Table 1.
Effects of opioids on different organ systems.
| System | Effects |
|---|---|
| Gastrointestinal | Constipation, xerostomia, nausea, vomiting, delayed gastric emptying, gastro-oesophageal reflux, constriction of the sphincter of Oddi |
| Neurological | Analgesia, delirium, hallucinations, sedation, myoclonus, hyperalgesia, seizures, headaches, euphoria, dysphoria, tolerance, dependency |
| Cardiovascular | Bradycardia, hypotension |
| Pulmonary | Respiratory depression, decreased cough reflex, non-cardiogenic pulmonary oedema |
| Urological | Urine retention, decreased urine production, altered renal function |
| Endocrinological | Hypogonadism, sexual dysfunction, osteoporosis |
| Immunological | Decreased neutrophil, macrophage, natural killer cell, T cell function and cytokine dysregulation |
Adapted with permission from Boland, J.W. Clin. Med. 2013, 13, 149–151 [9].