Cognitive impact of chronic opioid use

Introduction: the impact of chronic opioid use has been related to a wide range of cognitive disorders, ranging from minor deficiencies in cognitive abilities to problems in abilities such as attention, learning, memory, and executive functions. Objective: to carry out a systematic review to resea...

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Main Authors: Lara Macedo-Soares, Marcelo Adrián Estrin
Format: Article
Language:Spanish
Published: Universidad de Ciencias Médicas de Guantánamo 2023-05-01
Series:Revista Información Científica
Subjects:
Online Access:https://revinfcientifica.sld.cu/index.php/ric/article/view/4198
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author Lara Macedo-Soares
Marcelo Adrián Estrin
author_facet Lara Macedo-Soares
Marcelo Adrián Estrin
author_sort Lara Macedo-Soares
collection DOAJ
description Introduction: the impact of chronic opioid use has been related to a wide range of cognitive disorders, ranging from minor deficiencies in cognitive abilities to problems in abilities such as attention, learning, memory, and executive functions. Objective: to carry out a systematic review to research the cognitive impact in patients who use opioids chronically and to assess the severity of this impact. Method: randomized clinical trials, case-control studies, prospective and retrospective cohorts were evaluated in two databases: PubMed and Cochrane Central, using the following search terms: "analgesic opioids", "cognitive dysfunction", "cognition impairments", "chronic disease" and "abuse, substance". The search was in English, Spanish, and Portuguese for studies conducted in adult humans with chronic opioid use and its cognitive impact. Results: seven studies were selected, five of which the patients used tramadol and the negative cognitive impact was verified, a study with the use of tapentadol with a positive impact on cognition and a study with the use of hydrocodone with a positive impact on neurocognition of patients. Conclusions: despite the limitations found, as a conclusion it is considered that tramadol has a negative impact on neurocognition, which does not occur in relation to tapentadol and hydrocodone, which will present an improvement in the quality of life and cognition of patients.
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spelling doaj.art-5842c1e67d89424cae5df87c4872a4692023-12-29T01:40:35ZspaUniversidad de Ciencias Médicas de GuantánamoRevista Información Científica1028-99332023-05-01102010.5281/zenodo.79429412441Cognitive impact of chronic opioid useLara Macedo-Soares0Marcelo Adrián Estrin1Universidad Abierta InteramericanaUniversidad Abierta InteramericanaIntroduction: the impact of chronic opioid use has been related to a wide range of cognitive disorders, ranging from minor deficiencies in cognitive abilities to problems in abilities such as attention, learning, memory, and executive functions. Objective: to carry out a systematic review to research the cognitive impact in patients who use opioids chronically and to assess the severity of this impact. Method: randomized clinical trials, case-control studies, prospective and retrospective cohorts were evaluated in two databases: PubMed and Cochrane Central, using the following search terms: "analgesic opioids", "cognitive dysfunction", "cognition impairments", "chronic disease" and "abuse, substance". The search was in English, Spanish, and Portuguese for studies conducted in adult humans with chronic opioid use and its cognitive impact. Results: seven studies were selected, five of which the patients used tramadol and the negative cognitive impact was verified, a study with the use of tapentadol with a positive impact on cognition and a study with the use of hydrocodone with a positive impact on neurocognition of patients. Conclusions: despite the limitations found, as a conclusion it is considered that tramadol has a negative impact on neurocognition, which does not occur in relation to tapentadol and hydrocodone, which will present an improvement in the quality of life and cognition of patients.https://revinfcientifica.sld.cu/index.php/ric/article/view/4198opioidesnarcóticoscognicióndisfunción cognitivaenfermedad crónicaabusosustancias
spellingShingle Lara Macedo-Soares
Marcelo Adrián Estrin
Cognitive impact of chronic opioid use
Revista Información Científica
opioides
narcóticos
cognición
disfunción cognitiva
enfermedad crónica
abuso
sustancias
title Cognitive impact of chronic opioid use
title_full Cognitive impact of chronic opioid use
title_fullStr Cognitive impact of chronic opioid use
title_full_unstemmed Cognitive impact of chronic opioid use
title_short Cognitive impact of chronic opioid use
title_sort cognitive impact of chronic opioid use
topic opioides
narcóticos
cognición
disfunción cognitiva
enfermedad crónica
abuso
sustancias
url https://revinfcientifica.sld.cu/index.php/ric/article/view/4198
work_keys_str_mv AT laramacedosoares cognitiveimpactofchronicopioiduse
AT marceloadrianestrin cognitiveimpactofchronicopioiduse