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Assessment and Treatment of Abuse Risk in Opioid Prescribing for Chronic Pain
Joint Authors
Jamison, Robert N.
Michna, Edward
Serraillier, Juliana
Source
Issue
Vol. 2011, Issue 2011 (31 Dec. 2011), pp.1-12, 12 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2011-10-11
Country of Publication
Egypt
No. of Pages
12
Main Subjects
Abstract EN
Opioid analgesics provide effective treatment for noncancer pain, but many physicians have concerns about adverse effects, tolerance, and addiction.
Misuse of opioids is prominent in patients with chronic back pain and early recognition of misuse risk could help physicians offer adequate patient care while implementing appropriate levels of monitoring to reduce aberrant drug-related behaviors.
In this review, we discuss opioid abuse and misuse issues that often arise in the treatment of patients with chronic back pain and present an overview of assessment and treatment strategies that can be effective in improving compliance with the use of prescription opioids for pain.
Many persons with chronic back pain have significant medical, psychiatric and substance use comorbidities that affect treatment decisions and a comprehensive evaluation that includes a detailed history, physical, and mental health evaluation is essential.
Although there is no “gold standard” for opioid misuse risk assessment, several validated measures have been shown to be useful.
Controlled substance agreements, regular urine drug screens, and interventions such as motivational counseling have been shown to help improve patient compliance with opioids and to minimize aberrant drug-related behavior.
Finally, we discuss the future of abuse-deterrent opioids and other potential strategies for back pain management.
American Psychological Association (APA)
Jamison, Robert N.& Serraillier, Juliana& Michna, Edward. 2011. Assessment and Treatment of Abuse Risk in Opioid Prescribing for Chronic Pain. Pain Research and Treatment،Vol. 2011, no. 2011, pp.1-12.
https://search.emarefa.net/detail/BIM-510050
Modern Language Association (MLA)
Jamison, Robert N.…[et al.]. Assessment and Treatment of Abuse Risk in Opioid Prescribing for Chronic Pain. Pain Research and Treatment No. 2011 (2011), pp.1-12.
https://search.emarefa.net/detail/BIM-510050
American Medical Association (AMA)
Jamison, Robert N.& Serraillier, Juliana& Michna, Edward. Assessment and Treatment of Abuse Risk in Opioid Prescribing for Chronic Pain. Pain Research and Treatment. 2011. Vol. 2011, no. 2011, pp.1-12.
https://search.emarefa.net/detail/BIM-510050
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-510050