title: Opiate and opioid use in patients with refractory headache.
abstract: Opiate and opioid analgesics are commonly used for pain in general and presumably for headache. Codeine, oxycodone and propoxyphene, among the most commonly prescribed, do carry some risk of abuse, and their efficacy in headache patients has not been well studied. In many patients with other kinds of pain, however, both of neoplastic and non-neoplastic origin, chronic opiate use has been demonstrated to be of benefit without adverse side effects. The type of headache patient with intractable pain who needs frequent opiate analgesic and who does not develop addiction or drug abuse is an important subject for research.
authors.affiliation: Department of Neurology, University of Kansas Medical Center, Kansas City 66160-7314.
authors.forename: D K
authors.initials: DK
authors.lastname: Ziegler
mesh_terms: D000328:Adult; D000700:Analgesics / Q000627:therapeutic use; D003072:Cognition Disorders / Q000139:chemically induced; D004198:Disease Susceptibility; D004363:Drug Utilization; D005260:Female; D006261:Headache / Q000139:chemically induced / Q000188:drug therapy*; D006801:Humans; D007880:Legislation, Drug; D008297:Male; D008875:Middle Aged; D008881:Migraine Disorders / Q000188:drug therapy / Q000503:physiopathology; D009294:Narcotics / Q000009:adverse effects / Q000627:therapeutic use*; D009293:Opioid-Related Disorders / Q000453:epidemiology / Q000209:etiology; D010148:Intractable Pain / Q000188:drug therapy*; D012008:Recurrence; D019966:Substance-Related Disorders / Q000453:epidemiology / Q000209:etiology; D013406:Suicide, Attempted / Q000706:statistics & numerical data
chemical_list: D000700:Analgesics; D009294:Narcotics