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Case Reports
A pilot study into the problematic use of opioid analgesics in chronic non-cancer pain patients.
- David T Cowan, Laurie Allan, and Peter Griffiths.
- Anaesthetic and Pain Research, Northwick Park Hospital, Watford Road, Harrow, Middlesex HA1 3UJ, UK. david.t.cowan@kcl.uk
- Int J Nurs Stud. 2002 Jan 1;39(1):59-69.
AbstractControversy surrounds the use of strong opioid analgesic drugs for chronic non-cancer pain. Specialists have concluded that fears of problematic drug use are often unfounded. In contrast, others claim the existence of significant problems.'Problematic drug use' includes the following definitions; addiction, abuse, physiological dependence and tolerance.We present a case study and the results of a pilot, longitudinal, cohort study, via a pilot questionnaire, of 22 chronic pain clinic patients following a trial of opioid drugs. The results suggest that chronic non-cancer pain patients can be maintained on opioids with few problems, and likewise can withdraw with minimal adverse effects, other than a return of pain.
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