Pharmacologic and Clinical Considerations of Morphine
摘要
Morphine, a potent opioid analgesic, remains a cornerstone in pain management despite its well-documented side effects and the ongoing opioid epidemic. The pharmacology, indications, dosage forms, efficacy, and side effects of morphine are reviewed in this comprehensive chapter. In this regard, the mechanism of action, interaction with opioid receptors, and subsequent effects on neurotransmitters are described. The chapter also discusses morphine-related clinical applications, including acute and chronic pain management. The dosage forms of morphine and a variety of updated administration options are reviewed, including immediate-release and extended-release oral formulations, focusing on intravenous, epidural, and intrathecal administration. The efficacy of morphine in chronic pain is evaluated. Additionally, we explore common side effects and strategies for management, including constipation, nausea, and respiratory depression. A summary is provided of recent clinical trials highlighting the use of morphine among diverse populations and conditions, including post-cesarean analgesia, chronic cough, cutaneous ulcers, acute traumatic pain, and interactions with other medications. These studies offer valuable insight into the efficacy and safety of morphine in specific clinical contexts and offer some alternative therapies for when morphine is not appropriate or available. In summary, this chapter aims to provide healthcare professionals with a comprehensive understanding of morphine, enabling informed decision-making and promoting its safe and effective use in pain management.