• Presse Med · Dec 2012

    [Pain in patients with opiates dependence].

    • Pascal Courty and Nicolas Authier.
    • CHU G. Montpied, pôle de psychiatrie, SATIS, BP 69, 63003 Clermont Ferrand cedex 1, France.
    • Presse Med. 2012 Dec 1;41(12 Pt 1):1221-5.

    AbstractWe have to trust the patient. Pain is undertreated. Inadequate treatment has adverse consequences. Over and under treatment are both liabilities. Opioid-maintained patients do experience pain. These patients report higher pain scores. They experience both opioid tolerance and hyperalgesia. They are responsive to opioid analgesia. They need baseline opioids ("opioid debt"), mostly a well-stabilized OST. They require higher doses, more frequent dosing and longer opioid administration.Copyright © 2012 Elsevier Masson SAS. All rights reserved.

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