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Opioids

Also called: Opioid Agonists, Opioid Analgesics, Opioid Antagonists, Opium Agents

- Summary
- About opioids
- Types and differences
- Conditions treated
- Conditions of concern
- Potential side effects
- Drug or other interactions
- Pregnancy use issues
- Child use issues
- Elderly use issues
- Questions for your doctor

Reviewed By:
Steven A. King, M.D.
Vikas Garg, M.D., MSA

Child use issues with opioids

Opioids can be used safely to ease acute pain and cancer pain in children. These drugs are frequently prescribed for pain relief in pediatric patients, though only some have been specifically approved by the U.S. Food and Drug Administration (FDA) for this purpose. The FDA notes that common pediatric uses of opioids include acute trauma or illness, burns, surgery and procedures, mechanical ventilation, cancer pain and sickle cell anemia crises.

There is limited research on the use of opioids for the treatment of chronic pain in children, and the effects of extended continuous opioid use on them are unclear.

One recent research project found that an opioid delivered through a skin patch helped children with cancer and other severe pain, with no more adverse affects than reported in adults.

Dosage adjustments may be necessary when prescribing opioids for children to prevent symptoms such as unusual excitement and restlessness. Newborns are more sensitive to the depressant effects of opioids such as morphine, and it may take longer for infants to clear opioids from their bodies. In addition, children under age 2 who use opioids may be prone to breathing problems.

People should never give opioids to children unless under supervision and guidance of a pediatrician.

Elderly use issues with opioids

Elderly patients can successfully use opioids for pain relief when the drugs are taken properly under a physician’s close supervision. However, adverse reactions to opioids occur twice as often in elderly patients as they do in younger patients.

Elderly patients are more likely to experience breathing problems associated with these medications, and opioids such as morphine may take longer to clear the bodies of the elderly. It is also common for opioids to cause somnolence (drowsiness) and decreased judgment in elderly patients. They also are more likely to develop the constipation that is commonly associated with the use of opioids.

In addition, older patients may be more likely to associate opioids with addiction and may be more reluctant to use the drugs for pain relief.   

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Review Date: 01-26-2007
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