Using Opioids in the Management of Chronic Pain Patients: Challenges and Future Options

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Using opioids to treat patients who have chronic pain can be a difficult decision. Many family physicians are hesitant to prescribe these medications because of concerns regarding the potential for misuse, abuse and addiction. Regulatory requirements that could leave the prescribing physician vulnerable to legal action or sanctions by federal and state authorities are also cause for concern. These and other concerns have sometimes led to undertreatment of chronic pain. However, opioids can be effective for chronic pain relief when used according to published guidelines as part of a comprehensive approach to treatment. This monograph discusses issues surrounding opioid therapy for patients experiencing chronic pain.