Methods for Monitoring Medication Use in Chronic Pain Patients

Robert J Gatchel, PhD, ABPP

In this article, the best methods for assessing chronic pain patients who are potentially at risk of misuse or abuse of pain reduction medications are highlighted. The author recommends that comprehensive biopsychosocial assessments of such patients should be conducted using instruments specifically developed for evaluating the potential for abuse/misuse.

Treatment Selection in Substance Abusers with Pain

Jeanne M Manubay, MD, Sandra D Comer, PhD, and Maria A Sullivan, MD, PhD

The treatment of chronic pain in substance abusers poses a clinical challenge in light of the broader availability, increased abuse, and diversion of prescription opioids. By reviewing the various factors that contribute to the pain experience and assessing the presence of mood disorders or aberrant behaviors, chronic pain in substance abusers may be managed successfully.

Risk Assessment for Opioid Misuse in Chronic Pain Treatment

Michael F Weaver, MD, and Sidney H Schnoll, MD, PhD

Many medications, including opioids, are effective for chronic pain, whether due to cancer or chronic non-malignant pain. However, opioids carry risks of misuse. Universal precautions in pain management involve the use of a medication agreement and ongoing monitoring such as urine drug testing.

Patient Affected by Severe Cancer Pain and Treated with Combined Strong Opioids

Elena Catala, MD, PhD, Analia Azaro, MD, and Marta Ferrandiz, MD

Cancer pain is one of the most important challenges for pain specialists and doctors treating cancer patients.

New Article - 12/11/2008

Commentary and Analysis on Recent Key Papers

Highlights from the American Pain Foundation’s Roundtable. Provider Prescribing Patterns and Perceptions: Identifying Solutions to Build Consensus on Opioid Use in Pain Management

Micke A Brown, RN, BSN, and Amanda Crowe, MA, MPH