File Download

There are no files associated with this item.

  Links for fulltext
     (May Require Subscription)
Supplementary

Article: Opioids in chronic non-cancer pain

TitleOpioids in chronic non-cancer pain
Authors
Issue Date2011
PublisherInforma Healthcare. The Journal's web site is located at http://www.expertopin.com/loi/eop
Citation
Expert Opinion on Pharmacotherapy, 2011, v. 12 n. 5, p. 705-720 How to Cite?
AbstractINTRODUCTION: The use of chronic opioid therapy for chronic non-cancer pain is growing and is now accepted as an effective treatment modality. AREAS COVERED: Although there are guidelines and reviews for chronic opioid therapy for chronic non-cancer pain patients, physicians may still have concerns and be reluctant to prescribe strong opioids for chronic non-cancer pain. Common issues and concerns when prescribing opioid for chronic pain management are reviewed and discussed. The literature search was done using Medline with key words 'chronic non-cancer pain', 'chronic opioid therapy', 'effectiveness', 'opioid tolerance', 'opioid-induced hyperalgesia', 'adverse effect', 'opioid dependency', 'addiction', 'monitoring', 'opioid contract' and various combinations with these key words. Studies from 1990 - 2010 have been included. This article helps readers to update, clarify and understand the common concerns when using opioid for chronic non-cancer pain. Clinical effectiveness and adverse effects with chronic opioid therapy, opioid tolerance and opioid-induced hyperalgesia, opioid dependency and addiction, monitoring during chronic opioid use, and opioid contact are discussed in detailed. EXPERT OPINION: Not much strongly positive data supports the long-term use of opioids for pain relief, and the evidence for an improvement in functional activity is inconclusive. With careful selection of patients, meticulous prescription and monitoring protocol, chronic non-cancer pain patients who are likely to benefit from potent opioids should not be prevented from obtaining this treatment. © 2011 Informa UK, Ltd.
Persistent Identifierhttp://hdl.handle.net/10722/138932
ISSN
2015 Impact Factor: 3.543
2015 SCImago Journal Rankings: 0.884
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorChan, BKBen_US
dc.contributor.authorTam, LKen_US
dc.contributor.authorWat, CYen_US
dc.contributor.authorChung, YFen_US
dc.contributor.authorTsui, SLen_US
dc.contributor.authorCheung, CWen_US
dc.date.accessioned2011-09-23T05:42:18Z-
dc.date.available2011-09-23T05:42:18Z-
dc.date.issued2011en_US
dc.identifier.citationExpert Opinion on Pharmacotherapy, 2011, v. 12 n. 5, p. 705-720en_US
dc.identifier.issn1465-6566-
dc.identifier.urihttp://hdl.handle.net/10722/138932-
dc.description.abstractINTRODUCTION: The use of chronic opioid therapy for chronic non-cancer pain is growing and is now accepted as an effective treatment modality. AREAS COVERED: Although there are guidelines and reviews for chronic opioid therapy for chronic non-cancer pain patients, physicians may still have concerns and be reluctant to prescribe strong opioids for chronic non-cancer pain. Common issues and concerns when prescribing opioid for chronic pain management are reviewed and discussed. The literature search was done using Medline with key words 'chronic non-cancer pain', 'chronic opioid therapy', 'effectiveness', 'opioid tolerance', 'opioid-induced hyperalgesia', 'adverse effect', 'opioid dependency', 'addiction', 'monitoring', 'opioid contract' and various combinations with these key words. Studies from 1990 - 2010 have been included. This article helps readers to update, clarify and understand the common concerns when using opioid for chronic non-cancer pain. Clinical effectiveness and adverse effects with chronic opioid therapy, opioid tolerance and opioid-induced hyperalgesia, opioid dependency and addiction, monitoring during chronic opioid use, and opioid contact are discussed in detailed. EXPERT OPINION: Not much strongly positive data supports the long-term use of opioids for pain relief, and the evidence for an improvement in functional activity is inconclusive. With careful selection of patients, meticulous prescription and monitoring protocol, chronic non-cancer pain patients who are likely to benefit from potent opioids should not be prevented from obtaining this treatment. © 2011 Informa UK, Ltd.-
dc.languageengen_US
dc.publisherInforma Healthcare. The Journal's web site is located at http://www.expertopin.com/loi/eop-
dc.relation.ispartofExpert Opinion on Pharmacotherapyen_US
dc.rightsExpert Opinion on Pharmacotherapy. Copyright © Informa Healthcare.-
dc.subject.meshAnalgesics, Opioid - adverse effects - therapeutic use-
dc.subject.meshChronic Disease-
dc.subject.meshCognition-
dc.subject.meshPain - drug therapy - physiopathology - psychology-
dc.subject.meshQuality of Life-
dc.titleOpioids in chronic non-cancer painen_US
dc.typeArticleen_US
dc.identifier.emailChan, BKB: chankb01@hkucc.hku.hken_US
dc.identifier.emailTam, LK: tamleeka@hku.hken_US
dc.identifier.emailWat, CY: watleo@hkucc.hku.hken_US
dc.identifier.emailTsui, SL: sltsui@hkucc.hku.hken_US
dc.identifier.emailCheung, CW: cheucw@hku.hken_US
dc.identifier.authorityCheung, CW=rp00244en_US
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1517/14656566.2011.536335-
dc.identifier.pmid21254859-
dc.identifier.scopuseid_2-s2.0-79952592610-
dc.identifier.hkuros193520en_US
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-79952592610&selection=ref&src=s&origin=recordpage-
dc.identifier.volume12-
dc.identifier.issue5en_US
dc.identifier.spage705en_US
dc.identifier.epage720en_US
dc.identifier.isiWOS:000288218400004-
dc.publisher.placeUnited Kingdom-
dc.identifier.citeulike8999964-

Export via OAI-PMH Interface in XML Formats


OR


Export to Other Non-XML Formats