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Monitoring patients with chronic pain and addiction

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Abstract

As patients with chronic, noncancer, pain (CP) are often treated with chronic opioid therapy (COT), there is a need for physicians and healthcare teams to be aware of what aberrant drug-related behavior is and how to detect it. The goal is to detect patients developing problems (aberrant behaviors) and intervene before they progress to addiction.

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References

  1. Corsini E, Zacharoff KL. Definitions related to aberrant drug-related behavior: Is there correct terminology? PainEdu.org. www.painedu.org/articles_timely.asp?ArticleNumber=58. Published October 29, 2011. Accessed September 18, 2014.

  2. Savage SR, Horvath R. Opioid Therapy of Pain, In: Ries R, ed. Principles of Addiction Medicine. 4th edn. Philadelphia, PA: Lippincott Williams & Wilkins; 2009:1329-1353.

    Google Scholar 

  3. Weaver M, Schnoll S. Abuse liability in opioid therapy for pain treatment in patients with an addiction history. Clin J Pain. 2002;18:S61-S69.

    Google Scholar 

  4. Policy Impact: Prescription Painkiller Overdoses. Centers for Disease Control and Prevention, National Center for Injury Prevention and Control, Division of Unintentional Injury Prevention. www.cdc.gov/homeandrecreationalsafety/rxbrief/. July 2, 2013. Accessed September 18, 2014.

  5. Editorial Board. FDA seeks to curb abuse of prescription painkillers. The Washington Post. Published: October 28, 2013.

    Google Scholar 

  6. Fishbain DA, Cole B, Lewis J, et al. What percentage of chronic nonmalignant pain patients exposed to chronic opioid analgesic therapy develop abuse/addiction and/or aberrant drugrelated behaviors? A structured evidence based review. Pain Med. 2008;9:444-459.

    Google Scholar 

  7. Portenoy RK, Farrar JT, Backonja MM. Long-term use of controlled-release oxycodone for noncancer pain: results of a 3 year study. Clin J Pain. 2007;23:287-299.

    Google Scholar 

  8. Manchikanti L, Cash KA, Damron KS, et al. Controlled substance abuse and illicit drug use in chronic pain patients: An evaluation of multiple variables. Pain Physician. 2006;9:215-225.

    Google Scholar 

  9. Gourlay D L, Heit HA, Almahrezi A. Universal precautions in pain medicine: A rational approach to the treatment of chronic pain. Pain Medicine. 2005; 6:107-112.

    Google Scholar 

  10. Passik SD, Weinreb HJ. Managing chronic nonmalignant pain: Overcoming obstacles to the use of opioids. Adv Ther. 2000;17:70-83.

    Google Scholar 

  11. Savage SR. Opioid Therapy of Pain, In: Ries R, ed. Principles of Addiction Medicine. 5th edn. Philadelphia, PA: Lippincott Williams & Wilkins; 2014:1522.

    Google Scholar 

  12. Zeppetella G. Breakthrough pain in cancer patients. Clin Oncol (R Coll Radiol). 2011:23:393-398.

    Google Scholar 

  13. Christie JM, Simmonds M, Patt R, et al. Dose-titration, multicenter study of oral transmucosal fentanyl citrate for the treatment of breakthrough pain in cancer patients using transdermal fentanyl for persistent pain. J Clin Oncol. 1998;16:3238-3245.

    Google Scholar 

  14. Messina J, Darwish M, Fine PG. Fentanyl buccal tablet. Drugs Today (Barc). 2008;44:41-54.

    Google Scholar 

  15. Vadivelu N, Chen IL, Kodumudi V, et al. The implications of urine drug testing in pain management. Curr Drug Saf. 2010;5:267-270.

    Google Scholar 

  16. TIRF REMS ACCESS. TIRF REMS Access Program Home. What is the TIRF REMS Access Program? www.tirfremsaccess.com. Accessed September 18, 2014.

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Correspondence to Donald R Taylor .

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© 2015 Springer International Publishing Switzerland

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Taylor, D.R. (2015). Monitoring patients with chronic pain and addiction. In: Managing Patients with Chronic Pain and Opioid Addiction. Adis, Cham. https://doi.org/10.1007/978-3-319-08111-3_3

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  • DOI: https://doi.org/10.1007/978-3-319-08111-3_3

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  • Publisher Name: Adis, Cham

  • Print ISBN: 978-3-319-08110-6

  • Online ISBN: 978-3-319-08111-3

  • eBook Packages: MedicineMedicine (R0)

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