Opioids in Non-Cancer Pain

Paperback | April 15, 2013

byCathy Stannard, Michael Coupe, Tony Pickering

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Opioids have been used as analgesics for many years, and their use in the management of acute pain related to trauma and surgery is well established. However, patients with persisting pain need a pain management plan that brings relief of symptoms without adverse effects in both the short andlonger terms. The prescribing of opioids for chronic non-cancer pain has increased substantially since the first edition of this pocketbook was published, prompting considerable debate regarding the appropriateness of prescribing for this indication and the potential harms to individuals and to society that mayresult from this trend. This second edition of Opioids in Non-Cancer Pain brings clinicians up to date on the current use of opioid drugs in patients with non-cancer pain, and highlights the potential benefits of therapy as well as the problems that can occur. The edition includes new chapters onthe history of opioids to help contextualize the following discussions, and a new chapter covering the emerging field of pharmacogenomics which provides explanations for differing responsiveness to opioids and propensity to adverse effects. An international perspective on opioid prescribing trendsis also a valuable new addition.

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Opioids have been used as analgesics for many years, and their use in the management of acute pain related to trauma and surgery is well established. However, patients with persisting pain need a pain management plan that brings relief of symptoms without adverse effects in both the short andlonger terms. The prescribing of opioids for...

Cathy Stannard is Consultant in Pain Medicine at the Pain Clinic, Macmillan Centre at Frenchay Hospital in Bristol, UK. Michael Coupe is Consultant in Pain Medicine and Anaesthesia at Royal United Hospital, Combe Park, Bath, UK. Tony Pickering is Wellcome Senior Clinical Fellow and Reader in Neuroscience at the School of Physiology and...

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Format:PaperbackDimensions:156 pagesPublished:April 15, 2013Publisher:Oxford University PressLanguage:English

The following ISBNs are associated with this title:

ISBN - 10:0199678073

ISBN - 13:9780199678075

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Table of Contents

1. Opioids: a brief history2. Opioid pharmacology3. Opioid actions:insights from imaging4. Pharmacogenomics of opioids5. Opioid prescribing trends: an international perspective6. Current good practice in pain medicine7. Benefits and adverse effects of opioids8. Opioid induced hyperalgesia9. Contraindications, cautions, and drug interactions10. Clinical use: back pain11. Clinical use: pain associated with osteoarthritis12. Clinical use: neuropathic pain13. Practical aspects of prescribing14. Opioids and addiction