Chronic opioid therapy issues associated with opioid abuse potential

Journal of Opioid Management
Howard S SmithSteven D Passik

Abstract

Chronic opioid therapy continues to be an important "mainstream" option for the relief of pain, despite continued debate over the efficacy and safety of utilizing opioids with chronic noncancer populations. With this increase in utilization for medical purposes, the authors have also experienced a troubling rise in the abuse and diversion of prescription opioids. Providers should note this relationship and always perform due diligence when assessing whether a patient with chronic noncancer pain is an appropriate candidate for opioid therapy based on potential risk factors. Because of the relative shortage of board-certified pain practitioners in the United States, much of the practice of pain management falls on primary care providers, who might feel uncomfortable or overwhelmed when facing these issues. To this end, a set of guidelines are discussed to promote an approach to chronic noncancer pain utilizing "universal precautions" principles. In addition, several risk tools are evaluated, including the Screener and Opioid Assessment for Patients with Pain-Revised (SOAPP-R), the Opioid Risk Tool (ORT), and the Pain Assessment and Documentation Tool (PADT). Finally, discussion is presented regarding what practices seen in opioid...Continue Reading

Citations

Jan 12, 2011·Current Pain and Headache Reports·Eleanor T Lewis, Jodie A Trafton
Oct 6, 2011·Anaesthesia and Intensive Care·C A HuxtableP E MacIntyre
Jan 16, 2014·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Jeffrey Fudin, Timothy J Atkinson
Dec 19, 2015·International Journal of Psychiatry in Medicine·David R SpiegelOlivia Raulli
Nov 22, 2014·Journal of Occupational and Environmental Medicine·Kurt T HegmannUNKNOWN American College of Occupational and Environmental Medicine
May 5, 2011·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Christina Nicolaidis
Sep 30, 2010·Twin Research and Human Genetics : the Official Journal of the International Society for Twin Studies·Martin S AngstJ David Clark
Apr 28, 2010·Expert Review of Neurotherapeutics·Laxmaiah ManchikantiHoward Smith
May 13, 2011·Current Medical Research and Opinion·Charles E Argoff
Dec 8, 2010·Journal of Pain & Palliative Care Pharmacotherapy·David B BrushwoodWinston Wong
Nov 10, 2012·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·William A LanierTodd C Grey
Oct 26, 2010·Oral and Maxillofacial Surgery Clinics of North America·Richard P SzumitaNancy Just

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.