Opioid Pharmacotherapy
View AllContinuing Education
Persistent and Breakthrough Pain: Responsible Opioid Prescribing for Multidimensional Disorders
Jeffrey A. Gudin
2012 Mar 21.
David M. Simpson
2013 Feb 13.
Mark S. Wallace
2012 Jan 09.
David M. Kaufman
2012 Mar 13.
Persistent and Breakthrough Pain: Opioid-Based Therapy for Fluctuating Pain Profiles
Michael J. Brennan
2011 Mar 31.
Michelle I. Rhiner
2012 Aug 31.
David M. Simpson
2013 Feb 13.
Lynn R. Webster
2010 Apr 19.
Cynthia P. Koh-Knox
2012 Mar 07.
- Acute and Post-Operative Pain
- Cancer-related Pain
- Chronic Noncancer Pain
- Comorbid Conditions
- Fibromyalgia
- Headache
- Interventional Modalites
- Low Back Pain
- Medico-Legal-Ethical Issues
- Neuropathic Pain
- Nonopioid Pharmacotherapy
- Nonpharmacologic Treatment
- Opioid Pharmacotherapy
- Osteoarthritis
- Palliative Care
- Risk Management
- Scientific Perspectives
- Special Patient Populations
Journals
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Section Editor
Scott M. Fishman, MD
User Activity
Scott M. Fishman, MD
Chief, Division of Pain Medicine
Professor of Anesthesiology
Department of Anesthesiology and Pain Medicine
University of California, Davis
Davis, California
Lynn R. Webster, MD
User Activity
Lynn R. Webster, MD
Continuing Education Activities
Medical Director
Lifetree Clinical Research and Pain Clinic
Salt Lake City, Utah
View AllPublications
Chronic opioid therapy and preventive services in rural primary care: an Oregon rural practice-based research network study.
Association between urine drug test results and treatment outcome in high-risk chronic pain patients on opioids
Drug testing, chronic pain,and financial conflicts of interest
Painful Diabetic Peripheral Neuropathy: Consensus Recommendations on Diagnosis, Assessment and Management.
The metabolism of opioid agents and the clinical impact of their active metabolites.
Buckley DI, Calvert JF, Lapidus JA, et al.
Ann Fam Med. 2010;8(3):237-44.
PURPOSE:...
Ann Fam Med. 2010;8(3):237-44.
PURPOSE:...
Association between urine drug test results and treatment outcome in high-risk chronic pain patients on opioids
Barth KS, Becker WC, Wiedemer NL, Mavandadi S, Oslin DW, Meghani SH, Gallagher RM.
J Addict...
J Addict...
Drug testing, chronic pain,and financial conflicts of interest
Collen M, Leider HL, Dhaliwal J, Davis EJ, Kulakodlu M, Buikema AR.
Am J Manag Care. 2011 Apr...
Am J Manag Care. 2011 Apr...
Painful Diabetic Peripheral Neuropathy: Consensus Recommendations on Diagnosis, Assessment and Management.
Tesfaye S, Vileikyte L, Rayman G, Sindrup S, Perkins B, Baconja M, Vinik A, Boulton A; on...
The metabolism of opioid agents and the clinical impact of their active metabolites.
Smith HS.
Clin J Pain. 2011 Nov;27(9):824-38.
BACKGROUND: The metabolism of opioids is...
Clin J Pain. 2011 Nov;27(9):824-38.
BACKGROUND: The metabolism of opioids is...







Some fraction of opioid-treated patients with chronic pain will engage in aberrant substance use, including compulsive drug seeking and addiction.
Chemotherapy-induced peripheral neuropathy (CIPN) is a significant, debilitating complication of chemotherapy administration for cancer.
The regulatory and reimbursement environment surrounding drug testing is becoming increasingly stringent.
As the population ages, more individuals will be living with chronic pain, resulting in increased morbidity, mortality, and healthcare utilization.
Buprenorphine is a partial μ-opioid receptor agonist that is used the treatment of chronic pain and opioid addiction.
The World Health Organization has stated that undertreated pain is the number one health problem in America. Sharp rises in unintentional prescription drug overdose rates, however, have caused regulators to move to restrict access to prescription opioids and other potentially abusable medications classes.
Opioid analgesics are increasingly being prescribed for the management of chronic pain despite incomplete evidence for long-term efficacy and the ongoing risk of abuse.
Therapeutic prescription of opioid analgesics has risen sharply in the United States over the last two decades.
Chronic noncancer pain is a leading cause of disability, resulting in deleterious effects on multiple patient domains (eg, physical, psychological, cognitive, employment, among others).
During the last two decades, reports of inadequate pain treatment have resulted in increased opioid prescribing, at times by physicians who were not adequately trained in pain and risk management.