Treatment Considerations in Relation to Concurrent Pharmacology

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Pharmacodynamic Considerations (cont’d)  Effects of analgesic can differ substantially from younger people –leads to unpredictable effects –opioids have increased analgesic sensitivity possibly due to a decline in mu receptor density  Differences in nociceptive pathways and pharmacology of drugs may alter expected responses to analgesics

Strassels SA, McNicol E. Suleman R. Pharmacotherapy of pain in older adults. Clin Geriatr Med 2008;24 (2): 275-298, vi-vii McCleane G. Pharmacological pain management in the elderly patient; Clinical Interventions in Aging 2007:2(4) 637–643


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