Opioid drugs have an established role in the management of persistent pain. Concerns regarding the possibility that these drugs may cause harm to those for whom they are prescribed or to others are substantiated by the published literature. However, the risk of an individual patient running into problems cannot be quantified. Prescribing practice can be guided by an understanding of the relevant laws and regulations, role of opioids in a pain management plan, and an awareness of predisposing factors for problem drug use. Screening tools are now available to supplement the clinical impression and similarly, instruments now exist to identify when problems are occurring.

If a patient with pain has a past or current history of substance misuse, he or she should be managed with the same tools, supported by clinical evidence, as those without a history of addiction. Management of pain in the substance-misusing patient poses particular challenges for the healthcare team, but an open and collaborative relationship between the patient, his or her carers, and all relevant healthcare professionals should allow pain to be managed safely and effectively.

Naturally Cure Your Headaches

Naturally Cure Your Headaches

Are Headaches Taking Your Life Hostage and Preventing You From Living to Your Fullest Potential? Are you tired of being given the run around by doctors who tell you that your headaches or migraines are psychological or that they have no cause that can be treated? Are you sick of calling in sick because you woke up with a headache so bad that you can barely think or see straight?

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