• J Am Board Fam Med · Mar 2006

    Review

    Opioid analgesics in primary care: challenges and new advances in the management of noncancer pain.

    • Raymond Sinatra.
    • Yale University School of Medicine, New Haven, CT 06510, USA. raymond.sintara@yale.edu
    • J Am Board Fam Med. 2006 Mar 1;19(2):165-77.

    AbstractPrimary care attitudes affecting the use of strong opioids in pain management have changed considerably in the last 3 decades. Forces that have shaped current attitudes and trends in opioid prescribing include historical influences, regulatory factors, and technologic and scientific advances. The article identifies for primary care physicians the current challenges and issues surrounding the use of opioid analgesics for noncancer pain and examines how new technology and expanding knowledge have been applied to existing opioids such as morphine, oxymorphone, and fentanyl to address continuing challenges in pain management.

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