title: Opioid analgesics in primary care: challenges and new advances in the management of noncancer pain.
abstract: Primary care attitudes affecting the use of strong opioids in pain management have changed considerably in the last 3 decades. Forces that have shaped current attitudes and trends in opioid prescribing include historical influences, regulatory factors, and technologic and scientific advances. The article identifies for primary care physicians the current challenges and issues surrounding the use of opioid analgesics for noncancer pain and examines how new technology and expanding knowledge have been applied to existing opioids such as morphine, oxymorphone, and fentanyl to address continuing challenges in pain management.
authors.affiliation: Yale University School of Medicine, New Haven, CT 06510, USA. raymond.sintara@yale.edu
authors.forename: Raymond
authors.initials: R
authors.lastname: Sinatra
mesh_terms: D000701:Analgesics, Opioid / Q000008:administration & dosage / Q000494:pharmacology / Q000627:therapeutic use*; D002908:Chronic Disease; D016503:Drug Delivery Systems; D005194:Family Practice; D006801:Humans; D010146:Pain / Q000175:diagnosis / Q000188:drug therapy*; D010147:Pain Measurement; D012308:Risk Management
chemical_list: D000701:Analgesics, Opioid