Opioids use for chronic noncancer pain

Opioids 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 ...

Safe 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.

Opioids for chronic noncancer pain: a new Canadian practice guideline.

Should we prescribe opioids for chronic noncancer pain?

These days, prescribing opioids for treating chronic noncancer pain (CNCP) is a common and generally accepted practice. Such treatment is in line with the recommendations of the American Pain Society and the American Academy of Pain Medicine published in 2009, which stipulated the following: “Chronic opioid therapy can be an effective therapy for carefully selected and monitored patients with c...

Addressing the limitations of the CDC guideline for prescribing opioids for chronic noncancer pain.

The excessive use of opioids for chronic noncancer pain represents a serious public health problem in Canada, and health care regulators face considerable pressure to adopt stricter policies to curb prescribing practices. In March 2016, the United States Centers for Disease Control and Prevention (CDC) issued a guideline for prescribing of opioids for chronic pain.1 Because it raises many cauti...