[Treatment of acute pain during drug-assisted rehabilitation]

Tidsskr Nor Laegeforen. 2010 Apr 8;130(7):738-40. doi: 10.4045/tidsskr.09.1110.
[Article in Norwegian]

Abstract

Patients on drug-assisted rehabilitation have the same right to pain relief as others. Techniques that reduce the need for opioids should be used when possible in opioid-dependent individuals who need treatment of acute and post-operative pain. Substitution treatment should always be continued. In some situations a switch to a different opioid or route of administration is required. Higher doses of opioids than those needed in other patients may be required for analgesia. Well-designed clinical studies are lacking in this field.

Publication types

  • English Abstract
  • Review

MeSH terms

  • Acetaminophen / administration & dosage
  • Acute Disease
  • Analgesics, Non-Narcotic / administration & dosage*
  • Analgesics, Opioid / administration & dosage*
  • Anti-Inflammatory Agents, Non-Steroidal / administration & dosage
  • Buprenorphine / administration & dosage
  • Glucocorticoids / administration & dosage
  • Humans
  • Ketamine / administration & dosage
  • Methadone / administration & dosage
  • Opioid-Related Disorders / rehabilitation*
  • Pain / drug therapy*
  • Pain, Postoperative / drug therapy
  • Surgical Procedures, Operative / methods

Substances

  • Analgesics, Non-Narcotic
  • Analgesics, Opioid
  • Anti-Inflammatory Agents, Non-Steroidal
  • Glucocorticoids
  • Acetaminophen
  • Buprenorphine
  • Ketamine
  • Methadone