KORAs block pain at it source by selectively activating kappa-opioid receptors located on peripheral nerve terminals rather than the CNS. Unlike mu-opioids, peripheral KORAs have a reduced ability to cross the blood-brain barrier—minimizing abuse liability and mu opioid-related side effects.
When mu-opioid related side effects are a concern in a peri-operative setting.
Treatment of pain with classical mu opioids is associated with multiple side effects, including sedation, respiratory depression, constipation, nausea, and euphoria (which may lead to abuse potential).
When risk of abuse is a concern in a clinical setting.
Peripherally restricted kappa opioid receptor agonists have shown a possible lower abuse potential and side effect burden than mu opioid receptor agonists making them promising targets for treating pain
QUESTION:
When prescribing, what would you like to see in a pain product?