Meperidine: opioid not indicated for analgesia
BACKGROUND AND OBJECTIVES: Pain evaluation and the choice of the analgesic best providing its control are extremely important for patients’ quality of life. This study aimed at describing the characteristics which make meperidine unfeasible for pain management, at calling the attention to the incide...
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Language: | English |
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Sociedade Brasileira para o Estudo da Dor
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Series: | Revista Dor |
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Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1806-00132015000100067&lng=en&tlng=en |
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author | Andresa Graciutti Botan Simone Aparecida Biazzi de Lapena |
author_facet | Andresa Graciutti Botan Simone Aparecida Biazzi de Lapena |
author_sort | Andresa Graciutti Botan |
collection | DOAJ |
description | BACKGROUND AND OBJECTIVES: Pain evaluation and the choice of the analgesic best providing its control are extremely important for patients’ quality of life. This study aimed at describing the characteristics which make meperidine unfeasible for pain management, at calling the attention to the incidence of its prescriptions and to the need of a multidisciplinary educative action aiming at decreasing its use, in addition to presenting two opioids as options for analgesia. CONTENTS: National or international scientific and governmental publications between the years 1997 and 2013 used in this study report that meperidine is not indicated for pain management, primarily due to its short action time, presence of neurotoxic metabolite (normeperidine) and possibility of rapidly developing tolerance. CONCLUSION: According to analyzed data, meperidine was the most widely used opioid for analgesic or was among the most prescribed analgesics. This fact shows the real need for an educative multidisciplinary action to promote awareness of meperidine risks and to decrease its prescription. According to searched literature, morphine and methadone have longer action time and higher analgesic potency, with metabolites which are less toxic and noxious for patients as compared to meperidine. |
first_indexed | 2024-12-14T18:36:26Z |
format | Article |
id | doaj.art-b51935b7785144dcb38a951e1a613194 |
institution | Directory Open Access Journal |
issn | 1806-0013 2317-6393 |
language | English |
last_indexed | 2024-12-14T18:36:26Z |
publisher | Sociedade Brasileira para o Estudo da Dor |
record_format | Article |
series | Revista Dor |
spelling | doaj.art-b51935b7785144dcb38a951e1a6131942022-12-21T22:51:37ZengSociedade Brasileira para o Estudo da DorRevista Dor1806-00132317-6393161677010.5935/1806-0013.20150013S1806-00132015000100067Meperidine: opioid not indicated for analgesiaAndresa Graciutti BotanSimone Aparecida Biazzi de LapenaBACKGROUND AND OBJECTIVES: Pain evaluation and the choice of the analgesic best providing its control are extremely important for patients’ quality of life. This study aimed at describing the characteristics which make meperidine unfeasible for pain management, at calling the attention to the incidence of its prescriptions and to the need of a multidisciplinary educative action aiming at decreasing its use, in addition to presenting two opioids as options for analgesia. CONTENTS: National or international scientific and governmental publications between the years 1997 and 2013 used in this study report that meperidine is not indicated for pain management, primarily due to its short action time, presence of neurotoxic metabolite (normeperidine) and possibility of rapidly developing tolerance. CONCLUSION: According to analyzed data, meperidine was the most widely used opioid for analgesic or was among the most prescribed analgesics. This fact shows the real need for an educative multidisciplinary action to promote awareness of meperidine risks and to decrease its prescription. According to searched literature, morphine and methadone have longer action time and higher analgesic potency, with metabolites which are less toxic and noxious for patients as compared to meperidine.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1806-00132015000100067&lng=en&tlng=enanalgesiadormeperidinametadonamorfina |
spellingShingle | Andresa Graciutti Botan Simone Aparecida Biazzi de Lapena Meperidine: opioid not indicated for analgesia Revista Dor analgesia dor meperidina metadona morfina |
title | Meperidine: opioid not indicated for analgesia |
title_full | Meperidine: opioid not indicated for analgesia |
title_fullStr | Meperidine: opioid not indicated for analgesia |
title_full_unstemmed | Meperidine: opioid not indicated for analgesia |
title_short | Meperidine: opioid not indicated for analgesia |
title_sort | meperidine opioid not indicated for analgesia |
topic | analgesia dor meperidina metadona morfina |
url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1806-00132015000100067&lng=en&tlng=en |
work_keys_str_mv | AT andresagraciuttibotan meperidineopioidnotindicatedforanalgesia AT simoneaparecidabiazzidelapena meperidineopioidnotindicatedforanalgesia |