Use of Peripheral μ-Opioid Receptor Antagonists for Treating Opioid-Induced Constipation among US Medicare Beneficiaries from 2014 to 2018

Author(s):  
Naveen Premnath ◽  
Andrew Sumarsono ◽  
Ramy Sedhom ◽  
David H. Johnson ◽  
Ishwaria M. Subbiah ◽  
...  
2007 ◽  
Vol 15 (3) ◽  
pp. 1237-1251 ◽  
Author(s):  
Tingyou Li ◽  
Yunden Jinsmaa ◽  
Masahiro Nedachi ◽  
Anna Miyazaki ◽  
Yuko Tsuda ◽  
...  

2010 ◽  
Vol 63 (4) ◽  
pp. 680-688 ◽  
Author(s):  
Ngoc Quan Phan ◽  
Jeffrey D. Bernhard ◽  
Thomas A. Luger ◽  
Sonja Ständer

2020 ◽  
Vol 45 (9) ◽  
pp. 688-695
Author(s):  
Eugene R Viscusi ◽  
Andrew R Viscusi

The blood–brain barrier (BBB) describes the unique properties of endothelial cells (ECs) that line the central nervous system (CNS) microvasculature. The BBB supports CNS homeostasis via EC-associated transport of ions, nutrients, proteins and waste products between the brain and blood. These transport mechanisms also serve as physiological barriers to pathogens, toxins and xenobiotics to prevent them from contacting neural tissue. The mechanisms that govern BBB permeability pose a challenge to drug design for CNS disorders, including pain, but can be exploited to limit the effects of a drug to the periphery, as in the design of the peripherally acting μ-opioid receptor antagonists (PAMORAs) used to treat opioid-induced constipation. Here, we describe BBB physiology, drug properties that affect BBB penetrance and how data from randomized clinical trials of PAMORAs improve our understanding of BBB permeability.


2009 ◽  
Vol 52 (21) ◽  
pp. 6926-6930 ◽  
Author(s):  
Nick P.R. Nieland ◽  
David Rennison ◽  
Jillian H. Broadbear ◽  
Lauren Purington ◽  
James H. Woods ◽  
...  

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