Thankfully, a new guideline has been developed to help practitioners assess patients being considered for chronic opioid therapy (COT), prescribe opioid medications, and monitor patients for compliance and medication efficacy. This article will address the need for the guidelines, provide information ...
METHOD: Seven guidelines were identified as pertaining specifically to the long-term use of opioids for general chronic non-cancer pain from an initial search of the PubMed/Medline and Cochrane databases using combinations of the search terms "opioid," "chronic opioid therapy," "chronic pain," ...
Sleep-disordered breathing and chronic opioid therapy. Pain Med. 2008;9(4):425-432.PubMedGoogle ScholarCrossref 83. VA/DoD clinical practice guidelines: management of opioid therapy (OT) for chronic pain (2010). US Department of Veterans Affairs, Department of Defense. http://www.health...
Continuous Opioid Therapy (COT) is Rarely Advisable for Refractory Chronic Daily Headache: Limited Efficacy, Risks, and Proposed Guidelines Intractable pain, headache or otherwise, is a devastating and life-controlling experience. The need to effectively and aggressively control pain is a funda... JR...
Gilson AM, Kelter A, Mauskop A, O'Connor PG, Passik SD, Pasternak GW, Portenoy RK, Rich BA, Roberts RG, Todd KH, Miaskowski C, American Pain Society-American Academy of Pain Medicine Opioids Guidelines Panel: Clinical guidelines for the use of chronic opioid therapy in chronic noncancer...
Of primary importance, nonopioid therapy is preferred for treatment of chronic pain. Opioids should be used only when benefits for pain and function are expected to outweigh risks. Before starting opioids, clinicians should establish treatment goals with patients and consider how opioids will be ...
Patients on long-term opioid therapy must be kept under close clinical surveillance and it shall be stressed that only about 25% of patients benefit from treatment. Some drugs such as tramadol possesses both a weak opioid agonist activity along with an effect on noradrenaline and serotonin uptake...
A switch from one drug or route of administration to another is common practice during long term opioid therapy in patients with chronic cancer pain. A change in drug, which is known as ‘opioid rotation’ or ‘sequential opioid trials,’ has become an accepted strategy to address an initially...
What percentage of chronic nonmalignant pain patients exposed to chronic opioid analgesic therapy develop abuse/addiction and/or aberrant drug-related beha... and aberrant drug-related behaviors (ADRBs) in chronic pain patients (CPPs) with nonmalignant pain on exposure to chronic opioid analgesic th...
Who Benefits from Chronic Opioid Therapy? Rethinking the Question of Opioid Misuse Risk. Healthcare (Basel). 2016;4(2). PubMed 27417617 ❐ “Harmful, dose-dependent deleterious effects have become clearer,” and yet “many individuals on low doses of opioids for long periods of time appear...