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Recommendations for using opioids in chronic non‐cancer pain
Author(s) -
Kalso Eija,
Allan Laurie,
Dellemijn Paul L.I,
Faura Clara C,
Ilias Wilfried K,
Jensen Troels S,
Perrot Serge,
Plaghki Leon H,
Zenz Michael
Publication year - 2003
Publication title -
european journal of pain
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.305
H-Index - 109
eISSN - 1532-2149
pISSN - 1090-3801
DOI - 10.1016/s1090-3801(02)00143-x
Subject(s) - medicine , psychosocial , opioid , chronic pain , quality of life (healthcare) , neuropathic pain , pain control , intensive care medicine , physical therapy , anesthesia , psychiatry , nursing , receptor
1 . The management of chronic pain should be directed by the underlying cause of the pain. Whatever the cause, the primary goal of patient care should be symptom control. 2 . Opioid treatment should be considered for both continuous neuropathic and nociceptive pain if other reasonable therapies fail to provide adequate analgesia within a reasonable timeframe. 3 . The aim of opioid treatment is to relieve pain and improve the patient's quality of life. Both of these should be assessed during a trial period. 4 . The prescribing physician should be familiar with the patient's psychosocial status. 5 . The use of sustained‐release opioids administered at regular intervals is recommended. 6 . Treatment should be monitored. 7 . A contract setting out the patient's rights and responsibilities may help to emphasize the importance of patient involvement. 8 . Opioid treatment should not be considered a lifelong treatment.