[Pain in patients with opiates dependence].
We have to trust the patient. Pain is undertreated. Inadequate treatment has adverse consequences. Over and under treatment are both liabilities. Opioid-maintained patients do experience pain. These patients report higher pain scores. They experience both opioid tolerance and hyperalgesia. They are responsive to opioid analgesia. They need baseline opioids ("opioid debt"), mostly a well-stabilized OST. They require higher doses, more frequent dosing and longer opioid administration.
CHU G. Montpied, pôle de psychiatrie, SATIS, BP 69, 63003 Clermont Ferrand cedex 1, France.
Pascal
P
Courty
Nicolas
N
Authier
D000701:Analgesics, Opioid / Q000008:administration & dosage* / Q000009:adverse effects / Q000627:therapeutic use; D004361:Drug Tolerance; D006801:Humans; D006930:Hyperalgesia / Q000188:drug therapy* / Q000503:physiopathology; D009293:Opioid-Related Disorders / Q000503:physiopathology*; D010146:Pain / Q000188:drug therapy* / Q000503:physiopathology
D000701:Analgesics, Opioid