Pain Control

Narcotics for chronic pain

Chronic non-cancer pain has become a significant public health problem in the the USA. It is being more and more recognized that well meaning physicians and medical groups and the state worker compensation systems have brought about serious untoward and unexpected consequences by providing opioids for chronic pain. Chronic opioid use usually does not effectively control such pain and has brought with it a host of problems; including hyperalgesia,

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Cymbalta for pain following oxaliplatin treatment

Oxaliplatin is a drug that can cause a fairly unique serve related pain, which can be difficult to manage. Two recent phase II studies suggested that Cymbalta (duloxetine) is effective for this pain. Both studies were in small number of patients and there weas a significant monority of patients who did not tolerate treatment. Overall benefit was modest. Both studies concluded that using this drug is feasible. This was followed by an abstract at

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Narcotics for cancer pain: Legal standards

Safe and effective chronic opioid therapy for chronic cancer related pain requires clinical skills and knowledge in both the principles of opioid prescribing and on the assessment and management of risks associated with opioid abuse, addiction, and diversion. Although evidence is limited in many areas related to use of opioids for chronic cancer pain, several guidelines provide recommendations developed by multidisciplinary expert panel after a

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