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Rauck RL et al. – The objective of this article is to review clinical data for the use of long–acting and short–acting opioids in a variety of chronic noncancer pain conditions. Although some patients with chronic pain appear to prefer short–acting opioids, many patients receiving long–acting opioid formulations show improved treatment responses and better perception of quality of life. In addition, the sustained reductions in pain seen with long–acting opioid formulations may promote patients' focus on daily activities rather than on their pain, thereby improving therapy adherence and reducing pain–related anxieties. Long–term clinical trials of these formulations are needed to allow clinicians to make informed decisions about which patient groups might benefit most from these formulations.


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