TY - JOUR
T1 - Continuous opioid treatment for chronic noncancer pain
T2 - A time for moderation in prescribing
AU - Colameco, Stephen
AU - Coren, Joshua S.
AU - Ciervo, Carman A.
PY - 2009/7
Y1 - 2009/7
N2 - Physicians have embraced the concept of long-term opioid treatment for chronic noncancer pain (CNCP), as evidenced by increased prescribing. Many patients have benefited from more liberal opioid prescribing, but many have not, and prescription opioid abuse has risen significantly coincident with increased prescribing. Because of the potentially serious adverse effects of opioids, physicians must balance potential benefits against risks, especially in individuals at risk for opioid misuse, abuse, or dependence. This article reviews long-term. continuons opioid treatment of CNCT, current treatment guidelines, addiction risk stratification, opioid-induced hyperalgesia, and endocrine dysfunction.
AB - Physicians have embraced the concept of long-term opioid treatment for chronic noncancer pain (CNCP), as evidenced by increased prescribing. Many patients have benefited from more liberal opioid prescribing, but many have not, and prescription opioid abuse has risen significantly coincident with increased prescribing. Because of the potentially serious adverse effects of opioids, physicians must balance potential benefits against risks, especially in individuals at risk for opioid misuse, abuse, or dependence. This article reviews long-term. continuons opioid treatment of CNCT, current treatment guidelines, addiction risk stratification, opioid-induced hyperalgesia, and endocrine dysfunction.
UR - http://www.scopus.com/inward/record.url?scp=68149167716&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=68149167716&partnerID=8YFLogxK
U2 - 10.3810/pgm.2009.07.2032
DO - 10.3810/pgm.2009.07.2032
M3 - Review article
C2 - 19641271
AN - SCOPUS:68149167716
SN - 0032-5481
VL - 121
SP - 61
EP - 66
JO - Postgraduate Medicine
JF - Postgraduate Medicine
IS - 4
ER -