| Literature DB >> 27741965 |
Zachary A Marcum1, Nakia A Duncan2, Una E Makris3.
Abstract
Pharmacologic management of chronic pain in older adults is one component of the multimodal, interdisciplinary management of this complex condition. In this article, we summarize several of the key barriers to effective pharmacologic management in older adults and review the existing (albeit limited) evidence for its effectiveness and safety, especially in a medically complex population with multimorbidity. This review covers topical formulations, acetaminophen, oral nonsteroidal antiinflammatory drugs, and adjuvant therapies. The article concludes with a suggested approach to managing chronic pain in the older patient, incorporating goals and expectations for treatment as well as careful monitoring of medication adjustments. Published by Elsevier Inc.Entities:
Keywords: Adverse drug events; Chronic pain; Medication; Older adults; Polypharmacy
Mesh:
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Year: 2016 PMID: 27741965 PMCID: PMC5123672 DOI: 10.1016/j.cger.2016.06.007
Source DB: PubMed Journal: Clin Geriatr Med ISSN: 0749-0690 Impact factor: 3.076