Provided herein are alpha-conotoxin peptide analogs, including alpha-conotoxin peptide analogs that are covalently attached to polyethylene glycol (PEG), and pharmaceutical compositions of such alpha-conotoxin peptide analogs. Also provided herein are methods of treating or preventing a condition conducive to treatment or prevention by inhibition of an α9-containing nicotinic acetylcholine receptor (nAChR) (e.g., the α9α10 subtype of the nAChR) in a subject.本發明提供α-芋螺毒素(conotoxin)肽類似物、包括共價連接至聚乙二醇(PEG)之α-芋螺毒素肽類似物,及此等α-芋螺毒素肽類似物之醫藥組合物。本發明亦提供治療或預防藉由抑制個體中含α9之菸鹼乙醯膽鹼受體(nAChR) (例如nAChR之α9α10亞型)有助於治療或預防之病症之方法。