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Opioid Analgesics ,[object Object],[object Object]
Opioid Analgesics ,[object Object],[object Object],[object Object],[object Object]
Reticular formation in brain stem Target area for opioid analgesia
Neuromodulation of nociceptive pathways ,[object Object],[object Object],[object Object],[object Object]
Neuromodulation of nociceptive pathways ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Neuromodulation of nociceptive pathways ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Neuromodulation of nociceptive pathways ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Mechanism of Neuromodulation ,[object Object],[object Object],[object Object]
Synapses between afferent nociceptive neurons and secondary ascending neurons relay pain signals to the brain. The entry of Ca 2+  into the pre-synaptic primary neuron and the release of K +  from the post-synaptic secondary neuron are processes involved in signal transmission across the synapse .
Mechanism of Neuromodulation ,[object Object],[object Object],[object Object],[object Object]
Opioids binding to ion channel associated    receptors inhibit the influx of calcium ions into the pre-synaptic terminal and increase the outflow of potassium ions from the post-synaptic membrane. This has the effect of reducing the release of the neurotransmitter glutamate and hyperpolarising the post-synaptic membrane. Synaptic transmission is inhibited.
Physiological action of opioids ,[object Object],[object Object],[object Object],[object Object]
Opioids – side effects ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Opioids - tolerance ,[object Object],[object Object],[object Object]
Pharmacokinetics ,[object Object],[object Object],[object Object]
Opioid antagonists ,[object Object],[object Object]
[object Object]

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J O Pi Oid

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  • 2.
  • 3. Reticular formation in brain stem Target area for opioid analgesia
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  • 5.
  • 6.
  • 7.
  • 8.
  • 9. Synapses between afferent nociceptive neurons and secondary ascending neurons relay pain signals to the brain. The entry of Ca 2+ into the pre-synaptic primary neuron and the release of K + from the post-synaptic secondary neuron are processes involved in signal transmission across the synapse .
  • 10.
  • 11. Opioids binding to ion channel associated  receptors inhibit the influx of calcium ions into the pre-synaptic terminal and increase the outflow of potassium ions from the post-synaptic membrane. This has the effect of reducing the release of the neurotransmitter glutamate and hyperpolarising the post-synaptic membrane. Synaptic transmission is inhibited.
  • 12.
  • 13.
  • 14.
  • 15.
  • 16.
  • 17.