title: [Pain therapy in addicted patients].
abstract: Each individual is entitled to an adequate and sufficient pain therapy. However, only a few studies have examined the peculiarities of pain management in drug-dependent or formerly addicted patients. Any addiction is disadvantageous for a successful pain therapy, since some of the prescribed drugs may themselves cause addiction. Drug-dependent patients are often tolerant to opioids. Additionally, there is a risk of iatrogenic pain becoming chronic due to disregard for already known risk factors and comorbidities. However, a history of addiction should not prevent sufficient pain therapy, especially since there is no risk of addiction when the pain therapy employed is adequate for the pathophysiology involved. There are adequate pain therapies for addicted patients. The best results are achieved by taking into account the physiological and psychological peculiarities of drug-dependent patients. Importantly, this should be combined with a variety of different, optimized, multimodal therapeutic regimes, as well as with an interdisciplinary approach.
authors.affiliation: Klinik für Anästhesiologie und operative Intensivmedizin, Charité - Universitätsmedizin Berlin, Campus Virchow Klinikum/Charité Campus Mitte, Berlin.
authors.forename: C
authors.initials: C
authors.lastname: Hampel
authors.forename: M
authors.initials: M
authors.lastname: Schenk
authors.forename: H
authors.initials: H
authors.lastname: Göbel
authors.forename: I
authors.initials: I
authors.lastname: Gralow
authors.forename: S M
authors.initials: SM
authors.lastname: Grüsser
authors.forename: C
authors.initials: C
authors.lastname: Jellinek
authors.forename: G
authors.initials: G
authors.lastname: Ernst
authors.forename: K
authors.initials: K
authors.lastname: Hermanns
authors.forename: J
authors.initials: J
authors.lastname: Gölz
authors.forename: W
authors.initials: W
authors.lastname: Poser
authors.forename: M
authors.initials: M
authors.lastname: Strumpf
authors.forename: E A M
authors.initials: EA
authors.lastname: Neugebauer
authors.forename: C
authors.initials: C
authors.lastname: Spies
mesh_terms: D015670:Acupuncture Therapy; D000208:Acute Disease; D018712:Analgesics, Non-Narcotic / Q000627:therapeutic use*; D000701:Analgesics, Opioid / Q000627:therapeutic use*; D000765:Anesthesia, Conduction; D032921:Consensus; D004361:Drug Tolerance; D005500:Follow-Up Studies; D006801:Humans; D033183:Interdisciplinary Communication; D009020:Morphine / Q000627:therapeutic use; D010146:Pain / Q000188:drug therapy; D059408:Pain Management; D011613:Psychotherapy; D012307:Risk Factors; D019966:Substance-Related Disorders / Q000150:complications* / Q000175:diagnosis / Q000209:etiology; D004561:Transcutaneous Electric Nerve Stimulation; D014944:World Health Organization
chemical_list: D018712:Analgesics, Non-Narcotic; D000701:Analgesics, Opioid; D009020:Morphine