Abstract
Opioids are powerful analgesics when used to treat acute pain and some forms of chronic pain. A large body of literature has shown that opioids can, in addition, also prevent (this review) or induce and perhaps reverse [Ruscheweyh and Sandkühler, Eur. J. Pain, in press, doi:10.1016/j.ejpain.2004.05.011] some forms central sensitisation in in vitro and in vivo animal models of pain. However, the concept of central sensitisation is, at present, ambiguous and the usefulness of opioids as pre-emptive analgesics in human pain patients is still not clear.
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