Managing Chronic Pain. Palliative Care Institute of Southeast Louisiana Hospice of St. Tammany Covington, LA. Introduction. 50 million people suffer from chronic pain Treatment with opioids is safe and effective
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Palliative Care Institute of
Hospice of St. Tammany
Number of Analgesic Prescriptions: United States est. 2002(millions)
All others .08
Other NSAIDs 65.98
*Includes Fiorinal with codeine combinations
Source: IMS Health’s National Prescription Audit (NPA) Retail Phcy., LTC & M.O.
Potency at least equal to morphine
( Nausea 6, Sedation 12, Depression 2)
Tricyclic antidepressants-desipramine, nortriptyline preferred
Anticonvulsants- valproic acid, gabapentin preferred
For visceral pain: corticosteroids,H-2 blockers,metoclopropamide