Opioids in Management of Chronic Noncancer Pain

Letters1 June 2010Opioids in Management of Chronic Noncancer PainStephen G. Gelfand, MDStephen G. Gelfand, MDFrom Cookeville, TN 38501.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-152-11-201006010-00022 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail This conversation continues on the Web. To read more, go toannals.org/content/152/2/123.full/reply#annintmed_el_124279.TO THE EDITOR:In addition to the overdose and mortality risks from prescription opioids discussed by McLellan and Turner (1), 3 additional opioid-related issues require attention: the possibility that many persons who have overdosed or died of illegally diverted prescription opioids (or heroin) initially became addicted through the use of a legitimate prescription; the prominent role of psychological disorders, which have substantially contributed to the overprescription of opioid analgesics; and the likelihood that extended-release and long-acting opioids carry greater risks for addiction, overdose, and death than shorter-acting agents.Many ...References1. McLellan AT, Turner BJ. Chronic noncancer pain management and opioid overdose: time to change prescribing practices [Editorial]. Ann Intern Med. 2010;152:123-4. [PMID: 20083830] LinkGoogle Scholar2. Winfield JB. Psychological determinants of fibromyalgia and related syndromes. Curr Rev Pain. 2000;4:276-86. [PMID: 10953275] CrossrefMedlineGoogle Scholar3. Arnold LM, Hudson JI, Keck PE, Auchenbach MB, Javaras KN, Hess EV. Comorbidity of fibromyalgia and psychiatric disorders. J Clin Psychiatry. 2006;67:1219-25. [PMID: 16965199] CrossrefMedlineGoogle Scholar4. Thieme K, Turk DC, Flor H. Responder criteria for operant and cognitive-behavioral treatment of fibromyalgia syndrome. Arthritis Rheum. 2007;57:830-6. [PMID: 17530683] CrossrefMedlineGoogle Scholar5. Dunn KM, Saunders KW, Rutter CM, Banta-Green CJ, Merrill JO, Sullivan MD, et al. Opioid prescriptions for chronic pain and overdose: a cohort study. Ann Intern Med. 2010;152:85-92. [PMID: 20083827] LinkGoogle Scholar6. Florida Department of Law Enforcement. 2009 Interim Report of Drugs Identified in Deceased Persons by Florida Medical Examiners. Accessed at www.fdle.state.fl.us/publications/Examiners/2009DrugReport.pdf on 21 April 2010. Google Scholar Author, Article, and Disclosure InformationAuthors: Stephen G. Gelfand, MDAffiliations: From Cookeville, TN 38501.Disclosures: None disclosed. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoChronic Noncancer Pain Management and Opioid Overdose: Time to Change Prescribing Practices A. Thomas McLellan and Barbara J. Turner Opioid Prescriptions for Chronic Pain and Overdose Kate M. Dunn , Kathleen W. Saunders , Carolyn M. Rutter , Caleb J. Banta-Green , Joseph O. Merrill , Mark D. Sullivan , Constance M. Weisner , Michael J. Silverberg , Cynthia I. Campbell , Bruce M. Psaty , and Michael Von Korff Use of Opioids in Management of Chronic Noncancer Pain Howard Kornfeld Use of Opioids in Management of Chronic Noncancer Pain Marcus M. Reidenberg Use of Opioids in Management of Chronic Noncancer Pain A. Thomas McLellan and Barbara J. Turner Metrics Cited byCurrent World Literature 1 June 2010Volume 152, Issue 11Page: 756-757KeywordsDrugsFibromyalgiaHeroinOpioid addictionOpioidsOxycodoneRheumatologySubstance abuseTherapeutic drug monitoring ePublished: 1 June 2010 Issue Published: 1 June 2010 Copyright & PermissionsCopyright © 2010 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...