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- Gary McCleane and Howard S Smith.
- Rampark Pain Centre, 2 Rampark Dromore Road, Lurgan BT66 7JH, Northern Ireland, UK. gary@mccleane.freeserve.co.uk
- Anesthesiol Clin. 2007 Dec 1;25(4):787-807, vi-ii.
AbstractThis article concentrates on recent evidence about opioid analgesics for persistent noncancer pain. Evidence confirms that opioids are drugs with a definite risk of adverse events. Therefore, before prescribing opioids, careful consideration must be given to be certain that the intended benefit of a particular opioid merits its use despite the potential side effects and to determine if the co-prescription of other pharmacologic agents could reduce the risk of adverse events. Strong opioids should be reserved for patients who fail to respond to other lower-risk options and only after proper consideration is given to the long-term consequences of strong opioid use. Problems associated with opioids dictate that more efficacious and safer drugs need to be found.
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