Treatment of Opioid-Induced Constipation
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Questions and Answers

Which of the following PAMORAS is administered via injection?

  • Naldemedine
  • Methylnaltrexone (correct)
  • Metoclopramide
  • Naloxegol
  • Which PAMORAS is indicated for opioid-induced constipation in patients with chronic non-cancer pain, and has a dosing of 0.2 mg daily?

  • Naldemedine (correct)
  • Naloxegol
  • Methylnaltrexone
  • Lubiprostone
  • What is a key contraindication for the use of PAMORAS like Methylnaltrexone?

  • GI obstruction (correct)
  • Renal impairment
  • Cardiac arrhythmia
  • Liver failure
  • What is a common side effect of Methylnaltrexone?

    <p>Abdominal pain</p> Signup and view all the answers

    Which PAMORAS should be dosed at 25 mg once daily in the morning on an empty stomach for a patient with opioid-induced constipation and chronic non-cancer pain?

    <p>Naloxegol</p> Signup and view all the answers

    What is the dosing for Lubiprostone in the treatment of opioid-induced constipation?

    <p>24 mcg BID</p> Signup and view all the answers

    Which of the following drugs should be avoided or used at a reduced dose with CYP3A4 inhibitors?

    <p>Naloxegol</p> Signup and view all the answers

    Which precaution is common across PAMORAS like Methylnaltrexone, Naloxegol, and Naldemedine?

    <p>Monitor for severe abdominal symptoms due to risk of GI perforation</p> Signup and view all the answers

    Study Notes

    Treatment of Opioid-Induced Constipation (OIC)

    • Peripherally-acting mu-opioid receptor antagonists (PAMORAS) are used to treat OIC.
    • PAMORAS work by blocking opioid receptors in the gut to reduce constipation.
    • PAMORAS do not affect analgesia, which means they do not reduce the pain-relieving effects of opioids.
    • PAMORAS are only effective when constipation is caused by the use of opioids.

    Drug Dosing and Safety

    • PAMORAS have specific dosing regimens.
    • Patients taking PAMORAS must be monitored for side effects and safety.
    • The safety and side effects of PAMORAS vary depending on the specific drug used.

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    Description

    This quiz covers the treatment of Opioid-Induced Constipation (OIC) using Peripherally-acting mu-opioid receptor antagonists (PAMORAS), including their mechanism of action and dosing regimens.

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