出版社:Institute on Global Drug Policy & the International Scientific and Medical Forum on Drug Abuse
摘要:Pain management is an important and emerging field of medicine. Appropriately prescribing and managing controlled substances for pain is unfortunately fraught with risk of litigation, regulatory intervention, manipulation by drug abusers, and misunderstanding by the public. Chronic pain is a pervasive and widespread phenomenon which must be adequately treated while at the same time minimizing diversion and abuse of powerful but effective substances. This article outlines useful recommendations for the appropriate use of controlled substances in pain management, and it also defines a legal standard of care. As the field of pain management has evolved, so have the complexities surrounding the choices of therapy, the abuse and diversion of controlled pain medications, and the disciplinary environment which seeks to protect the public from inappropriate prescribing and drug diversion. Since this author's first discussion of prescribing controlled substances in 1991 (1), volumes have been written on the management of both cancer and chronic non-cancer pain (2).