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Managing Chronic, Noncancer Pain With opioids

机译:使用阿片类药物管理慢性非癌性疼痛

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摘要

In recent years, there have been recommendations to decrease prescribing of opioids for noncancer pain. Chronic pain should primarily be managed by nonpharmacologic or nonopioid pharmacologic therapy. A thorough medical history and proper diagnosis assist with appropriate management. When using opioids for pain management, the lowest effective dosage and shortest duration should be utilized. If tapering opioids is appropriate, the provider needs to utilize effective communication strategies, follow up frequently, and utilize validated assessment tools to help reduce withdrawal symptoms. Telemedicine can be employed during the COVID-19 pandemic to ensure continued medication access and to provide regular follow-up.
机译:近年来,有人建议减少阿片类药物治疗非癌性疼痛的处方。慢性疼痛应主要通过非药物或非阿片类药物治疗进行治疗。全面的病史和正确的诊断有助于适当的治疗。当使用阿片类药物进行疼痛管理时,应使用最低有效剂量和最短持续时间。如果阿片类药物逐渐减量是合适的,提供者需要利用有效的沟通策略,经常随访,并利用经过验证的评估工具来帮助减轻戒断症状。在 COVID-19 大流行期间,可以使用远程医疗来确保持续的药物获取并提供定期随访。

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