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Co-analgesics - today and tomorrow - A receptor-based overview of therapeutical options
Anästhesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS, 11/17/09
Worner J et al. – The authors describe the peripheral action sites of co–analgesics, such as cannabinoids, capsaicin, bisphosphonates, steroids and somatostatin. The authors also summarise the effect of peripherally and centrally acting ion–channel blockers, e.g. local anaesthetics, carbamazepine and tolperisone working on sodium channels and gabapentine and pregabaline working on calcium channels. Finally, central analgesic mechanisms are discussed, for instance the inhibition of NMDA–receptors by ketamine or magnesium, the stimulation of alpha2–receptors by clonidine, tizanidine or antidepressants, the activation of GABA–receptors through baclofen and other analgesic mechanisms of i.e. ondansetrone and neostigmine.
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