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The development of pain as a common experience and its treatment is
very important, not only where it is caused by injury or
inflammation, but also in chronic states where the nerves
themselves are damaged. Even though we already know from
physiological studies that special pain receptors or nociceptors
are responsible for conducting pain sensations to the brain, the
phenomenon of pain remains a medical and social problem. Pain
relief or analgesia can be achieved using several different
approaches and strategies. Non-steroidal anti-inflammatory drugs
are the most widely used analgesics. They have analgesic,
antipyretic, and, at higher doses, anti-inflammatory actions.
However, a few recent studies have demonstrated that in the case of
their prolonged use, these non-opioid drugs elicit the opioid-like
effect of tolerance, which alongside drug withdrawal syndrome may
entail serious adverse effects. This book provides up-to-date
review information and experimental findings concerning
antinociceptive tolerance to NSAIDs. The first three chapters after
the introduction are devoted to literature reviews on brain limbic
areas, opioid and cannabinoid systems, and non-opioid
antinociceptive tolerance. Chapters Five, Six and Seven describe
research data on antinociceptive tolerance to NSAIDs and opioid and
cannabinoid mechanisms of attenuation of nociceptive hyperalgesia
in the cingulate cortex, insular cortex, and central amygdala.
Chapters Eight, Nine and Ten include discussion, summary and
conclusions, as well as a detailed description of experimental
materials and methods.
This book provides an original account of behavioral aspects with
important ramifications for the study of transient receptor
potential (TRP) channels functioning. It explains, in terms of
specified somato-sensory mechanisms and systems, how TRP channels
work. Through exploration of animal models by testing paw
withdrawal reflexes to thermal and mechanical stimuli, it is shown
that TRP channels are promising targets for the development of a
new group of analgesic drugs at the periphery and central levels
and opportunities for therapeutic intervention.
Pain is a response of the body to the action of injuring stimuli.
Notwithstanding an unpleasant experience, it appears to be an
important component of the defence system of the organism and a
permanent regulator of homeostatic reaction. The organism's
reaction to pain is a multi-component one and involves
sensory-discriminative, emotional-affective and cognitive
characteristics. Clinically, neuropathic pain is characterised by
spontaneous ongoing or shooting pain and evoked amplified pain
responses after nocuous or innocuous stimuli. The study of pain,
therefore, and search for the treatment strategies have a paramount
role in modern neurobiology. Numerous anatomy-physiological studies
have revealed a number of brain structures involved in the shaping
of pain and endogenous analgesia. This book presents and examines
current research discovered in a behavioural study of 'non-opioid'
tolerance.
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