Tapering chronic opioid therapy in neuropathic facial pain: an interdisciplinary approach.
This case report presents a patient with chronic orofacial pain who was considered to be an appropriate candidate for chronic opioid therapy, a treatment uncommonly considered at most facial pain centers. Her opioid treatment proved ineffectual, and conservative approaches were addressed. She was successfully tapered off the use of a long-acting opioid within a relatively short time, using an interdisciplinary approach involving an aggressive biobehavioral approach.
Chandwani
Brijesh P
BP
Craniofacial Pain and Headache Center, Tufts University, Boston, Massachusetts, USA.
Kulich
Ronald J
RJ
Andrew
Lainie
L
Scrivani
Steven
S
D000223:Adaptation, Psychological; D000328:Adult; D000701:Analgesics, Opioid / Q000008:administration & dosage* / Q000627:therapeutic use*; D001007:Anxiety / Q000150:complications / Q000523:psychology; D001521:Behavior Therapy; D005157:Facial Pain / Q000188:drug therapy* / Q000209:etiology / Q000628:therapy; D005260:Female; D006111:Graves Disease / Q000150:complications; D006801:Humans; D017090:Occlusal Splints; D010348:Patient Care Team; D010523:Peripheral Nervous System Diseases / Q000150:complications / Q000175:diagnosis / Q000188:drug therapy*; D010808:Physical Examination
D000701:Analgesics, Opioid