만성 비암성 통증 환자에서 아편양 제제의 사용

Abstract

Using opioids as a component in the treatment of chronic noncancer pain, when other approaches have failed, and where the quality of life is poor due to the pain, is becoming an accepted protocol. Recent guidelines and evidence-based recommendations for the use of opioids in chronic pain have advised the use of sustained-release of long-acting opioids, with the avoidance of repeated injections. In the World Health Organization analgesic ladder, opioids are on the 2nd and 3rd steps, to be used when other strategies, such as physiotherapy, massage and therapy with nonopioid medication, have failed to provide sufficient pain control. The American Academy of Pain Medicine, the American Pain Society and the Canadian Pain Society have already stated guidelines for the use of opioid analgesics in chronic noncancer pain.