[Treatment of acute pain during drug-assisted rehabilitation].
Patients on drug-assisted rehabilitation have the same right to pain relief as others. Techniques that reduce the need for opioids should be used when possible in opioid-dependent individuals who need treatment of acute and post-operative pain. Substitution treatment should always be continued. In some situations a switch to a different opioid or route of administration is required. Higher doses of opioids than those needed in other patients may be required for analgesia. Well-designed clinical studies are lacking in this field.
Fredheim
Olav Magnus S
OM
Nasjonalt kompetansesenter for sammensatte lidelser og Norges teknisk-naturvitenskapelige universitet og Klinikk for akuttmedisin, Sykehuset Telemark, 3710 Skien, Norway. olav.m.fredheim@ntnu.no
Nøstdahl
Torkjell
T
Nordstrand
Berit
B
Høivik
Tone
T
Rygnestad
Tarjei
T
Borchgrevink
Petter C
PC
D000082:Acetaminophen / Q000008:administration & dosage; D000208:Acute Disease; D018712:Analgesics, Non-Narcotic / Q000008:administration & dosage*; D000701:Analgesics, Opioid / Q000008:administration & dosage*; D000894:Anti-Inflammatory Agents, Non-Steroidal / Q000008:administration & dosage; D002047:Buprenorphine / Q000008:administration & dosage; D005938:Glucocorticoids / Q000008:administration & dosage; D006801:Humans; D007649:Ketamine / Q000008:administration & dosage; D008691:Methadone / Q000008:administration & dosage; D009293:Opioid-Related Disorders / Q000534:rehabilitation*; D010146:Pain / Q000188:drug therapy*; D010149:Postoperative Pain / Q000188:drug therapy; D013514:Surgical Procedures, Operative / Q000379:methods
D018712:Analgesics, Non-Narcotic; D000701:Analgesics, Opioid; D000894:Anti-Inflammatory Agents, Non-Steroidal; D005938:Glucocorticoids; D000082:Acetaminophen; D002047:Buprenorphine; D007649:Ketamine; D008691:Methadone