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Subjects/Pharmacology/AIIMS 2018
AIIMS 2018
medium
pill Pharmacology

Morphine should not be used in the treatment of:

A. Ischemic pain
B. Biliary colic
C. Cancer pain
D. Post operative pain

Explanation

Morphine (an opioid) is a strong analgesic. It is used in treatment of all types of pain like Crush injury, Fracture, MI, cancer pain, post-operative pain etc. However in Biliary colic (e.g. due to any stone blocking bile duct), morphine constricts sphincter of Oddi and increase the intrabiliary pressure. This increases the chances of rupture of bile duct. Therefore opioids like morphine are contra-indicated in biliary colic.

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