ITEMS IN AFP WITH KEYWORD:

Pain Management

Jul 1, 2006 Issue
Systemic Lidocaine or Mexiletine for Neuropathic Pain [Cochrane for Clinicians]

Intravenous lidocaine and oral mexiletine provide a modest reduction in neuropathic pain with no indication of serious adverse effects. However, safety data are limited because most studies were of relatively short duration and fewer than 400 patients have been studied in total for each drug. Intrav...


May 1, 2006 Issue
Carbamazepine for Acute and Chronic Pain [Cochrane for Clinicians]

Two small trials have shown carbamazepine to be beneficial in the treatment of diabetic neuropathic pain. Carbamazepine shows similar clinical effect to gabapentin (Neurontin) and phenytoin (Dilantin), but there have been no head-to-head trials directly comparing these drugs. Carbamazepine is effect...


Feb 1, 2006 Issue
Gabapentin for Pain: Balancing Benefit and Harm [Cochrane for Clinicians]

At high dosages, gabapentin is moderately effective for neuropathic pain, although adverse effects are experienced as often as benefit.


Apr 1, 2005 Issue
Methadone Treatment for Pain States [Article]

Methadone is a synthetic opioid with potent analgesic effects. Although it is associated commonly with the treatment of opioid addiction, it may be prescribed by licensed family physicians for analgesia. Methadone's unique pharmacokinetics and pharmacodynamics make it a valuable option in the manage...


Mar 1, 2005 Issue
Oral Analgesics for Acute Nonspecific Pain [Article]

Physicians most often recommend or prescribe oral medication for relief of acute pain. This review of the available evidence supports the use of acetaminophen in doses up to 1,000 mg as the initial choice for mild to moderate acute pain. In some cases, modest improvements in analgesic efficacy can b...


Nov 1, 2004 Issue
NSAIDs vs. Opiates for Pain in Acute Renal Colic [Cochrane for Clinicians]

Data from randomized controlled trials comparing NSAIDs with opiates show that NSAIDs are associated with lower pain scores, less need for additional rescue medication, and less vomiting (particularly when compared with meperidine).


Mar 1, 2004 Issue
Cutting Back on High-Dosage Narcotics [Curbside Consultation]

Over the past decade, the promotion of narcotics for control of malignant and non-malignant pain has been advocated by specialists in the pain community. While most physicians accept the use of aggressive narcotic analgesia in patients with cancer-related pain, the use of opioids in chronic, nonterminal conditions remains highly controversial.


Apr 15, 2003 Issue
Is Oral Sucrose an Effective Analgesic in Neonates? [Cochrane for Clinicians]

The use of oral sucrose, with or without pacifiers, has been shown to relieve pain in neonates, as assessed by physiologic and behavioral pain indicators and pain scores.


Oct 1, 2001 Issue
Challenges in Pain Management at the End of Life [Article]

Effective pain management in the terminally ill patient requires an understanding of pain control strategies. Ongoing assessment of pain is crucial and can be accomplished using various forms and scales. It is also important to determine if the pain is nociceptive (somatic or visceral pain) or neuro...


May 15, 2001 Issue
New Concepts In Acute Pain Therapy: Preemptive Analgesia [Article]

Pain, which is often inadequately treated, accompanies the more than 23 million surgical procedures performed each year and may persist long after tissue heals. Preemptive analgesia, an evolving clinical concept, involves the introduction of an analgesic regimen before the onset of noxious stimuli, ...


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