Buprenorphine for Chronic Pain: a Systemic Review

被引:26
|
作者
Fishman, Michael A. [1 ]
Kim, Phillip S. [1 ]
机构
[1] Ctr Intervent Pain & Spine, Wilmington, DE 19803 USA
关键词
Buprenorphine; Chronic pain; LOW-BACK-PAIN; BUCCAL BUPRENORPHINE; TRANSDERMAL SYSTEM; DOUBLE-BLIND; EFFICACY; TOLERABILITY; MANAGEMENT; MODERATE; OPIOIDS;
D O I
10.1007/s11916-018-0732-2
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Purpose of Review The purpose of this review is to evaluate and explain our current understanding of the clinical use of buprenorphine in the treatment of chronic pain. Recent Findings There has been few high-quality, unbiased studies performed on the use of buprenorphine in the treatment of chronic pain. Summary Buprenorphine is an effective and safe analgesic that is tolerated at least as well, if not better, than other opioids. Given its safety and mechanistic advantages, the authors believe there is an important role for buprenorphine in the treatment of chronic pain severe enough to warrant the use of an opioid analgesic. Though data is lacking for superiority in chronic pain states, the other advantages of the molecule make it the preferential first-line opioid for around-the-clock pain in our practice.
引用
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页数:7
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