Opiate analgesia equivalents

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The incidence of pain in patients with cancer depends on the type and stage of disease. However, plain radiographs and bone scintigraphy may be negative early in the course of myeloma, in some osseous metastases, and at sites of previously radiated bone Kelly and Payne, The panel recommends that laws and regulatory policies aimed at diversion control not hamper the appropriate use of opioid analgesics for cancer pain.


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Pain is usually described as dull and aching, is usually localized to the area of metastasis, and is increased by movement. Each State legislature has received the revision from the Uniform Law Commissioners.



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Simply to record a patient's responses to the question "How is your pain?

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The optimal dose will control pain with the fewest side effects, such as sedation, mental clouding, nausea, or constipation. Plain radiographs showing typical lytic, blastic, or mixed lesions are usually diagnostic and easily distinguished from lesions resulting from nonmetastatic causes Wilner,

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At regular intervals after starting the treatment plan. Chronic unrelieved pain can lead patients to reject active treatment programs, and when their pain is severe or they are depressed, to consider or commit suicide. This strategy will decrease the peak concentrations in blood and brain while maintaining the same total dose.
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2 thoughts on “Opiate analgesia equivalents
  1. When developing a treatment plan, members of the health care team should pay particular attention to the preferences and needs of patients whose education or cultural traditions may impede effective communication see Chapter 7 for additional discussion.

  2. When the strength of evidence is A or B, the panel's recommendations are based primarily on the evidence. The panel recommends that curricula for health professionals include sufficient content on pain to prepare clinicians to assess and manage pain effectively.