Prescription Pain Medication Dependence

被引：22
作者：
Dodrill, Carrie L. [1 ]
Helmer, Drew A. [1 ]
Kosten, Thomas R. [1 ]
机构：
[1] Baylor Coll Med, Dept Psychiat, Michael E Debakey Vet Affairs Med Ctr, Houston, TX 77030 USA
来源：
AMERICAN JOURNAL OF PSYCHIATRY | 2011年 / 168卷 / 05期
关键词：
CHRONIC NONMALIGNANT PAIN; ADDICTION TREATMENT; OPIOID THERAPY; DRUG-ABUSE; BUPRENORPHINE; DETOXIFICATION; PREVALENCE; ACCEPTANCE; MANAGEMENT; METHADONE;
D O I：
10.1176/appi.ajp.2010.10020260
中图分类号：
R749 [精神病学];
学科分类号：
100205 ;
摘要：
Treating patients like Mr. J and his wife for opioid addiction requires a consistent, empathic clinician who can detect prescription opioid use and engage the patient, treat the pain, and facilitate abstinence. Chronic pain complicates management of opioid abuse, and treatment benefits from collaboration among a psychiatrist, pain management specialist, physical therapist, and psychotherapist to achieve an optimal balance of pain control and improved functioning. Use of the buprenorphine/ naloxone combination will likely play an increasingly important role in the treatment of individuals with chronic pain and opioid abuse. Copyright © 2011 American Psychiatric Association. All rights reserved.
引用
收藏
页码：466 / 471
页数：6
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