Pain pharmacogenetics

Author:

Slepukhina Mariia A.1,Ivashchenko Dmitriy V.2,Sheina Maria A.3,Muradian Andranik Alexandrovich4,Blagovestnov Dmitriy Alexeevich4,Sychev Dmitriy A.5

Affiliation:

1. I.M. Sechenov First Moscow State Medical University, Moscow 119146, Russia

2. Child Psychiatry and Psychotherapy Department, Department of Personalized Medicine, Russian Medical Academy of Continuous Professional Education, Moscow, Russia

3. Department of Anesthesiology and Intensive Care, I.M. Sechenov First Moscow State Medical University, Moscow 119146, Russia

4. Department of Urgent and General Surgery, Russian Medical Academy of Continuous Professional Education, 2/1, Barrikadnaya St., Moscow 125993, Russia

5. Department of Clinical Pharmacology and Therapeutics, Russian Medical Academy of Continuous Professional Education, Moscow, Russia

Abstract

AbstractPain is a significant problem in medicine. The use of PGx markers to personalize postoperative analgesia can increase its effectiveness and avoid undesirable reactions. This article describes the mechanisms of nociception and antinociception and shows the pathophysiological mechanisms of pain in the human body. The main subject of this article is pharmacogenetic approach to the selection of anesthetics. Current review presents data for local and general anesthetics, opioids, and non-steroidal anti-inflammatory drugs. None of the anesthetics currently has clinical guidelines for pharmacogenetic testing. This literature review summarizes the results of original research available, to date, and draws attention to this area.

Publisher

Walter de Gruyter GmbH

Subject

Pharmacology (medical),General Pharmacology, Toxicology and Pharmaceutics

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