Continuous opioid treatment for chronic noncancer pain: A time for moderation in prescribing

Stephen Colameco, Joshua S. Coren, Carman A. Ciervo

Research output: Contribution to journalReview articlepeer-review

5 Scopus citations

Abstract

Physicians have embraced the concept of long-term opioid treatment for chronic noncancer pain (CNCP), as evidenced by increased prescribing. Many patients have benefited from more liberal opioid prescribing, but many have not, and prescription opioid abuse has risen significantly coincident with increased prescribing. Because of the potentially serious adverse effects of opioids, physicians must balance potential benefits against risks, especially in individuals at risk for opioid misuse, abuse, or dependence. This article reviews long-term. continuons opioid treatment of CNCT, current treatment guidelines, addiction risk stratification, opioid-induced hyperalgesia, and endocrine dysfunction.

Original languageEnglish (US)
Pages (from-to)61-66
Number of pages6
JournalPostgraduate Medicine
Volume121
Issue number4
DOIs
StatePublished - Jul 1 2009

All Science Journal Classification (ASJC) codes

  • Medicine(all)

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