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Opioids for chronic non-malignant pain.

Authors
  • Conigliaro, D A
Type
Published Article
Journal
The Journal of the Florida Medical Association
Publication Date
Dec 01, 1996
Volume
83
Issue
10
Pages
708–711
Identifiers
PMID: 9019062
Source
Medline
License
Unknown

Abstract

In summary, opioid use for chronic non-malignant pain is justified in a select group of patients who do not respond to a variety of other pain treatment modalities. Proper trials of the analgesics given "by the clock" in appropriate dosages with attention to potential side effects and proper documentation is important. Efficacy should be monitored by improvement in function and symptomatology. Undertreatment for fear of addiction or legal consequences should be avoided. Specialized pain clinics may be utilized for consultation regarding the long-term use of opioids or for more advanced pain management strategies, possibly including the use of intraspinal opioid delivery systems.

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