title: Pharmacotherapy in pain patients with substance abuse.
abstract: Definitions and difficulties relating to managing acute and chronic pain in patients with current or past substance abuse disorders are discussed. Problems with too rapid discontinuation of drugs are described. An interdisciplinary approach involving pain specialists, substance abuse clinicians and mental health professional is advocated.
authors: Drs. Michael Schäfer, Claudia Denke, Henning Krampe, and Claudia Spies are from the Department of Anaesthesiology and Intensive Care at Charité Universitätsmedizin, Campus Virchow Klinikum and Campus Mitte , Berlin , Germany.
authors: Michael
authors: M
authors: Schäfer
authors: Claudia
authors: C
authors: Denke
authors: Henning
authors: H
authors: Krampe
authors: Claudia
authors: C
authors: Spies
mesh_terms: D059787:Acute Pain / Q000188:drug therapy*; D000701:Analgesics, Opioid / Q000008:administration & dosage* / Q000009:adverse effects; D059350:Chronic Pain / Q000188:drug therapy*; D006801:Humans; D033183:Interdisciplinary Communication; D019966:Substance-Related Disorders / Q000150:complications*
chemical_list: D000701:Analgesics, Opioid
keywords: addiction; dependence; opioids; pain; reward system; substance abuse