Defining problematic pharmaceutical opioid use among people prescribed opioids for chronic noncancer pain: do different measures identify the same patients?
نویسندگان
چکیده
منابع مشابه
Defining problematic pharmaceutical opioid use among people prescribed opioids for chronic noncancer pain: do different measures identify the same patients?
The International Classification of Diseases (ICD) and the Diagnostic and Statistical Manual (DSM) are routinely used in diagnosing illicit substance use disorders, but for people taking prescribed opioids they remain controversial. In pain medicine, the concept of "Addiction" is preferred with reduced emphasis on tolerance and withdrawal. This article examines the prevalence and characteristic...
متن کاملOpioids for chronic noncancer pain
The number of available opioid preparations, each with differing chemical properties, structure and opioid receptor affinity, increases with time. The efficacy of these opioids in the treatment of pain arising from a diverse range of disorders is beyond question. With the passage of time, the list of those conditions where an opioid is recommended as a treatment option increases, and that list ...
متن کاملSafe use of opioids in chronic noncancer pain.
Many physicians avoid prescribing opioid analgesics for chronic pain because of misconceptions or fears about efficacy, adverse effects, abuse, and addiction potential. We discuss these issues and offer suggestions for the rational use of opioid analgesics in patients with chronic noncancer pain.
متن کاملProblematic Use of Prescription Opioids and Medicinal Cannabis Among Patients Suffering from Chronic Pain.
Objective To assess prevalence rates and correlates of problematic use of prescription opioids and medicinal cannabis (MC) among patients receiving treatment for chronic pain. Design Cross-sectional study. Setting Two leading pain clinics in Israel. Subjects Our sample included 888 individuals receiving treatment for chronic pain, of whom 99.4% received treatment with prescription opioids...
متن کاملCombination of intrathecal opioids with bupivacaine attenuates opioid dose escalation in chronic noncancer pain patients.
OBJECTIVE The purpose of this study was to examine the effect of intrathecal (IT) coadministration of bupivacaine with opioids during the initial phase of opioid titration and up to 1 year after implantation of an IT drug delivery system (IDDS). DESIGN The study was designed as a retrospective study. OUTCOMES ANALYZED: The outcomes analyzed for this study were pain relief, oral opioid consump...
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ژورنال
عنوان ژورنال: Pain
سال: 2016
ISSN: 0304-3959,1872-6623
DOI: 10.1097/j.pain.0000000000000548