Abstract
This article discusses recent developments in opioid pharmacology. Selective activity at different opioid receptors promises, but has not yet provided, a strong analgesic without opioid side-effects. The startling pharmacokinetic profile of the new esterase-metabolized intravenous opioid, remifentanil, is reflected in the rapid onset of effect and short, predictable recovery, independent of duration of infusion.
MeSH terms
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Analgesics, Opioid / adverse effects
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Analgesics, Opioid / pharmacokinetics*
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Humans
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Meptazinol / pharmacokinetics
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Morphine / pharmacokinetics
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Nalbuphine / pharmacokinetics
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Narcotic Antagonists
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Pain / drug therapy
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Piperidines / adverse effects
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Piperidines / pharmacokinetics
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Receptors, Opioid / agonists
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Remifentanil
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Tramadol / pharmacokinetics
Substances
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Analgesics, Opioid
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Narcotic Antagonists
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Piperidines
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Receptors, Opioid
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Meptazinol
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Tramadol
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Morphine
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Nalbuphine
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Remifentanil