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KMID : 1037820120010010001
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Journal of Pain and Autonomic Disorders
2012 Volume.1 No. 1 p.1 ~ p.12
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Clinical Use of Opio
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Lee Dong-Kuck
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Abstract
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Opioids are the major class of analgesics used in the management of moderate to severe pain. But Health professionals, patients, and caregivers often harbor irrational fears about these drugs. As a result, opioids are often underprescribed, underdosed, taken irregularly in spite of instructions to the contrary, and stopped abruptly. Social barriers to the clinical use of opioids are now being refuted by professional organization. Nevertheless, many clinicians continue to avoid opioids in their clinical practices. Unlike nonsteroidal anti-inflammatory drugs and even acetaminophen, long-term opioid use rarely causes end-organ toxicity. New opioids delivery systems including oral controlled release, iontophoretic, implanted, and transdermal dosage forms are currently under development. Combination dosage forms of opioids with other drugs also are being investigated. Some of these new forms may make opioid analgesia easier. All pain clinicians can and should work to overcome opioid myths and misconceptions and should encourage appropriate use of opioids when
they are indicated.
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KEYWORD
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Opioids, Clinical use
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