Reasons for under-use of prescribed opioid medications by patients in pain

Pain Medicine : the Official Journal of the American Academy of Pain Medicine
Eleanor T LewisJodie A Trafton

Abstract

With the growth in opioid therapy for the treatment of chronic pain, health care providers have focused their attention on avoiding over-use of opioid medications, specifically to avoid addiction, dependency, and other misuse. Qualitative and quantitative reviews of medication adherence, in contrast, focus primarily on why patients under-use or do not take their medications as prescribed and find nonadherence rates of approximately 25%. To identify the prevalence of under-use of opioid medications and the reasons and implications of under-use. As part of a variety of structured assessments, subjects were asked detailed questions about how they used their opioid medication in their daily lives. One hundred ninety-one veterans who received an opioid prescription for any pain problem within the 12 months before the interview. We defined a patient who under-used his/her medication as one who took less than their prescribed dose of medication and reported that pain impaired their ability to engage in normal daily activities. Under-use of opioids (20%) was more common than over-use (9%), consistent with research on medication adherence. Patients who under-used their opioids offered the same reasons for under-use that patients report ...Continue Reading

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Jan 12, 2011·Current Pain and Headache Reports·Eleanor T Lewis, Jodie A Trafton
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