Schneider J, Kreutz R, Bolbrinker J
Institut für Klinische Pharmakologie und Toxikologie, Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, Charitéplatz 1, 10117, Berlin, Deutschland.
Schmerz. 2019 Apr;33(2):165-179. doi: 10.1007/s00482-018-0339-x.
Due to high prescription rates as well as the frequent use as over the counter drugs, it is of interest to consider non-opioid analgesics when evaluating the quality and appropriateness of a given overall medication. This article sums up the basic pharmacology and main adverse effects of these analgesics. Non-opioids can be further classified according to their additional mechanisms of action besides analgesia. High-dose acetylsalicylic acid, traditional nonsteroidal anti-inflammatory drugs, and coxibs exhibit antipyretic and anti-inflammatory properties. Acetaminophen and metamizole (dipyrone) are analgesics and antipyretic agents, while metamizole exhibits also spasmolytic effects. Capsaicin and intrathecal ziconotide are pure analgesics.
由于高处方率以及作为非处方药的频繁使用,在评估特定总体用药的质量和适宜性时,考虑非阿片类镇痛药是很有意义的。本文总结了这些镇痛药的基本药理学和主要不良反应。非阿片类药物可根据其除镇痛外的其他作用机制进一步分类。高剂量乙酰水杨酸、传统非甾体抗炎药和昔布类药物具有解热和抗炎特性。对乙酰氨基酚和安乃近是镇痛药和解热剂,而安乃近还具有解痉作用。辣椒素和鞘内注射齐考诺肽是单纯的镇痛药。