Safe use of opioids in chronic noncancer pain
Teresa E. Dews, MD
Department of Pain Management, The Cleveland Clinic Foundation
Nagy Mekhail, MD, PhD
Chairman, Department of Pain Management, The Cleveland Clinic Foundation
Address: Teresa E. Dews, MD, Department of Pain Management, C25, The Cleveland Clinic Foundation, 9500 Euclid Avenue, Cleveland, OH 44195
Dr. Mekhail has indicated that he is on the speakers’ bureau of Pfizer, Merck, and Medtronic corporations.
This paper discusses therapies that are not approved by the US Food and Drug Administration for the use under discussion.
ABSTRACTMany physicians avoid prescribing opioid analgesics for chronic pain because of misconceptions or fears about efficacy, adverse effects, abuse, and addiction potential. We discuss these issues and offer suggestions for the rational use of opioid analgesics in patients with chronic noncancer pain.