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Chronic Pain and Opioids

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Handbook of Pain and Palliative Care

Abstract

Opioid analgesics have long been accepted by the medical community for the treatment of acute, surgical and cancer-related pain; only recently have opioids become more widely used in the treatment of chronic pain conditions. Studies have demonstrated that opioids can be effective in the treatment of chronic pain in some individuals. However, there are certain risks associated with the long-term use of opioid analgesics. The prescribing clinician must consider not only common side effect profile of these medications, but also the unique side effects associated with long-term opioid administration and the risk of addiction. The risks and benefits of prescribing opioids must be carefully weighed for each chronic pain patient. The following chapter provides a discussion of the risks and benefits of using opioid analgesics in the treatment of chronic pain. Potential problems associated with opioid therapy are addressed, and various strategies to manage these problems are also included.

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  1. Penn Presbyterian Medical center, University of Pennsylvania, Philadelphia, PA, USA

    Regina P. Szucs-Reed MD, PhD

  2. Penn Pain Medicine Center, University of Pennsylvania, Philadelphia, PA, USA

    Rollin M. Gallagher MD, MPH

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    Rhonda J. Moore

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Szucs-Reed, R.P., Gallagher, R.M. (2013). Chronic Pain and Opioids. In: Moore, R.J. (eds) Handbook of Pain and Palliative Care. Springer, New York, NY. https://doi.org/10.1007/978-1-4419-1651-8_29

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