Opportunities and challenges for nonaddictive interventions in chronic pain

Curr Opin Pharmacol. 2021 Apr:57:184-191. doi: 10.1016/j.coph.2021.02.007. Epub 2021 Mar 30.

Abstract

The worlds of chronic pain and addiction continue to intersect too often in many ways. Chronic pain significantly impairs and disrupts the quality of life of millions of people worldwide. Opioids remain the most prescribed pharmacotherapy offered to patients to alleviate chronic pain. The extensive and often unnecessary prescription of opioids has created a surge in the prevalence of opioid use disorders and opioid overdose-related deaths. In this brief review, we aim to provide a bench-to-bedside overview of promising biomarkers, therapeutic targets, and challenges related to treating patients with chronic pain. We hope this review will inspire new opportunities and insights into the development of novel, nonaddictive treatments for chronic pain that will be available to patients in the near future.

Keywords: Addiction; Analysis; Balzani; Bonci; Chronic pain; Fanelli; Malafoglia; Mitochondrial dysfunction; Morphine tolerance; Muscoli; Opioid use disorder; Opioids; Pain biomarkers; Pain management; Pain treatment; Pharmacologic; Pharmacology; Raffaeli; Risk of addiction; Side effects; Tenti.

Publication types

  • Review

MeSH terms

  • Analgesics, Opioid / adverse effects
  • Chronic Pain* / drug therapy
  • Humans
  • Opioid-Related Disorders* / drug therapy
  • Quality of Life

Substances

  • Analgesics, Opioid