Pharmacotherapy in Pain Patients with Substance Abuse

Michael SchäferDrs. Michael Schäfer, Claudia Denke, Henning Krampe, and Claudia Spies are from the Department of Anaesthesiology and Intensive Care at Charité Universitätsmedizin, Campus Virchow Klinikum and Campus Mitte, Berlin, GermanyCorrespondence[email protected]

Claudia DenkeDrs. Michael Schäfer, Claudia Denke, Henning Krampe, and Claudia Spies are from the Department of Anaesthesiology and Intensive Care at Charité Universitätsmedizin, Campus Virchow Klinikum and Campus Mitte, Berlin, Germany

Henning KrampeDrs. Michael Schäfer, Claudia Denke, Henning Krampe, and Claudia Spies are from the Department of Anaesthesiology and Intensive Care at Charité Universitätsmedizin, Campus Virchow Klinikum and Campus Mitte, Berlin, Germany

Claudia SpiesDrs. Michael Schäfer, Claudia Denke, Henning Krampe, and Claudia Spies are from the Department of Anaesthesiology and Intensive Care at Charité Universitätsmedizin, Campus Virchow Klinikum and Campus Mitte, Berlin, Germany

ABSTRACT

Definitions and difficulties relating to managing acute and chronic pain in patients with current or past substance abuse disorders are discussed. Problems with too rapid discontinuation of drugs are described. An interdisciplinary approach involving pain specialists, substance abuse clinicians and mental health professional is advocated.

This report is adapted from paineurope 2014; Issue 3, ©Haymarket Medical Publications Ltd, and is presented with permission. paineurope is provided as a service to pain management by Mundipharma International, LTD and is distributed free of charge to healthcare professionals in Europe. Archival issues can be accessed via the website: http://www.paineurope.com at which European health professionals can register online to receive copies of the quarterly publication.

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