eliminating chronic pain is controversial. There has long been a need for the development of nonopioid alternative treatments for patients that live in pain, and until recently, only a few effective treatments were available. Today, there are a wide range of nonopioid treatments available including NSAIDs, acetaminophen, corticosteroids, nerve blocks, SSRIs, neurostimulators, and anticonvulsants. However, these treatments are still not entirely effective at treating pain, which has sparked a new exploration of novel nonopioid pharmacotherapies.

Recent Findings

This manuscript will outline the most recent trends in novel nonopioid pharmacotherapy development including tramadol/dexketoprofen, TrkA inhibitors, tapentadol, opioid agonists, Nektar 181, TRV 130, ßarrestin2, bisphosphonates, antibodies, sodium channel blockers, NMDA antagonists, TRP receptors, transdermal vitamin D, AAK1 kinase inhibition, calcitonin gene-related peptide (CGRP), TRPV4 antagonists, cholecystokinin, delta opioid receptor, neurokinin, and gene therapy.

Summary

The pharmacotherapies discussed in this manuscript outline promising opioid alternatives which can change the future of chronic pain treatment.
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Metadata
Title
Novel Pharmacological Nonopioid Therapies in Chronic Pain
Authors
Alan David Kaye
Elyse M. Cornett
Brendon Hart
Shilpadevi Patil
Andrew Pham
Matthew Spalitta
Kenneth F. Mancuso
Publication date
01-04-2018
Publisher
Springer US
Published in
Current Pain and Headache Reports / Issue 4/2018
Print ISSN: 1531-3433
Electronic ISSN: 1534-3081
DOI
https://doi.org/10.1007/s11916-018-0674-8

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