Use And Prescribing Methods Of Opioids

1158 WordsNov 4, 20155 Pages
This paper explores multiple studies and facts pertaining to the use and prescribing methods of opioids. The positive effects of opioids as well as the negative effects are taken into account. In one study, conducted by Furlan, Sandoval, Mailis-Gagnon, and Tunks (2006), opioids were effective in the treatment of CNCP overall. However according to David N. Juurlink (2012), more recent and more rigorous studies suggest that opioid use disorders occur in up to one-third of patients on chronic opioid therapy. So abuse and addiction are likely to occur in people taking opioids long term. Overall, evidence on long-term opioid therapy for chronic pain is very limited but suggests an increased risk of serious harms that appears to be…show more content…
To date, morphine and other opioids remain essential analgesics for alleviating pain. However, their use is plagued by major side effects, such as analgesic tolerance (diminished pain-relieving effects), hyperalgesia (increased pain sensitivity), and drug dependence. This paper examines the good, the bad, and the arguable of taking opioids, while also trying to answer the age old question: Is it worth it? How Opioids Help Opioids are effective for the treatment of acute pain, such as pain following surgery. They have also been found to be important in palliative care (hospice) to help with the severe, chronic, disabling pain that may occur in some terminal conditions such as cancer. In many cases opioids are successful long-term care strategies for those with chronic cancer pain (CCP). There are not many alternatives for those with CCP like there are for those suffering acute or chronic non cancer pain (CNCP). In one study, conducted by Furlan et al. (2006), opioids were effective in the treatment of CNCP overall; they reduced pain and improved functional outcomes better than placebo. Strong opioids (oxycodone and morphine) were significantly superior, to naproxen and nortriptyline (respectively) for pain relief but not for functional outcomes. Unfortunately, Weak opioids (propoxyphene, tramadol and codeine) did not significantly outperform NSAIDs or TCAs for either pain relief or functional outcomes. Overall, if opioids are
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