Pharmacy Medical News about Analgesics, Opioid Maximum Tolerated Dose

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Patients Who Require Ultra-High Opioid Doses
Practical Pain Management, 09/28/09

Schneider J et al. – Great controversy exists about chronic non–cancer pain patients who seemingly require very high opioid dosages. Persons and parties who surround these individuals may label them as “addicts” or “abusers,” and some may resent the high cost of high dose opioid treatment. This article classifies these patients as users of “ultra–high” opioid doses and makes recommendations on their man–agement. The impetus for this paper is driven not only by clinical needs of the patient but also to clearly and succinctly bring to light these cases so that all concerned parties can better identify, treat, accept and understand the reality of these patients.

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