The document discusses clinical guidelines for opioid use from 2003 that promoted opioids as an effective treatment for chronic pain and downplayed the risks of addiction. It notes these guidelines described addiction concerns as barriers to care and claimed repeated opioid exposure rarely causes addiction. However, these claims have been contradicted by more recent research showing high risks of addiction, overdose, and death from long-term opioid use.
Descrição original:
Andrew Kolodny, "Making a U-Turn: Clinical Applications of Opioid Guidelines, April 6, 2017.
The document discusses clinical guidelines for opioid use from 2003 that promoted opioids as an effective treatment for chronic pain and downplayed the risks of addiction. It notes these guidelines described addiction concerns as barriers to care and claimed repeated opioid exposure rarely causes addiction. However, these claims have been contradicted by more recent research showing high risks of addiction, overdose, and death from long-term opioid use.
The document discusses clinical guidelines for opioid use from 2003 that promoted opioids as an effective treatment for chronic pain and downplayed the risks of addiction. It notes these guidelines described addiction concerns as barriers to care and claimed repeated opioid exposure rarely causes addiction. However, these claims have been contradicted by more recent research showing high risks of addiction, overdose, and death from long-term opioid use.
Making a U-turn: Clinical Applications of Opioid Guidelines
April 6, 2017
Andrew Kolodny, MD
No financial relationships to disclose
Source: Purdue Pharma budget plan obtained from litigation In March 2003, the VA & DOD issue one of the first guidelines on opioid use for chronic pain. For many patients opioids are the most effective option.
Concerns about addiction, tolerance, and dependence are
described as barriers to appropriate care.
Repeated exposure to opioids . only rarely cause addiction.
No pharmacological rationale for using a predetermined
maximal dose . Source: The Center for Investigative Reporting VAs opiate overload feeds veterans addictions, overdose deaths. Sep 28, 2013