title: [Treatment of acute pain during drug-assisted rehabilitation].
abstract: 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.
authors.affiliation: Nasjonalt kompetansesenter for sammensatte lidelser og Norges teknisk-naturvitenskapelige universitet og Klinikk for akuttmedisin, Sykehuset Telemark, 3710 Skien, Norway. olav.m.fredheim@ntnu.no
authors.forename: Olav Magnus S
authors.initials: OM
authors.lastname: Fredheim
authors.forename: Torkjell
authors.initials: T
authors.lastname: Nøstdahl
authors.forename: Berit
authors.initials: B
authors.lastname: Nordstrand
authors.forename: Tone
authors.initials: T
authors.lastname: Høivik
authors.forename: Tarjei
authors.initials: T
authors.lastname: Rygnestad
authors.forename: Petter C
authors.initials: PC
authors.lastname: Borchgrevink
mesh_terms: 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
chemical_list: D018712:Analgesics, Non-Narcotic; D000701:Analgesics, Opioid; D000894:Anti-Inflammatory Agents, Non-Steroidal; D005938:Glucocorticoids; D000082:Acetaminophen; D002047:Buprenorphine; D007649:Ketamine; D008691:Methadone