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Opioid
Analgesics
By – Haider Ali khan
(Allana college of pharmacy)
Definition
These are the pain killers , which binds to opioid
receptors which are found principally in the:
CNS &
Gastrointestinal tract
Claasification
Mechanism Of Action
 Opioid drug bind to opioid receptor widely
distributed in CNS & other tissues.
 These are the part of family of G- protein
coupled receptors.
 Opens k+ channels.
 Prevent opening of Ca2+ channels.
 Inhibit the release of other neurotransmitters.
Therepeutics uses
 Analgesia
 Acute pulmonary edema
 Cough suppression
 Diarrhea
 Shivering
 Terminal stages of malignancy
 Crush injuries &
 Post operative Pain
Side Effects
 Addiction
 Abuse
 Tolerance
 Dependence
 Confusion
 Constipation
 Dizziness
 Hallucinations
 Hypotension
 Death
Addiction
 A pattern of compulsive drug use characterized by
continuous carving for an opioids & need to use
the opioid other then pain relief.
 The signs and symptoms of substance
abuse can be physical, behavioral, and
psychological.
 One clear sign of addiction is not being able to
stop using the substance.
 It is also not being able to stop yourself from using
more than the recommended amount.
Symptoms
 Other signs and symptoms of opioid abuse include:
 poor coordination
 drowsiness
 shallow or slow breathing rate
 nausea, vomiting
 constipation
 physical agitation
 poor decision making
 abandoning responsibilities
 slurred speech
 sleeping more or less than normal
 mood swings
 euphoria (feeling high
 depression
 lowered motivation
What causes opioid
addiction?
 Opioid drugs alter your brain by creating
artificial endorphins.
 Besides blocking pain, these endorphins
make you feel good.
 Too much opioid use can cause your brain to
rely on these artificial endorphins.
 Once your brain does this, it can even stop
producing its own endorphins.
 The longer you use opioids, the more likely
this is to happen.
 You also will need more opioids over time
What is drug tolerance?
 Drug tolerance is when your body, over time, gets
used to the effects of a drug.
 As this happens, you may need to take a higher
dose of the drug to get the same effect.
 When you take opioids over time, you need a
higher does to get the same pain relief.
 If you stop using an opioid for a period of time,
your tolerance will begin to fade.
 If you need to begin taking it again, you most
likely will not need your former higher dose.
 That can be too much for the body to take.
 If you stop taking a medication, and then resume,
What is drug dependence?
 Drug dependence is when the way your body works
changes because you have taken a drug for a long time.
These changes cause you to have withdrawal symptoms
when you stop using the drug. Withdrawal symptoms
can be mild or severe, and may include:
 sweating
 nausea or vomiting
 chills
 diarrhea
 shaking
 pain
 depression
Opioid addiction treatment
 Treatment for opioid addiction is different for
each person.
 The main goal of treatment is to help you
stop using the drug.
 Treatment also can help you avoid using it
again in the future. These medicines
include(opioid Antagonists) Mainly:
 methadone (often used to treat heroin
addiction),
 buprenorphine
 naltrexone.
Methadone and
buprenorphine
 help reduce withdrawal symptoms by targeting the same
centers in the brain that opioids target.
 Only they do not make you feel high.
 They help restore balance to your brain and allow it to
heal.
Naltrexone
 Doesn’t help you stop taking opioids.
 It is for helping prevent you from relapsing. Relapsing
means to start taking opioids again.
 This medicine is different from methadone and
buprenorphine because it does not help with cravings or
withdrawal.

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Opioid analgesics

  • 1. Opioid Analgesics By – Haider Ali khan (Allana college of pharmacy)
  • 2. Definition These are the pain killers , which binds to opioid receptors which are found principally in the: CNS & Gastrointestinal tract
  • 4. Mechanism Of Action  Opioid drug bind to opioid receptor widely distributed in CNS & other tissues.  These are the part of family of G- protein coupled receptors.  Opens k+ channels.  Prevent opening of Ca2+ channels.  Inhibit the release of other neurotransmitters.
  • 5.
  • 6. Therepeutics uses  Analgesia  Acute pulmonary edema  Cough suppression  Diarrhea  Shivering  Terminal stages of malignancy  Crush injuries &  Post operative Pain
  • 7. Side Effects  Addiction  Abuse  Tolerance  Dependence  Confusion  Constipation  Dizziness  Hallucinations  Hypotension  Death
  • 8. Addiction  A pattern of compulsive drug use characterized by continuous carving for an opioids & need to use the opioid other then pain relief.  The signs and symptoms of substance abuse can be physical, behavioral, and psychological.  One clear sign of addiction is not being able to stop using the substance.  It is also not being able to stop yourself from using more than the recommended amount.
  • 9. Symptoms  Other signs and symptoms of opioid abuse include:  poor coordination  drowsiness  shallow or slow breathing rate  nausea, vomiting  constipation  physical agitation  poor decision making  abandoning responsibilities  slurred speech  sleeping more or less than normal  mood swings  euphoria (feeling high  depression  lowered motivation
  • 10. What causes opioid addiction?  Opioid drugs alter your brain by creating artificial endorphins.  Besides blocking pain, these endorphins make you feel good.  Too much opioid use can cause your brain to rely on these artificial endorphins.  Once your brain does this, it can even stop producing its own endorphins.  The longer you use opioids, the more likely this is to happen.  You also will need more opioids over time
  • 11. What is drug tolerance?  Drug tolerance is when your body, over time, gets used to the effects of a drug.  As this happens, you may need to take a higher dose of the drug to get the same effect.  When you take opioids over time, you need a higher does to get the same pain relief.  If you stop using an opioid for a period of time, your tolerance will begin to fade.  If you need to begin taking it again, you most likely will not need your former higher dose.  That can be too much for the body to take.  If you stop taking a medication, and then resume,
  • 12. What is drug dependence?  Drug dependence is when the way your body works changes because you have taken a drug for a long time. These changes cause you to have withdrawal symptoms when you stop using the drug. Withdrawal symptoms can be mild or severe, and may include:  sweating  nausea or vomiting  chills  diarrhea  shaking  pain  depression
  • 13. Opioid addiction treatment  Treatment for opioid addiction is different for each person.  The main goal of treatment is to help you stop using the drug.  Treatment also can help you avoid using it again in the future. These medicines include(opioid Antagonists) Mainly:  methadone (often used to treat heroin addiction),  buprenorphine  naltrexone.
  • 14. Methadone and buprenorphine  help reduce withdrawal symptoms by targeting the same centers in the brain that opioids target.  Only they do not make you feel high.  They help restore balance to your brain and allow it to heal.
  • 15. Naltrexone  Doesn’t help you stop taking opioids.  It is for helping prevent you from relapsing. Relapsing means to start taking opioids again.  This medicine is different from methadone and buprenorphine because it does not help with cravings or withdrawal.