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Pharmacology Chapter 10
Glossary Terms
36
Medical
Undergraduate 4
09/11/2008

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Term
acute pain
Definition
Pain that is sudden inset, usually subsides when treated, and typically occurs over less than a 6 week period.
Term
addiction
Definition
Psychologic dependence on a substance, usually resulting from habitual use, that is beyond normal voluntary control (same as psychologic dependence.)
Term
adjuvant analgesic drugs
Definition

Drugs that are added as a second drug for combined therapy with a primary drug and may have addictive or independent analgesic properies or both.
Term
agonist
Definition
A substance that binds to a receptor and causes a response.
Term
agonist-antagonist
Definition
A substance that binds to a receptor and causes a partial response that is not as strong as that caused by an agonist (also known as a partial agonist.)
Term
analgesic ceiling effect
Definition
What occurs when a given pain drug no longer effectively controls a patient's pain despite the administration of the highest safe dosage.
Term
analgesics
Definition
Medications that relieve pain without causing loss of consciousness (sometimes referred to as pain killers.)
Term
antagonist
Definition
A drug that binds to a receptor and prevents (blocks) a response.
Term
cancer pain
Definition
Pain resulting from any of a variety of causes related to cancer and/or the metastasis of cancer.
Term
central pain
Definition
Pain resulting from any disorder that causes central nervous system (CNS) damage.
Term
chronic pain
Definition
Persistent or recurring pain that is often difficult to treat. Typically it is pain that lasts 3-6 months.
Term
Gate theory
Definition
The most common and well-described theory of pain transmission and pain relief. It uses a gate model to explain how impulses from damaged tissues are sensed in the brain.
Term
neuropathic pain
Definition
Pain that results from a disturbance of function or pathologic change in a nerve.
Term
nonopiod analgesics
Definition
Analgesics that are not classified as opiods.
Term

nonsteroidal anti-inflammatory drugs

(NSAIDs)

Definition
A large, chemically diverse group of drugs that are analgesics and also possess anti-inflammatory and antipyretic activity but are not steroids.
Term
opiate analgesic
Definition
Natural narcotic drug containing or derived from opium that binds to opiate receptors in the brain to relieve pain.
Term
opioid analgesics
Definition
Synthetic narcotic drugs that bind to opiate receptors to relieve pain but are not themselves derived from the opium plant.
Term
opioid-naive
Definition
Describes patients who are receiving opioid analgesics for the first time and who therefore are not accustomed to their effects.
Term
opioid tolerance
Definition
A normal physiologic condition that results from long-term opioid use, in which larger doses of opoids are required to maintain the same level of analgesia and in which abrupt discontinuation of the drug results in withdrawal symptoms (same as physical dependence.)
Term
opioid-tolerant
Definition
Opposite of opioid-naive; describes patients who have been receiving opioid analgesics (legally or otherwise)for an extended period of time and who are therefore at greater risk of opioid withdrawal syndrome upon sudden discontinuation of opioid use.
Term
opioid withdrawal (opioid abstinence syndrome)
Definition
The signs and symptoms associated with abstinence from or withdrawal of an opioid analgesic when the body has become physically dependent on the substance.
Term
pain
Definition
An unpleasant sensory and emotional experience associated with actual or potential tissue damage. Pain is subjective and individual experience; it can be defined as whatever the person experiencing says it is, and it exists whenever he or she says it does.
Term
pain threshold
Definition
A level of a stimulus that results in the perception of pain.
Term
pain tolerance
Definition
The amount of pain a patient can endure without its interfering with normal functions.
Term
partial agonist
Definition
A drug that binds to a receptor and causes an activation response that is less than that caused by a full agonist. For all practical purposes, the terms mixed agonist and agonist-antagonist are synonymous with partial agaonist, although a few advanced references distinguish further between these terms.
Term
phantom pain
Definition
Pain experienced in the area of a body part that has been surgically or traumatically removed.
Term
physical dependence
Definition
The physical adaptation of the body to the presence of an opioid or other addictive substance.
Term
psychogenic pain
Definition
Pain that is of psychologic origin but is actual pain in the sense that pain impulses travel through nerve cells.
Term
psychologic dependence
Definition
A pattern of compulsive use of opioids or any other addictive substance characterized by a continuous craving for the substance and the need to use it for effects other than pain relief.
Term
referred pain
Definition
Pain occurring in an area away from the organ of origin.
Term
somatic pain
Definition
Pain that originates from skeletal muscles, ligaments or joints.
Term
special pain situation
Definition
General term for pain control situation that is complex and whose treatment typically involves multiple medication,, various health care personnel, and non-pharmacologic therapeutic modalities (massage, chiropractic care, surgery.)
Term
superficial pain
Definition
Pain that originates from the skin or mucous membranes.
Term
vascular pain
Definition
Pain that results from a pathology of the vascular or perivascular tissues.
Term
visceral pain
Definition
Pain that originates from organs or smooth muscles.
Term
World Health Organization (WHO)
Definition
An international body of health care professionals, including clinicians and epidemiologists among many others, that studies and responds to health needs and trends worldwide.
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