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  • Opioid Therapy in the 21st Century

    Opioid Therapy in the 21st Century by Smith, Howard S.;

    Series: Oxford American Pain Library;

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      • Publisher's listprice GBP 49.49
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    Product details:

    • Edition number 2
    • Publisher OUP USA
    • Date of Publication 21 February 2013

    • ISBN 9780199844975
    • Binding Paperback
    • No. of pages306 pages
    • Size 127x203x17 mm
    • Weight 318 g
    • Language English
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    Short description:

    Opioid Therapy in the 21st Century, Second Edition provides clinicians with up-to-date, evidence-based information about appropriate opioid use, including the potential benefits and adverse affects of the therapy.

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    Long description:

    Over the last thirty years, the concern of Pain Medicine practitioners about the potential for their patients to develop a dependence on opioids has left opioid therapy as a largely underutilized treatment. While there is no simple answer to chronic pain, opioids remain the only class of drugs capable of providing relief to patients experiencing serious pain. Opioid Therapy in the 21st Century, Second Edition fills a dearth of clinical knowledge about analgesics to aid practitioners in weighing the risks versus the benefits of opioid therapy for their chronic pain patients.
    Part of the Oxford American Pain Library, this concise guide serves as a practical, user-friendly reference for physicians across the range of primary care and medical specialties. It includes an overview of appropriate clinical applications of opioids, covering such topics as opioid pharmacology, route selection, and individualization of therapy, as well as strategies for managing and mitigating the risk of abuse, addiction, and diversion. There are also special sections dedicated to the unique needs of pediatric, geriatric, and palliative care patient populations.
    This second edition discusses opioids approved for use since publication of the first edition, such as Butrans (buprenorphine patch); fentanyl patch and nasal spray; abuse resistant version of Oxycontin; and Embeda (morphine sulfate). Approved indications for older opioids as well as clinical trial information have also been updated.

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    Table of Contents:

    1 Introduction to Opioids
    2 Overview of Opioid-Related Terminology
    3 Diagnosis and Assessment of Pain
    4 Opioid Pharmacology
    5 Optimizing Pharmacologic Outcomes
    5a. Drug Selection
    5b. Route Selection
    5c. Assessing and Managing Opioid Side Effects
    5d. Opioid-Induced Hyperalgesia
    5e. Principles of Opioid Rotation
    5f. Individualization of Therapy
    6 Opioid Therapy for Cancer Pain
    7 Evidence for the Use of Long-Term Opioid
    Therapy in Persistent Noncancer Pain
    8 Pre-Opioid Prescribing Period
    9 Identifying Patients at Risk for Pain
    Medication Misuse
    10 Potential Documentation Tools in Long-Term
    Opioid Therapy
    11 Managing the Risk of Abuse, Addiction, and Diversion
    12 Special Populations
    12a. Pediatric
    12b. Geriatric
    12c. Palliative care
    13 Patients with a History of Substance Abuse
    14 Resources
    Appendix 1. Sample AAPM Consent for Chronic
    Opioid Therapy
    Appendix 2. Sample AAPM Agreement for Long-Term Controlled Substance Therapy
    for Chronic Pain
    Appendix 3. Numerical Opioid Side Effect
    (NOSE) Assessment Tool
    Appendix 4. Translational Analgesia Score (TAS)
    Appendix 5. Clinical Guidelines for the Use of Chronic Opioid Therapy in Chronic Noncancer
    Pain: Opioid Treatment Guidelines

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