• Tidsskr. Nor. Laegeforen. · Oct 2005

    Review

    [Pain treatment in patients on chronic opioid therapy and in drug abusers].

    • Ulf E Kongsgaard, Rae Frances Bell, and Harald Breivik.
    • Anestesiavdelingen, Det Norske Radiumhospital, Montebello, 0310 Oslo. u.e.kongsgaard@klinmed.uio.no
    • Tidsskr. Nor. Laegeforen. 2005 Oct 20; 125 (20): 2808-10.

    BackgroundSubstance abuse in pain management can undermine treatment compliance, the effectiveness of therapies, and social support and functioning.MaterialAn overview is given regarding pain management for patients on chronic use of opioids and for patients with drug dependence and substance abuse.ResultsClinical experience as well as relevant documentation demonstrates that management of these patients remains one of the most challenging problems in clinical medicine.ConclusionAssessment and treatment plans for this patient group require an understanding of tolerance, physical dependence and drug abuse. It is imperative that the patient's ongoing treatment is planned in a multidisciplinary setting, so as to assure a consistent, structured and shared approach by all caregivers.

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