» Articles » PMID: 19272277

Are Opioids Associated with Sleep Apnea? A Review of the Evidence

Overview
Date 2009 Mar 11
PMID 19272277
Citations 12
Authors
Affiliations
Soon will be listed here.
Abstract

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.

Citing Articles

Prevalence and drug use correlates of extra-medical use of prescription medications for sleep among adults in the United States: Results of the 2015-2018 National Survey on Drug Use and Health.

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.


The influence of opioids and nonopioid central nervous system active medications on central sleep apnea: a case-control study.

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.


Sleep abnormalities associated with alcohol, cannabis, cocaine, and opiate use: a comprehensive review.

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.


References
1.
. Increase in poisoning deaths caused by non-illicit drugs--Utah, 1991-2003. MMWR Morb Mortal Wkly Rep. 2005; 54(2):33-6. View

2.
Santiago T, Edelman N . Opioids and breathing. J Appl Physiol (1985). 1985; 59(6):1675-85. DOI: 10.1152/jappl.1985.59.6.1675. View

3.
Dempsey J, Smith C, Harms C, Chow C, Saupe K . Sleep-induced breathing instability. University of Wisconsin-Madison Sleep and respiration Research Group. Sleep. 1996; 19(3):236-47. View

4.
Strohl K, Redline S . Recognition of obstructive sleep apnea. Am J Respir Crit Care Med. 1996; 154(2 Pt 1):279-89. DOI: 10.1164/ajrccm.154.2.8756795. View

5.
Young T, Peppard P, Gottlieb D . Epidemiology of obstructive sleep apnea: a population health perspective. Am J Respir Crit Care Med. 2002; 165(9):1217-39. DOI: 10.1164/rccm.2109080. View