Don’t choose opioids or narcotics as the first choice of treatment for neuropathic pain.
|Rationale and Comments:||Opioids and narcotics include drugs such as hydrocodone, oxycodone, fentanyl, and others. Risks related to the use of these drugs include uncontrollable sleepiness and slow or stopped breathing. They are a leading cause of addiction and avoidable death. Opioids may be less risky when used for a short time after some surgeries or when used for pain related to deadly cancers. There are many effective, safer options for neuropathic pain.|
|References:||• Scholten PM, Harden RN. Assessing and treating patients with neuropathic pain. PM R. 2015;7(11Suppl):S257-69.