Main description:

Over the last thirty years, the concern of Pain Medicine practitioners about the potential for their patients to develop a dependence on opioids has left opioid therapy as a largely underutilized treatment. While there is no simple answer to chronic pain, opioids remain the only class of drugs capable of providing relief to patients experiencing serious pain. Opioid Therapy in the 21st Century, Second Edition fills a dearth of clinical knowledge about analgesics to
aid practitioners in weighing the risks versus the benefits of opioid therapy for their chronic pain patients.
Part of the Oxford American Pain Library, this concise guide serves as a practical, user-friendly reference for physicians across the range of primary care and medical specialties. It includes an overview of appropriate clinical applications of opioids, covering such topics as opioid pharmacology, route selection, and individualization of therapy, as well as strategies for managing and mitigating the risk of abuse, addiction, and diversion. There are also special sections dedicated to the
unique needs of pediatric, geriatric, and palliative care patient populations.
This second edition discusses opioids approved for use since publication of the first edition, such as Butrans (buprenorphine patch); fentanyl patch and nasal spray; abuse resistant version of Oxycontin; and Embeda (morphine sulfate). Approved indications for older opioids as well as clinical trial information have also been updated.

Contents:

1 Introduction to Opioids ; 2 Overview of Opioid-Related Terminology ; 3 Diagnosis and Assessment of Pain ; 4 Opioid Pharmacology ; 5 Optimizing Pharmacologic Outcomes ; 5a. Drug Selection ; 5b. Route Selection ; 5c. Assessing and Managing Opioid Side Effects ; 5d. Opioid-Induced Hyperalgesia ; 5e. Principles of Opioid Rotation ; 5f. Individualization of Therapy ; 6 Opioid Therapy for Cancer Pain ; 7 Evidence for the Use of Long-Term Opioid ; Therapy in Persistent Noncancer Pain ; 8 Pre-Opioid Prescribing Period ; 9 Identifying Patients at Risk for Pain ; Medication Misuse ; 10 Potential Documentation Tools in Long-Term ; Opioid Therapy ; 11 Managing the Risk of Abuse, Addiction, and Diversion ; 12 Special Populations ; 12a. Pediatric ; 12b. Geriatric ; 12c. Palliative care ; 13 Patients with a History of Substance Abuse ; 14 Resources ; Appendix 1. Sample AAPM Consent for Chronic ; Opioid Therapy ; Appendix 2. Sample AAPM Agreement for Long-Term Controlled Substance Therapy ; for Chronic Pain ; Appendix 3. Numerical Opioid Side Effect ; (NOSE) Assessment Tool ; Appendix 4. Translational Analgesia Score (TAS) ; Appendix 5. Clinical Guidelines for the Use of Chronic Opioid Therapy in Chronic Noncancer ; Pain: Opioid Treatment Guidelines