PROSPECTS OF USING A COMBINATION OF LOCALLY INJECTED NON-STEROIDAL ANTI-INFLAMMATORY DRUGS AND OPIOIDS IN PERIPHERAL PAIN MANAGEMENT

The article reviews scientific literature on serious side effects of non-steroidal anti-inflammatory drugs (NSAIDs) and opioid analgesics widely used to treat acute and chronic pain. In order to reduce the incidence of side effects in clinical practice, oral combinations of NSAIDs and opioids are us...

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Main Author: YU. А. KOLESNIKOV
Format: Article
Language:Russian
Published: New Terra Publishing House 2019-07-01
Series:Вестник анестезиологии и реаниматологии
Subjects:
Online Access:https://www.vair-journal.com/jour/article/view/335
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author YU. А. KOLESNIKOV
author_facet YU. А. KOLESNIKOV
author_sort YU. А. KOLESNIKOV
collection DOAJ
description The article reviews scientific literature on serious side effects of non-steroidal anti-inflammatory drugs (NSAIDs) and opioid analgesics widely used to treat acute and chronic pain. In order to reduce the incidence of side effects in clinical practice, oral combinations of NSAIDs and opioids are used. Unfortunately, the efficacy and safety of these combinations also do not meet contemporary requirements for analgesics. Local use of NSAIDs and opioids is one of the alternatives, which will reduce the dose of systemically administered drugs. Peripheral mechanisms play a key role in systemic mu-opioid analgesia. The use of these mechanisms when developing medication for pain relief offers promising prospects in the treatment of acute and chronic pain.
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series Вестник анестезиологии и реаниматологии
spelling doaj-art-c782d251f9a549daaf7f40e9a5dba77d2025-08-20T02:59:45ZrusNew Terra Publishing HouseВестник анестезиологии и реаниматологии2078-56582541-86532019-07-01163414710.21292/2078-5658-2019-16-3-41-47314PROSPECTS OF USING A COMBINATION OF LOCALLY INJECTED NON-STEROIDAL ANTI-INFLAMMATORY DRUGS AND OPIOIDS IN PERIPHERAL PAIN MANAGEMENTYU. А. KOLESNIKOV0Kordamed ASThe article reviews scientific literature on serious side effects of non-steroidal anti-inflammatory drugs (NSAIDs) and opioid analgesics widely used to treat acute and chronic pain. In order to reduce the incidence of side effects in clinical practice, oral combinations of NSAIDs and opioids are used. Unfortunately, the efficacy and safety of these combinations also do not meet contemporary requirements for analgesics. Local use of NSAIDs and opioids is one of the alternatives, which will reduce the dose of systemically administered drugs. Peripheral mechanisms play a key role in systemic mu-opioid analgesia. The use of these mechanisms when developing medication for pain relief offers promising prospects in the treatment of acute and chronic pain.https://www.vair-journal.com/jour/article/view/335nsaidsopioidside effectsperipheral mechanismstopical
spellingShingle YU. А. KOLESNIKOV
PROSPECTS OF USING A COMBINATION OF LOCALLY INJECTED NON-STEROIDAL ANTI-INFLAMMATORY DRUGS AND OPIOIDS IN PERIPHERAL PAIN MANAGEMENT
Вестник анестезиологии и реаниматологии
nsaids
opioid
side effects
peripheral mechanisms
topical
title PROSPECTS OF USING A COMBINATION OF LOCALLY INJECTED NON-STEROIDAL ANTI-INFLAMMATORY DRUGS AND OPIOIDS IN PERIPHERAL PAIN MANAGEMENT
title_full PROSPECTS OF USING A COMBINATION OF LOCALLY INJECTED NON-STEROIDAL ANTI-INFLAMMATORY DRUGS AND OPIOIDS IN PERIPHERAL PAIN MANAGEMENT
title_fullStr PROSPECTS OF USING A COMBINATION OF LOCALLY INJECTED NON-STEROIDAL ANTI-INFLAMMATORY DRUGS AND OPIOIDS IN PERIPHERAL PAIN MANAGEMENT
title_full_unstemmed PROSPECTS OF USING A COMBINATION OF LOCALLY INJECTED NON-STEROIDAL ANTI-INFLAMMATORY DRUGS AND OPIOIDS IN PERIPHERAL PAIN MANAGEMENT
title_short PROSPECTS OF USING A COMBINATION OF LOCALLY INJECTED NON-STEROIDAL ANTI-INFLAMMATORY DRUGS AND OPIOIDS IN PERIPHERAL PAIN MANAGEMENT
title_sort prospects of using a combination of locally injected non steroidal anti inflammatory drugs and opioids in peripheral pain management
topic nsaids
opioid
side effects
peripheral mechanisms
topical
url https://www.vair-journal.com/jour/article/view/335
work_keys_str_mv AT yuakolesnikov prospectsofusingacombinationoflocallyinjectednonsteroidalantiinflammatorydrugsandopioidsinperipheralpainmanagement