The midst, eldest and most long-standing substances used for the management of pain and other medical complications is opioids. It is well-known that the naturally occurring opioids (primarily morphine and codeine), the related endogenous opioid-like peptides and synthetic chemical substances have properties that can be indorsed to action that is mediated by binding at the various opioids receptors within the central and peripheral nervous systems. A number of opioids are available for clinical use, including morphine, hydromorphone, levorphanol, oxymorphone, methadone, meperidine, oxycodone, and fentanyl. ANALGESIC:
From thousands of years opioids analgesic have been used as a means of providing pain relief in a …show more content…
The acute pain treatment is essential to facilitate recovery from surgery or trauma by enabling early recruitment and avoiding complications, including the bed-bound risks of venous thromboembolism, pulmonary embolus, pressure sores and pneumonia because severe untreated acute pain may also leads to the development of chronic pain. In treating acute pain opioids are very effective and are used in combination with paracetamol, non-steroidal anti-inflammatory drugs and local anaesthetics where suitable as superlative part of a multimodal analgesic manner. However, the initiating opioids require a prescriber to ensure that the opioids are not continued beyond the expected period of tissue healing in the acute …show more content…
Common cough suppressants include codeine, dihydrocodeine, ethylmorphine, hydrocodone, hydromorphone and Codeine they suppresses the brain cough center directly and may be used as an antitussive in sub-analgesic doses. but now a number of effective synthetic compounds have been developed that largely replace opioids to allay cough as they are either to be analgesic nor to be addictive as opioids. However, dextromethorphan, an opioid derivative is often used as a cough suppressant because it does not have the adverse effect of potentially becoming