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Opioids and the gut: pharmacology and current clinical experience

Opioids and the gut: pharmacology and current clinical experience Abstract This article reviews the pharmacology and physiology of opiate receptors and the current and potential uses of opioid agonists and antagonists in clinical gastroenterology. μ‐receptors are involved in motor and sensory functions, and their modulation is established for treatment of diarrhea. μ‐antagonists have potential to reverse endogenous (e.g., postoperative ileus) or iatrogenic dysmotility (e.g., opioid bowel dysfunction). Modulation of the function of κ‐receptors may be a novel approach to control visceral pain in functional gut disorders. Results of formal testing of novel opioid modulators are keenly awaited. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Neurogastroenterology & Motility Wiley

Opioids and the gut: pharmacology and current clinical experience

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References (122)

Publisher
Wiley
Copyright
Copyright © 2004 Wiley Subscription Services, Inc., A Wiley Company
ISSN
1350-1925
eISSN
1365-2982
DOI
10.1111/j.1365-2982.2004.00513.x
pmid
15305992
Publisher site
See Article on Publisher Site

Abstract

Abstract This article reviews the pharmacology and physiology of opiate receptors and the current and potential uses of opioid agonists and antagonists in clinical gastroenterology. μ‐receptors are involved in motor and sensory functions, and their modulation is established for treatment of diarrhea. μ‐antagonists have potential to reverse endogenous (e.g., postoperative ileus) or iatrogenic dysmotility (e.g., opioid bowel dysfunction). Modulation of the function of κ‐receptors may be a novel approach to control visceral pain in functional gut disorders. Results of formal testing of novel opioid modulators are keenly awaited.

Journal

Neurogastroenterology & MotilityWiley

Published: Aug 1, 2004

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