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. 2024 Apr 29;13:1–9. doi: 10.31661/gmj.v12i.3264

Table1. The Common Drugs, Mechanism of Action, and Side effects to Control Pain in Critically Ill Patients [42][43].

Drug Category Mechanism of Action Side Effects
Opioids binding to opioid receptors in the brain, spinal cord, and other areas of the body, reducing the perception of pain. respiratory depression, sedation, constipation, nausea, vomiting, tolerance, and dependence.
Nonsteroidal Anti-inflammatory Drugs (NSAIDs) inhibit the production of prostaglandins, which are chemicals that promote inflammation, fever, and pain. gastrointestinal ulcers and bleeding, kidney damage, increased risk of cardiovascular events (such as heart attack or stroke), and fluid retention.
Acetaminophen (Paracetamol) inhibiting the production of prostaglandins in the brain. liver damage (especially in cases of overdose), allergic reactions, and skin rash.
Gabapentinoids (Gabapentin, Pregabalin) modulating the activity of certain neurotransmitters involved in the transmission of pain signals. dizziness, drowsiness, peripheral edema, weight gain, and ataxia.
Ketamine NMDA receptor antagonist and provides analgesic effects by blocking the transmission of pain signals. hallucinations, dissociation, elevated blood pressure, tachycardia, and respiratory depression.
Local Anesthetics (e.g., Lidocaine) signals in a specific area, providing temporary pain relief. local tissue irritation, allergic reactions, and systemic toxicity if absorbed in large amounts.
Alpha-2 Agonists (e.g., Dexmedetomidine) sedative and analgesic effects by activating alpha-2 adrenergic receptors in the brainstem. bradycardia, hypotension, dry mouth, and sedation.
Corticosteroids (e.g., Methylprednisolone) - anti-inflammatory properties and may be used to reduce inflammation and pain associated with certain conditions. immunosuppression, hyperglycemia, fluid retention, mood changes, and osteoporosis.