Disclosed herein are novel methods of treating pain in a patient in need thereof by providing to the patient a selective dopamine D3 receptor antagonist/partial agonist which when used with an opioid analgesic, can mitigate the development of opioid dependence, by preventing the need for dose escalation while either maintaining the opioid analgesic effect or providing analgesia with a lower dose of the opioid. In addition, the D3 antagonists/partial agonists described herein may be used to augment the effectiveness of current Medication Assisted Treatment regimens (e.g. methadone or buprenorphine) for the treatment of opioid use disorders.
本文公开了治疗有需要的患者疼痛的新方法,通过向患者提供选择性
多巴胺 D3 受体拮抗剂/部分激动剂,当与阿片类
镇痛药一起使用时,可以通过防止剂量升级的需要,同时保持阿片类镇痛效果或以较低剂量的阿片类药物提供镇痛效果,从而减轻阿片类药物依赖性的发展。此外,本文所述的 D3 拮抗剂/部分激动剂可用于增强当前药物辅助治疗方案(如
美沙酮或丁丙诺啡)治疗阿片类药物使用障碍的效果。