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Published online: 2024-12-31

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Progress in pain management with opioid analgesics: focus on tapentadol, cebranopadol, and oxycodone with naloxone

Renata Zajączkowska1, Wojciech Leppert23, Jerzy Wordliczek4

Abstract

Opioids are the strongest analgesics available in medicine and they are used when non-opioid analgesics are ineffective. However, they may cause side effects that may limit their use and therapeutic effect. Therefore, newer opioids with limited adverse effects while preserving analgesic efficacy may have a prominent role in the pharmacotherapy of patients with severe pain intensity. This narrative review focuses on three opioids (tapentadol, cebranopadol, and oxycodone/naloxone) that display different pharmacodynamic and pharmacokinetic properties compared to widely used opioids with the provision of effective analgesia and fewer adverse effects. It highlights a need for an individual and tailored approach to address patient needs regarding management of patients with pain and minimizing adverse effects which ultimately preserves possible highest patients and caregivers quality of life.

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