Opioids for chronic nonmalignant pain. Choosing suitable candidates for long-term therapy

Postgrad Med. 1999 Nov;106(6):115-6, 119-24. doi: 10.3810/pgm.1999.11.769.

Abstract

Opioid maintenance analgesia for chronic nonmalignant pain can be successful in selected cases, but it is not a panacea for all pain, and management of patients using opioids can be an arduous process. A consistent and principle-based approach is recommended. Passion and chauvinism exist on both sides of the controversy and should be discouraged.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Analgesics, Opioid / administration & dosage
  • Analgesics, Opioid / adverse effects
  • Analgesics, Opioid / therapeutic use*
  • Arm / blood supply
  • Back Injuries / complications
  • Chronic Disease
  • Female
  • Humans
  • Ischemia / complications
  • Leg / blood supply
  • Long-Term Care
  • Male
  • Middle Aged
  • Occupational Diseases / complications
  • Osteoporosis, Postmenopausal / complications
  • Pain / drug therapy*
  • Pain / etiology
  • Pain / prevention & control
  • Pain / psychology
  • Patient Compliance
  • Patient Selection*
  • Peripheral Vascular Diseases / complications
  • Physician-Patient Relations
  • Spinal Fractures / complications

Substances

  • Analgesics, Opioid