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丁丙诺啡颊膜用于慢性疼痛管理。

Buprenorphine buccal film for chronic pain management.

机构信息

Gold Coast Research, LLC, 499 NW 70th Ave #200, Plantation, FL 33317, USA.

Arizona Research Center, 15601 N 28th Ave #100, Phoenix, AZ 85053, USA.

出版信息

Pain Manag. 2020 Jul;10(4):213-223. doi: 10.2217/pmt-2020-0013. Epub 2020 May 12.

Abstract

Buprenorphine is a Schedule III opioid with unique pharmacodynamic and pharmacokinetic properties that contribute to effective analgesia and fewer safety risks than other opioids. This review article focuses on the buccal film formulation, which is preferable to other buprenorphine formulations on the basis of bioavailability, safety and efficacy. The clinical studies reviewed here confirm that buprenorphine buccal film offers effective and continuous pain relief that is generally well tolerated, with no cases of respiratory depression reported in any of the studies. On the basis of these clinical data and individual patient risk/benefit assessments, clinicians should consider utilizing buprenorphine buccal film as a first-line opioid treatment for chronic pain over other buprenorphine formulations or other opioids.

摘要

丁丙诺啡是一种具有独特药效学和药代动力学特性的 III 类阿片类药物,与其他阿片类药物相比,它具有更有效的镇痛效果和更少的安全风险。本文主要介绍丁丙诺啡颊膜剂,这种剂型在生物利用度、安全性和疗效方面优于其他丁丙诺啡制剂。本文回顾的临床研究证实,丁丙诺啡颊膜剂可提供有效且持续的疼痛缓解,通常具有良好的耐受性,所有研究均未报告出现呼吸抑制的情况。基于这些临床数据和个体患者的风险/获益评估,临床医生应考虑将丁丙诺啡颊膜剂作为治疗慢性疼痛的一线阿片类药物,优于其他丁丙诺啡制剂或其他阿片类药物。

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