The Influence of Gene Polymorphism OPRM1 118A/G on the Perception of Pain and Pharmacodynamics of Narcotic Analgesics

The polymorphism of μ-opioid receptor is one of the most studied polymorphisms that affect the activity of narcotic analgesics. Despite that there are a large number of publications dealing with the problem, the obtained results are not being currently used in clinical practice. The purpose of this...

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Main Authors: V. M. Zhenilo, O. A. Makharin
Format: Article
Language:English
Published: Federal Research and Clinical Center of Intensive Care Medicine and Rehabilitology, Moscow, Russia 2014-06-01
Series:Общая реаниматология
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Online Access:https://www.reanimatology.com/rmt/article/view/1334
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author V. M. Zhenilo
O. A. Makharin
author_facet V. M. Zhenilo
O. A. Makharin
author_sort V. M. Zhenilo
collection DOAJ
description The polymorphism of μ-opioid receptor is one of the most studied polymorphisms that affect the activity of narcotic analgesics. Despite that there are a large number of publications dealing with the problem, the obtained results are not being currently used in clinical practice. The purpose of this review is to describe the impact of this polymorphism on the perception of pain and sensitivity to narcotic analgesics. It is shown that patients with the G118G genotype of μ-opioid receptor are tolerant to narcotic analgesics and need a larger dose to achieve the desired effect than that in normal genotype. At the same time, the likelihood of side effects associated with the use of narcotic analgesics does not significantly differ between the carriers of normal genotype and those of the A118G, G118G genotypes.
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publishDate 2014-06-01
publisher Federal Research and Clinical Center of Intensive Care Medicine and Rehabilitology, Moscow, Russia
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series Общая реаниматология
spelling doaj-art-47258e5ef2f04dcb9bacf355730f4e992025-08-20T03:35:08ZengFederal Research and Clinical Center of Intensive Care Medicine and Rehabilitology, Moscow, RussiaОбщая реаниматология1813-97792411-71102014-06-01101586710.15360/1813-9779-2014-1-58-671334The Influence of Gene Polymorphism OPRM1 118A/G on the Perception of Pain and Pharmacodynamics of Narcotic AnalgesicsV. M. Zhenilo0O. A. Makharin1Department of Pharmacology and Clinical Pharmacology, Rostov State Medical University, RostovonDonDepartment of Pharmacology and Clinical Pharmacology, Rostov State Medical University, RostovonDonThe polymorphism of μ-opioid receptor is one of the most studied polymorphisms that affect the activity of narcotic analgesics. Despite that there are a large number of publications dealing with the problem, the obtained results are not being currently used in clinical practice. The purpose of this review is to describe the impact of this polymorphism on the perception of pain and sensitivity to narcotic analgesics. It is shown that patients with the G118G genotype of μ-opioid receptor are tolerant to narcotic analgesics and need a larger dose to achieve the desired effect than that in normal genotype. At the same time, the likelihood of side effects associated with the use of narcotic analgesics does not significantly differ between the carriers of normal genotype and those of the A118G, G118G genotypes.https://www.reanimatology.com/rmt/article/view/1334μ-opioid receptor, pain, pharmacogenetics, analgesia
spellingShingle V. M. Zhenilo
O. A. Makharin
The Influence of Gene Polymorphism OPRM1 118A/G on the Perception of Pain and Pharmacodynamics of Narcotic Analgesics
Общая реаниматология
μ-opioid receptor, pain, pharmacogenetics, analgesia
title The Influence of Gene Polymorphism OPRM1 118A/G on the Perception of Pain and Pharmacodynamics of Narcotic Analgesics
title_full The Influence of Gene Polymorphism OPRM1 118A/G on the Perception of Pain and Pharmacodynamics of Narcotic Analgesics
title_fullStr The Influence of Gene Polymorphism OPRM1 118A/G on the Perception of Pain and Pharmacodynamics of Narcotic Analgesics
title_full_unstemmed The Influence of Gene Polymorphism OPRM1 118A/G on the Perception of Pain and Pharmacodynamics of Narcotic Analgesics
title_short The Influence of Gene Polymorphism OPRM1 118A/G on the Perception of Pain and Pharmacodynamics of Narcotic Analgesics
title_sort influence of gene polymorphism oprm1 118a g on the perception of pain and pharmacodynamics of narcotic analgesics
topic μ-opioid receptor, pain, pharmacogenetics, analgesia
url https://www.reanimatology.com/rmt/article/view/1334
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