Opioids · Pharmacology

Methylnaltrexone is specifically indicated for which of the following conditions?

  1. Acute heroin overdose with respiratory depression
  2. Maintenance of opioid abstinence after detoxification
  3. Opioid-induced constipation in palliative care
  4. Treatment of chronic neuropathic pain
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Correct answer: Opioid-induced constipation in palliative care

Methylnaltrexone is a quaternary ammonium compound that does not cross the blood-brain barrier. It blocks peripheral Mu-receptors in the gut to treat constipation without reversing the central analgesic effects of the opioid.

Difficulty: Medium Question 18 of 20

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