Are Opioids Associated with Sleep Apnea? A Review of the Evidence
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Chronic opioid use for nonmalignant pain has increased dramatically; nonillicit unintentional deaths have also increased. This article reviews the physiology of breathing, effects of sleep on respiration, effects of opioids on respiration, potential interactions between sleep and opioids on respiration, and current evidence that chronic opioid use is associated with sleep-disordered breathing.
Lopez-Quintero C, Warren T, Falise A, Sharma V, Bares C, Oshri A Pharmacol Biochem Behav. 2021; 204:173169.
PMID: 33684453 PMC: 8409243. DOI: 10.1016/j.pbb.2021.173169.
Gavidia R, Emenike A, Meng A, Jansen E, Hershner S, Goldstein C J Clin Sleep Med. 2020; 17(1):55-60.
PMID: 32964833 PMC: 7849633. DOI: 10.5664/jcsm.8826.
Associations between obstructive sleep apnea and prescribed opioids among veterans.
Chen K, Yaggi H, Fiellin D, DeRycke E, Athar W, Haskell S Pain. 2020; 161(9):2035-2040.
PMID: 32358418 PMC: 7606219. DOI: 10.1097/j.pain.0000000000001906.
Angarita G, Emadi N, Hodges S, Morgan P Addict Sci Clin Pract. 2016; 11(1):9.
PMID: 27117064 PMC: 4845302. DOI: 10.1186/s13722-016-0056-7.
Weighing the balance: how analgesics used in chronic pain influence sleep?.
Bohra M, Kaushik C, Temple D, Chung S, Shapiro C Br J Pain. 2015; 8(3):107-18.
PMID: 26516542 PMC: 4590120. DOI: 10.1177/2049463714525355.