AIRR - ANZCA Institutional Research Repository
Skip navigation
Please use this identifier to cite or link to this item:
Full metadata record
DC FieldValueLanguage
dc.contributor.authorHolliday Sen_US
dc.contributor.authorHayes Cen_US
dc.contributor.authorDunlop Aen_US
dc.description.abstractBACKGROUND: Opioids have a critical, time-limited role in our management of acute and terminal pain and an open-ended role in our management of opioid dependency. They also have a use in the management of chronic non-cancer pain. OBJECTIVE: To provide an understanding of what is known, and what is not known, about the use of opioids in chronic non-cancer pain using an evidence-based approach. DISCUSSION: For chronic non-cancer pain, the evidence base for the long-term use of opiates is mediocre, with weak support for minimal improvements in pain measures and little or no evidence for functional restoration. Much research and professional education in this field has been underwritten by commercial interests. Escalating the prescribing of opioids has been repeatedly linked to a myriad of individual and public harms, including overdose deaths. Many patients on long-term opioids may never be able to taper off them, despite their associated toxicities and lack of efficacy. Prescribers need familiarity with good opioid care practices for evidence-based indications. Outside these areas, in chronic non-cancer pain, the general practitioner needs to use time and diligence to implement risk mitigation strategies. However, if a GP believes chronic non-cancer pain management requires opioids, prescribing must be both selective and cautious to allow patients to maintain, or regain, control of their pain management.en_US
dc.subjectPain Managementen_US
dc.subjectopiate alkaloidsen_US
dc.subjectopioid-related disordersen_US
dc.subjectdrug overdoseen_US
dc.subjectChronic Painen_US
dc.titleOpioid use in chronic non-cancer pain--part 1: known knowns and known unknowns.en_US
dc.typeJournal Articleen_US
dc.identifier.journaltitleAustralian family physicianen_US
item.openairetypeJournal Article-
item.fulltextNo Fulltext-
Appears in Collections:Scholarly and Clinical
Show simple item record

Page view(s)

checked on Apr 12, 2024

Google ScholarTM


Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.