Responsible Prescribing of Opioids for the Management of Chronic Pain

被引：0
作者：
Bruce Nicholson
机构：
[1] Lehigh Valley Hospital/Health Network,Division of Pain Medicine/Hospice
来源：
Drugs | 2003年 / 63卷
关键词：
Morphine; Chronic Pain; Neuropathic Pain; Cancer Pain; Oxycodone;
D O I：
暂无
中图分类号：
学科分类号：
摘要：
The management of patients with chronic pain is a common clinical challenge. Indeed, chronic pain is often inadequately controlled in patients with cancer and in those with non-cancer chronic pain. Because of the complex nature of chronic pain, successful long-term treatment is more difficult than for acute pain. Most often acute pain is nociceptive, whereas chronic pain can be nociceptive (i.e., in response to noxious stimuli), neuropathic (i.e., initiated by a primary lesion or dysfunction in the nervous system) or mixed in origin.
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页码：17 / 32
页数：15
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[1]  
Sriwatanakul K(1983)Analysis of narcotic analgesic usage in the treatment of postoperative pain JAMA 250 926-9
[2]  
Weis OF(1987)Incidence and characteristics of pain in a sample of medical-surgical inpatients Pain 30 69-78
[3]  
Alloza JL(1982)The prevalence and severity of pain in cancer Cancer 50 1913-8
[4]  
Donovan M(1991)Correlation of patient and caregiver ratings of cancer pain J Pain Symptom Manage 6 53-7
[5]  
Dillon P(2000)Chronic pain: challenges in the assessment and management of cancer pain J Pain Symptom Manage 19 S12-5
[6]  
McGuire L(1997)Spinal pain mechanisms Spine 22 98-104
[7]  
Daut RL(1999)Neuropathic pain: aetiology, symptoms, mechanisms, and management Lancet 353 1959-64
[8]  
Cleeland CS(1999)New frontiers in mechanisms and therapy of painful peripheral neuropathies Acta Anaesthesiol Sin 37 197-203
[9]  
Grossman SA(1996)Spinal cord mechanisms of opioid tolerance and dependence: Fos-like immunoreactivity increases in subpopulations of spinal cord neurons during withdrawal Neuroscience 72 233-42
[10]  
Sheidler VR(1995)Opioids for chronic noncancer pain IASP Newsletter 3 1-4
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