Plasebo effect
Plasebo effect is not accompanied by gross physiological changes.
Placebo response involves modulation of the central opioid
neurotransmitter system. Placebos are also seen to be more effective
in the relief of conditions with intermittent symptoms such as low back
pain,premenstrual syndrome and cyclical breast pain. The placebo
effect may involve a conditioned response,thus placebo treatments
may produce conditioned responses in patients who have previously
used the active [Link] basis of the placebo response
probably lies in a combination of the personality of the individual, their
state of health,the nature and expected natural history of the illness,a
conditioned response based upon expectations of the effect of the
treatment and some aspects of autonomic and endocrine function.
Using the Placebo effect
To demonstrate that many patients respond to reassurance and
support,and that prescription of medication is not always
necessary. It indicates that many of the medications prescribed for
the treatment of the symptoms described above are probably
having more of a placebo effect than a true pharmacological effect.
Although the placebo effect is large and may thus confound the
results of clinical trials; because unlike the effects of active
treatments, it does not normally extend beyond three months,it
may be necessary to compare of the placebo with the active
compound at the end of a trial lasting several months in order to
demonstrate the efficacy of the medicine under investigation.
Adverse effects of Placebo
The other aspect of adverse effects of the placebo
response is the manisfestation of side-effects; this is
sometimes called the noceba effect