Chronic pain and prescription opioid misuse
نویسندگان
چکیده
منابع مشابه
Chronic back pain with possible prescription opioid misuse.
IMPORTANCE Data on the effectiveness and safety of long-term opioid therapy for chronic pain are limited. Opioid adherence monitoring includes urine drug testing. Determining whether a patient's opioid prescription should be discontinued after an unexpected urine test result can be clinically complex. OBJECTIVE To review safe opioid prescribing practices and appropriate interpretation and man...
متن کاملThe downward spiral of chronic pain, prescription opioid misuse, and addiction: cognitive, affective, and neuropsychopharmacologic pathways.
Prescription opioid misuse and addiction among chronic pain patients are emerging public health concerns of considerable significance. Estimates suggest that more than 10% of chronic pain patients misuse opioid analgesics, and the number of fatalities related to nonmedical or inappropriate use of prescription opioids is climbing. Because the prevalence and adverse consequences of this threat ar...
متن کاملFurther defining and conceptualizing opioid misuse in chronic pain.
The recent review by Vowles et al. 5 on the rates of opioid misuse, abuse, and addiction in chronic pain is a sorely needed step in the right direction toward better defining and understanding the prevalence of opioid misuse, abuse, and addiction among individuals with chronic pain. The authors are to be applauded for both synthesizing and advocating for literature using explicit definitions of...
متن کاملChronic Pain Management and Opioid Misuse: Guidance for Family Physicians.
This issue of American Family Physician features a summary of the American Academy of Family Physicians’ (AAFP’s) updated position paper on opioid abuse and pain management.1 Chronic pain and opioid misuse have intersected as significant public health crises, and family physicians deserve the most accurate guidance to address these issues. Despite growing concerns about overprescribing of opioi...
متن کاملChronic pain and opioid misuse: a review of reviews
OBJECTIVE The crisis of prescription opioid (PO) related harms has focused attention toward identifying and treating high-risk populations. This review aims to synthesize systematic reviews on the epidemiology and clinical management of comorbid chronic pain and PO or other substance misuse. METHODS A systematic database search was conducted to identify systematic reviews published between 20...
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ژورنال
عنوان ژورنال: Continuing Education in Anaesthesia Critical Care & Pain
سال: 2010
ISSN: 1743-1816
DOI: 10.1093/bjaceaccp/mkq030