Chronic use of opioid analgesics in non-malignant pain: Report of 38 cases
@article{Portenoy1986ChronicUO, title={Chronic use of opioid analgesics in non-malignant pain: Report of 38 cases}, author={Russell K. Portenoy and Kathleen M. Foley}, journal={Pain}, year={1986}, volume={25}, pages={171-186} }
837 Citations
[Oral opioids in patients with non-malignant pain.].
- MedicineSchmerz
- 1990
The results show that patients with musculo-skeletal and deafferentation pain respond better to opioids than patients with headache, and opioids are justifiable for the treatment of non-malignant pain and can be given without danger over a long period of time.
Effectiveness of opioids in the treatment of chronic non-cancer pain.
- MedicinePain physician
- 2008
There is weak evidence that long-term opioid therapy with morphine and transdermal fentanyl not only decreases pain but also improves functioning, and there is limited or lack of evidence for all other controlled substances, including the most commonly used drugs.
[Opioids for treating non malignant chronic pain: the role of methadone.].
- MedicineRevista brasileira de anestesiologia
- 2002
Oral methadone is cost-effective and an effective alternative for a better pain control in certain patients, and may be an important alternative for treating non-malignant chronic pain, especially neuropathic pain.
The use of nonopioid drugs in management of chronic orofacial pain.
- Medicine, PsychologyJournal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons
- 1998
Role of Opioid Analgesics in the Treatment of Chronic Non-Cancer Pain
- Medicine, Psychology
- 2000
The role of opioids in non-cancer pain will therefore remain controversial while there is a lack of controlled studies investigating their use in the long term treatment of this condition.
Long-term oral opioid therapy in patients with chronic nonmalignant pain.
- Medicine, PsychologyJournal of pain and symptom management
- 1992
Orale Opiattherapie bei Patienten mit “nicht-malignen” Schmerzen
- MedicineDer Schmerz
- 2006
The results show that patients with musculo-skeletal and deafferentation pain respond better to opioids than patients with headache and that opioids are justifiable for the treatment of non-malignant pain and can be given without danger over a long period of time.
Chronic noncancer pain and the long term utility of opioids.
- Medicine, PsychologyPain research & management
- 2004
CNCP can be treated by opioids safely and with a modest effect, with improvement in functioning in some patients who are refractory to other measures, and opioids may even be used effectively for patients with a history of chemical dependency.
Opioid Substitution to Improve the Effectiveness of Chronic Noncancer Pain Control: A Chart Review
- Medicine, PsychologyAnesthesia and analgesia
- 2000
It was showed that if a patient receiving chronic opioid therapy experiences an intolerable side effect or if the drug is ineffective, changing to a different opioid may result in a lessening or elimination of the side effect and/or improved analgesia.
References
SHOWING 1-10 OF 82 REFERENCES
Management of cancer pain with parenteral medication.
- MedicineJAMA
- 1980
Oral analgesic administration offers simplicity and economy, avoids the discomforts and potential complications of repeated injections, makes the patient less dependent on others for his care, and may even obviate the need for hospitalization in some cases.
Outpatient treatment of prescription opioid dependence: comparison of two methods.
- Medicine, PsychologyNIDA research monograph
- 1983
Pain which was masked by opioid dependency and which emerged during detoxification proved to be an insurmountable barrier to total withdrawal in the majority of patients.
PATTERNS OF NARCOTIC DRUG USE IN A CANCER PAIN CLINIC *
- MedicineAnnals of the New York Academy of Sciences
- 1981
This article reviews the limited available data on the use of narcotics in patients with chronic medical illness and the own experience in treating patients with pain due to cancer, to determine the patterns of narcotic drug usage.
Long-term use of narcotic analgesics in chronic pain.
- Medicine, PsychologySocial science & medicine
- 1984
Prescribing practices for pain in drug dependence: a lesson in ignorance.
- MedicineAdvances in alcohol & substance abuse
- 1985
A literature review shows an amazing paucity of rigorous research in Chronic pain patients which supports the widely held belief that medications contribute to dysfunction in chronic pain thus patients require detoxification.
Drug abuse and dependency in patients with chronic pain.
- Psychology, MedicineMayo Clinic proceedings
- 1979
Early detection and treatment of drug abuse should minimize some of the difficulties involved in management of treatment-resistive patients with chronic pain.
CHANGES IN PERSONALITY AND SUBJECTIVE EXPERIENCE ASSOCIATED WITH THE CHRONIC ADMINSTRATION AND WITHDRAWAL OF OPIATES
- PsychologyThe Journal of nervous and mental disease
- 1969
The immediate subjective feeling of usefulness of morphine or heroin for settling symptoms was more highly correlated with the intensity of opiate withdrawal symptoms than with psychopathic traits, and neurotic traits, including hypochondriasis, increased during the chronic phase but was not evident after a single dose of morphine.