Display Settings:

Format

Send to:

Choose Destination
See comment in PubMed Commons below
Addict Sci Clin Pract. 2008 Jun;4(2):4-25.

Challenges in using opioids to treat pain in persons with substance use disorders.

Author information

  • 1Dartmouth Medical School, Hanover, New Hampshire 03755, USA. seddon.r.savage@dartmouth.edu

Abstract

Pain and substance abuse co-occur frequently, and each can make the other more difficult to treat. A knowledge of pain and its interrelationships with addiction enhances the addiction specialist's efficacy with many patients, both in the substance abuse setting and in collaboration with pain specialists. This article discusses the neurobiology and clinical presentation of pain and its synergies with substance use disorders, presents methodical approaches to the evaluation and treatment of pain that co-occurs with substance use disorders, and provides practical guidelines for the use of opioids to treat pain in individuals with histories of addiction. The authors consider that every pain complaint deserves careful investigation and every patient in pain has a right to effective treatment.

Comment in

PMID:
18497713
[PubMed - indexed for MEDLINE]
PMCID:
PMC2797112
Free PMC Article

Images from this publication.See all images (8)Free text

FIGURE 1
FIGURE 2
FIGURE 3
FIGURE 4
FIGURE 5
FIGURE 6
FIGURE 7
FIGURE 8
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for BioMed Central Icon for PubMed Central
    Loading ...
    Write to the Help Desk