Potential strategies to combat the opioid crisis

被引:13
作者
Mercadante, Sebastiano [1 ,2 ]
机构
[1] La Maddalena Canc Ctr, Main Reg Ctr Pain Relief & Support Palliat Care, Via San Lorenzo 312, I-90143 Palermo, Italy
[2] Univ Texas MD Anderson Canc Ctr, Dept Support Palliat Care, Houston, TX 77030 USA
关键词
Non-cancer pain; opioid epidemic; misuse; overdose; INJECTION-DRUG USERS; HIGH-DOSE METHADONE; CHRONIC PAIN; UNITED-STATES; PRESCRIPTION OPIOIDS; PRESCRIBING OPIOIDS; EXTENDED-RELEASE; HEROIN OVERDOSE; NONMEDICAL USE; PRIMARY-CARE;
D O I
10.1080/14740338.2019.1579796
中图分类号
R9 [药学];
学科分类号
1007 ;
摘要
Introduction: In the last few decades, the consumption of opioid analgesics in many countries, particularly the US, has dramatically increased. This rise has been paralleled by a proportional number of opioid-related deaths. Areas covered: The development of opioid guidelines was a response to this health crisis with the intention of reducing the risk of harm related to opioid prescribing. These guidelines have received varying responses ranging from support to criticism. Pain physicians may often provide multidimensional management as the paradigm for responsible opioid treatment. Interventions should focus on preventing new cases of opioid addiction, identifying early cases of opioid addiction, and ensuring access to effective addiction treatment. Expert opinion: Many activities have been suggested to face the opioid epidemic. Reducing supply is one of the most relevant aspects. Clinicians should find a fine balance that meets the patient's need for pain relief while minimizing the chance for abuse.
引用
收藏
页码:211 / 217
页数:7
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