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Opioids in Chronic, Non-Malignant Pain

Dr JCD Wells

In this presentation Dr Wells briefly reviews the history of opium and morphine for pain relief. He points out that there is good evidence that opioid therapy can work in chronic, non-malignant pain. He discusses and analgesic ladder for chronic-pain sufferers and the fact that the place for weak opioids is not evidence-based. He goes on to describe the use of opioids, in particluar Oxycodone, in the chronic pain population. The presentation reviews the dosage, side-effects and efficacy of Oxycodone. It summarises general considerations for their usage, patient responsibility and questions that physicians should ask prior to commencing patients on opioids.

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