Complications of Long-Term Opioid Therapy for Management of Chronic Pain: the Paradox of Opioid-Induced Hyperalgesia
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- Brush, D.E. J. Med. Toxicol. (2012) 8: 387. doi:10.1007/s13181-012-0260-0
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While opioids remain a valid and effective analgesic strategy for patients suffering from a wide variety of painful conditions, they are not a panacea. Increasingly, physicians must balance patient expectations of adequate pain control with known limitations of opioid pharmaceuticals including adverse effects, tolerance, addiction, withdrawal, and drug diversion. Further complicating the issue over the last decade is a growing body of evidence suggesting chronic opioid use may unexpectedly worsen the perception of pain in some individuals. This syndrome, termed opioid-induced hyperalgesia (OIH), fundamentally changes our understanding of opioid pharmacodynamics and may influence our approach to management of chronic pain. This manuscript describes the concept OIH and provides an overview of basic science and clinical research to date attempting to characterize this syndrome, as well as ascertain its clinical relevance. The potential existence of OIH in humans is framed within the context of our current understanding of opioids and our prescribing patterns so that physicians may begin to incorporate these ideas into their philosophy of pain management as further information develops. Animal studies reliably validate OIH in controlled models. Rigorous research protocols in humans are lacking, and we cannot yet confidently conclude that OIH manifests in clinically significant ways. However, clinicians should consider the possibility of OIH when evaluating outcomes of patients on chronic opioid therapy.
KeywordsOpioids Hyperalgesia Opioid-induced hyperalgesia Chronic pain
Current Opioid Paradigm
Physicians regularly prescribe opioids for control of moderate to severe pain in the acute care setting. This includes administration in emergency, outpatient, and inpatient environments for patients suffering from a variety of acute and chronic painful conditions. Our current paradigm for opioid utilization suggests they provide effective analgesia for short-term use in most patients. Unfortunately, the risk of adverse effects or addiction is not rare and may be difficult to accurately quantify . Regular prescription of opioids also occurs in the long-term care setting for patients with cancer-related pain offering effective pain relief and limited concern for addiction. However, long-term use of opioids for treatment of certain chronic conditions such as back pain, fibromyalgia, or neuropathic pain syndromes sparks more debate regarding therapeutic efficacy, adverse effects, and potential for misuse, abuse, and diversion of prescription opioids. Concerns regarding opioid use for patients with chronic non-cancer pain may relate to a subset of these patients who require significant dose escalation over time, visit multiple providers seeking opioid prescriptions, and report insufficient pain relief despite high dose therapy. These scenarios generate several concerns including the possibility that chronic opioid administration may be an ineffective strategy for long-term analgesia. Emerging evidence suggests that in some patients chronic opioid exposure may actually worsen the perception of pain.
Opioid Interactions with Nociceptive Pathways
Nociception describes complex pathways that enable the perception of pain triggered by noxious stimuli. The experience of pain is adaptive, facilitating the learning process whereby we take action to shield ourselves from harm. Conversely, pain becomes maladaptive when experienced as severe and ongoing beyond the point of directing behavior modification. Endogenous opioid receptor ligands, for example enkaphalin, provide intrinsic anti-nociceptive balance. In the normal state, pro- and anti-nociceptive pathways work in harmony facilitating an adaptive experience of pain without undue suffering. Exogenous opioid administration aims to tip the balance toward an anti-nociceptive state wherein analgesia supersedes pain. Acutely, this strategy provides effective control of pain. However, evidence presented below demonstrates that the complex biochemical and neuroanatomical pathways of nociception may adapt to our interventions producing unintended maladaptive consequences.
In a simplified overview of the normal state, exogenous opioids bind to inhibitory G-protein-coupled receptors producing three key downstream effects . First, through inhibition of adenylate cyclase (AC), intracellular concentrations of cyclic AMP (cAMP) decrease. Reduced phosphorylation and activation of multiple proteins, enzymes, and ion channels diminishes excitatory activity in nociceptive pathways. Opioid binding affects impulse conduction via two other mechanisms: blockade of calcium channels, and facilitation of potassium ion influx. Reduced intracellular calcium prevents exocytosis of vesicles containing excitatory amino acids and neuropeptides such as glutamate, substance P (SP), and calcitonin gene-related peptide (CGRP). Hyperpolarization of the post-synaptic neuron via potassium ion influx has a concordant effect of limiting neurotransmission across the synapse.
Opioids exert their primary analgesic effects at both spinal and supraspinal levels . For example, inhibited phosphorylation of the post-synaptic N-methyl-d-aspartate receptor (NMDA-r) in the dorsal horn of the spinal cord decreases its sensitivity to glutamate binding. Therefore, transmission of a pain signal from the periphery is muted upon synapsing in the spinal cord. Similarly, diminished synaptic exocytosis of glutamate, SP, and CGRP in response to afferent pain signals reduces transmission beyond the spinal level. Centrally, opioids bind in the periaqueductal gray matter (PAG) and attenuate activity in descending fibers to the rostral ventromedial medulla (RVM). The “off-cells” in the RVM are normally quiescent in response to tonic inhibition from the PAG. However, when opioids reduce this tonic inhibition, “off-cells” become active and send downward inhibitory influence to the spinal cord creating a blockade for afferent nociceptive signals bound for the CNS. In this way opioid binding at spinal and supraspinal levels mitigates our awareness of noxious stimuli.
Analgesia from opioid therapy can be limited by tolerance, a familiar expected pharmacologic outcome in response to prolonged receptor agonism from an exogenous ligand. With respect to opioid receptors this results in blunting of the usual anti-nociceptive effect of opioids necessitating dose escalation to yield the desired effect. Associated cellular changes include opioid receptor phosphorylation, internalization, and sequestration leading to downregulation of available receptors . In response to cessation of opioid therapy, or de-escalation of dosing, patients can experience withdrawal and may report increased pain sensitivity in this context.
Syndrome of Opioid-Induced Hyperalgesia
Opioid-induced hyperalgesia (OIH), a novel unanticipated outcome, may also develop following prolonged opioid therapy. This phenomenon is characterized by a heightened perception of pain related to the use of opioids in the absence of disease progression or opioid withdrawal. Stated otherwise opioids may directly facilitate pro-nociceptive pathways such that patients are overly affected by noxious stimuli compared with opioid naïve patients. Receptor downregulation, a model used to explain tolerance, fails to adequately explain how this could occur.
Research efforts struggle to develop consensus definition of OIH and incorporate this into experimental protocols designed to identify this effect. Experimental observation of pain attenuation in both animals and humans is often measured with respect to pain tolerance. The validity of operationally defining OIH by a reduction in baseline pain tolerance induced by opioid exposure remains unclear. Another variable, the threshold at which pain is perceived, would be challenging in animal models, and may be too subjective in humans to demonstrate consistent results. Therefore, a reduction in baseline pain tolerance in response to opioid exposure has emerged as the defining measurement of OIH in most studies.
Clinical Observations Supporting OIH
Reports as early as 1870 allude to the occurrence of OIH in morphine-addicted patients . Physicians with experience prescribing long-term opioid therapy may embrace intuitive assumptions regarding the existence of OIH in the absence of validated surveillance tools. Perhaps the patient on methadone reporting severe pain with ordinary venipuncture could suffer from OIH. A patient on high doses of oxycodone for chronic back pain may rate the pain intensity from a mild ankle strain on the numeric pain scale as a 10 (scale 0–10), whereas we would typically expect a lower rating in the average patient. Without clearly defined criteria this diagnosis remains a suspicion under these circumstances and could also be explained as progression of disease states, opioid tolerance, withdrawal, or OIH. If identified correctly, pharmacologic tolerance or progression of underlying disease may respond appropriately to increased opioid dosing, whereas manifestations of OIH could, in theory, intensify with higher dosing .
Animal Data Supporting Existence of OIH
Basic Science Research Examining Mechanisms of OIH
Compartmentalized analysis of mechanisms related to the occurrence of OIH
Target of interest
Effect of chronic opioids
TRPV1, non-specific ion channel transduces stimuli into afferent pain signal
↑ transcription of TRPV1 in dorsal root ganglia with translocation to periphery 
NMDA receptors co-localized with opioid receptors in dorsal horn
Blockade with MK801 prevents OIH. Evidence of “second messenger switching”
↑release of EAA and ↑sensitivity to EAA 
PKC, not normally activated by inhibitory G-protein receptor activation
Paradoxical activation of PKC
↑transcription factor such as CREB leads to ↑expression of CGRP and SP 
↑EAA receptor activation
↑Calcium entry and vesicle exocytosis
↓Potassium entry, loss of hyperpolarization 
Dynorphin, analgesic in normal state, binds to Kappa receptor
↑CCK expression occurs in response to opioids 
Blocks opioid-related “off-cell” disinhibition in the RVM attenuating downward projecting spinal inhibition 
Human Data Supporting OIH
Studying OIH in humans involves much higher complexity and more careful interpretation than with animal models. First, there is no defined clinical syndrome describing OIH in humans, and no widely accepted operational definition of OIH driving experimental consistency. Therefore, outcome measures between studies vary, limiting comparison. Second, most studies enroll patients already taking opioids for a variety of medical conditions. This non-random exposure to opioids creates multiple confounding issues. Studies must identify and control for tolerance to opioids, withdrawal states, and personality profiles associated with opioid addiction. Research design must also consider progression of underlying disease states and pre-existing or developing hyperalgesia that may be associated with some pain syndromes. Further, the morphine-3-glucoronomide metabolite of morphine can induce hyperalgesia and allodynia (perception of pain in response to non-noxious stimuli) and highlights the need for consideration of agent-specific effects . Route and schedule of opioid administration may also influence OIH.
An evidence-based review of available human studies concludes that although data is limited, the existence of OIH in humans is evident in normal volunteer studies utilizing brief opioid infusions. However, there is insufficient evidence to either support or refute the occurrence of OIH in the clinical setting . Koppert et al. studied normal volunteers randomized to opioid infusion in a double-blind placebo-controlled design to assess hyperalgesia induced by electrical stimulation to the forearm . Following induction with the conditioning stimulus hyperalgesia was quantified with von Frey filament mechanical stimulation. Subsequent measurements revealed attenuation of the hyperalgesic effect during a 30-min remifentanil infusion. However, post-infusion hyperalgesia was greater compared with non-opioid controls. Results indicate that following acute exposure to a potent opioid agonist subjects become more sensitive to noxious stimuli compared with opioid naïve controls. However, this study utilized a brief opioid infusion with resultant transient hyperalgesia and does not broadly apply to a clinically relevant scenario of chronic opioid therapy.
A deeper understanding of purported alteration in nociception derives from a study utilizing a research design known as Diffuse Noxious Inhibitory Control (DNIC). Ram et al. tested 110 chronic pain patients with respect to their rated pain intensity in response to a test stimulus . Of these subjects, 73 were maintained on opioids chronically and 37 were treated for pain with non-opioid medications. All subjects were given an initial heat stimulus to the left hand and asked to report the pain intensity on a numeric pain scale (NPS). Subsequently, the right arm was submerged in an ice bath followed by application of second heat stimulus to the left hand. Subjects were asked to rate the second test stimulus using the NPS. Ordinarily, healthy volunteers would rate the second heat stimulus as less intense due to the effect of the conditioning ice bath that evokes anti-nociceptive pathways and modulates the perception of pain. The difference between the NPS rating of the first and second test stimulus, known as the magnitude of DNIC, measures the ability of intrinsic anti-nociceptive pathways to dampen pain signals. Comparing the magnitude of DNIC between groups in this study revealed significant impairment in anti-nociceptive pathways of subjects taking opioids chronically. The heterogeneity of enrolled subjects with respect to underlying pain conditions and prescribed opioid therapy introduces some limitations to data interpretation.
Many publications seek to further demonstrate OIH and define its characteristics with human experiments. Variations in measured outcomes, multiple modalities for induction of pain, inherent confounders, and lack of randomized exposure to opioids leave us without overwhelming proof that clinically significant OIH exists in humans. Regardless, animal data along with clinical observations suggest that OIH may contribute to inadequate pain control in patients maintained on long-term opioids. As a profession, we are reticent to undertreat pain, yet we are faced with the possibility that opioid treatment may actually worsen symptoms. Patients may expect a reflexive dose escalation in response to pain exacerbations, and could find suggestions of decreased opioid use or even termination of opioid therapy perplexing and unsatisfactory. Consideration of opioid rotation may present a valid and more palatable option to both patient and provider.
Although animal models of OIH are reproducible with a wide variety of opioids, rationale exists for rotating from one opioid to another when OIH is suspected. First, opioid rotation may avoid adverse effects associated with continued dose escalation of a single agent. Other considerations include interindividual variability in morphine receptor polymorphisms that affect binding affinities, and varied receptor subtype binding profiles among available opioid pharmaceuticals . Current experience with treating presumed OIH in this manner remains anecdotal. Based on evidence from animal models demonstrating that NMDA receptor antagonists can prevent OIH, agents such as methadone that not only bind opioid receptors, but also inhibit NMDA receptors, could provide a clever therapeutic substitution. However, long-term therapy with methadone appears to result in OIH as well, and this strategy may suffer limitations. Nevertheless, human studies producing OIH in response to brief infusions of remifentanil provide evidence that ketamine effectively limits hyperalgesia when co-administered, re-invigorating the concept of NMDA receptor antagonism as an effective maneuver . One large-scale human trial utilizing dextromethorphan, chosen for its NMDA receptor antagonism, in combination with morphine (MorphiDex®) aimed to reduce pain scores and morphine requirements in chronic pain patients . Though no significant effect was detected by the addition of dextromethorphan, the low doses administered may have limited efficacy.
While clinicians undoubtedly understand that opioid treatment suffers limitations, including incomplete pain control, neurocognitive and peripheral side effects, addiction, and drug diversion, the suggestion that opioids may actually worsen pain presents new challenges. Our current approach to management of chronic pain remains highly individualized with respect to opioid prescribing. Variables include length of therapy, agent of choice, degree and rapidity of dose escalation, assessment of efficacy, and grounds for termination of treatment. Suspicion of OIH may be limited to patients who self-report inadequate analgesia. Utilization of multiple prescribers in an effort to self-escalate dosing may obscure detection of treatment failures. Implementation of prescription monitoring programs in some states could aid physicians by providing additional feedback about their patients’ opioid utilization. Enhancements in communication between primary care providers and other specialties such as emergency medicine remain paramount, though currently not well structured.
Animal models support clinical observations of OIH and lay the groundwork for developing a defined clinical description in humans. Current data provides an incomplete depiction of OIH and suffers from varied operational definitions of OIH, lack of randomized exposure to opioids, and confounders associated with pre-existing disease states . Controlled prospective randomized trials along with careful selection of research methods such as DNIC that are well suited to detect alterations in nociception are needed to reliably characterize the opioid-induced hyperalgesia syndrome. If reproducibly modeled, clinicians may utilize this data to establish broadly applicable clinical tools for assessment and treatment of patients maintained on long-term opioid therapy.