An Overview of Pharmacologic Management of Chronic Pain

作者：Beal Benjamin R; Wallace Mark S^*

来源：Medical Clinics of North America, 2016, 100(1): 67-+.

DOI：10.1016/j.mcna.2015.08.006

• Chronic pain
• Pharmacologic management
• Neuropathic pain
• Intrathecal drug delivery
• Nonopiate pain medication
• Evidence based

Patients with chronic pain can be challenging to manage and historically providers have relied on opiates to treat pain. Recent studies have brought into question the safety and efficacy of chronic opiate therapy in the non-cancer population. There is a vast amount of literature to support the use of nonsteroidal anti-inflammatory medications, antidepressants, anticonvulsants, topical agents, cannabinoids, and botulinum toxin either in conjunction with or in lieu of opioids. Intrathecal drug delivery systems can deliver some of these medications directly to their primary site of action while minimizing the side effects seen with systemic administration.

• 出版日期2016-1