Managing acute and chronic pain in a substance abuse treatment program for the addicted individual early in recovery: a current controversy

Journal of Psychoactive Drugs
Joseph D MarkowitzCheryl Gonzales-Nolas

Abstract

Patients early in recovery from addictive disorders are in a tenuous position and when these individuals are stressed from acute or chronic pain they face even more challenges. Physicians are often conflicted by the desire to help the patient achieve pain control and maintain sobriety. While there have been a handful of studies examining patients in either active addiction with pain or with a more remote history of addiction with pain, there have been very few, if any, that look at treating patients during their addiction recovery process who suffer from pain. This article will examine the issue of whether it is ever appropriate to use opioid pain medications on such patients and, if so, what guidelines can be used to maximize the chances of a good outcome while minimizing the chances of causing a recurrence or exacerbation of addiction.

References

Jul 1, 1993·Journal of Pain and Symptom Management·D R WessonD E Smith
Apr 28, 2000·Cancer Control : Journal of the Moffitt Cancer Center·E M Thomas, S M Weiss
Oct 13, 2000·Breast Cancer : the Journal of the Japanese Breast Cancer Society·A TsuchiyaS Takenoshita
Dec 14, 2002·The Clinical Journal of Pain·Srdjan S NedeljkovicRobert N Jamison
Dec 14, 2002·The Clinical Journal of Pain·Michael Weaver, Sidney Schnoll
Dec 14, 2002·The Clinical Journal of Pain·Mitchell J M CohenClorinda G Margolis
Apr 17, 2003·The Oncologist·Richard T PensonThomas J Lynch
Jul 15, 2003·The American Journal on Addictions·Sidney H Schnoll, Michael F Weaver
Dec 3, 2003·Journal of Pain & Palliative Care Pharmacotherapy·Michael F Weaver, Sidney H Schnoll
Jan 21, 2004·CNS Drugs·Steven D Passik, Kenneth L Kirsh
Mar 12, 2004·Primary Care Companion to the Journal of Clinical Psychiatry·Christopher D. PraterKarl E. Miller
Nov 16, 2004·The American Journal of Drug and Alcohol Abuse·Rade B Vukmir
Sep 6, 2005·The Journal of Pain : Official Journal of the American Pain Society·Beatrix M SchiefferBruce D Naliboff
Nov 12, 2005·Substance Use & Misuse·Penelope P Ziegler
Jan 19, 2006·Annals of Internal Medicine·Daniel P AlfordJeffrey H Samet
Feb 17, 2006·Anaesthesia·V Mehta, R M Langford
Mar 28, 2006·The American Journal of Medicine·Robert M ArnoldDeborah Seltzer
Apr 6, 2006·BMC Health Services Research·Timothy J IvesMichael P Pignone
May 10, 2006·Prostate Cancer and Prostatic Diseases·P L AcherR P Beaney
May 23, 2006·Pain·Bruce L Kidd
Jun 17, 2006·Cancer Investigation·Kenneth L Kirsh, Steven D Passik
Sep 27, 2006·Journal of Pain and Symptom Management·Stephen M WuBruce D Naliboff
Oct 31, 2006·European Journal of Pain : EJP·Jette Højsted, Per Sjøgren
Dec 13, 2006·Pain Practice : the Official Journal of World Institute of Pain·Dima RozenCris Schade
Mar 21, 2007·Journal of General Internal Medicine·Jaishree HariharanJoan M Neuner
May 8, 2007·Pain·Jane C Ballantyne, Steven K LaForge
Mar 20, 2008·Archives of Physical Medicine and Rehabilitation·Rollin M Gallagher, Lisa J Rosenthal

❮ Previous
Next ❯

Citations

Nov 17, 2020·The Journal of Pain : Official Journal of the American Pain Society·Matthew S EllisTheodore Cicero

❮ Previous
Next ❯

Related Concepts

Related Feeds

Addiction

This feed focuses mechanisms underlying addiction and addictive behaviour including heroin and opium dependence, alcohol intoxication, gambling, and tobacco addiction.