• J Psychoactive Drugs · Apr 2012

    Review

    Chronic pain and addiction: challenging co-occurring disorders.

    • Mel Pohl and Logan Smith.
    • Las Vegas Recovery Center, Las Vegas, NV 89129, USA. mpohl@centralrecovery.com
    • J Psychoactive Drugs. 2012 Apr 1;44(2):119-24.

    AbstractChronic pain is commonly treated by prescribing an opioid medication. For those suffering from both chronic pain and substance dependence, barriers to adequate pain management increase. This often causes both disorders to exacerbate one another. Effective treatment may also be hampered by opioid-induced hyperalgesia, tolerance, physical dependence, "chemical coping," and diminished physical and emotional functioning. This article reviews current research trends, potential problems stemming from prescription opioid use, and suggestions for clinical practice.

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