A pharmacogenetics approach to pain management

Neuropsychopharmacol Rep. 2018 Mar;38(1):2-8. doi: 10.1002/npr2.12003. Epub 2018 Feb 6.

Abstract

Introduction: Opioid analgesics are widely used as effective analgesics for the treatment of moderate-to-severe pain. However, the analgesic efficacy of opioids is well known to vary widely among individuals, and effective pain treatment is hampered by vast individual differences. Although these differences in opioid requirements have been attributed to various factors, genetic factors are becoming increasingly relevant to the development of genome science.

Aim: This review covers the association between opioid analgesic requirements and particularly gene polymorphisms.

Future perspectives: Personalized pain treatment has begun using prediction formulas based on associated gene polymorphisms. Improvements in personalized pain treatment are expected as scientific knowledge further expands in the future.

Keywords: genetic polymorphisms; opioids; pain; personalized medicine; predictive genetic testing.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Genetic Testing / methods
  • Humans
  • Pain / drug therapy
  • Pain / genetics*
  • Pain Management / methods*
  • Pharmacogenetics / methods*
  • Pharmacogenomic Variants*
  • Precision Medicine / methods