UBC Faculty Research and Publications

Treatment of Pain in the Older Patient Therapeutics Initiative (University of British Columbia)

Description

Therapeutics Letter 33 considers the evidence and principles for drug therapy of chronic non-malignant pain in the older person. Conclusions: Chronic pain, particularly of musculo-skeletal origin, is a common problem for the elderly. Long-term controlled trials in older people with chronic pain are lacking and are needed to guide rational therapy. Physiological changes that occur with aging make older individuals more sensitive to the effects of drugs. Most analgesic drugs provide modest benefit to only a minority of patients. Start with low doses and titrate; symptomatic and functional benefits are evident early (usually within 1-2 weeks). Benefit of each analgesic must be established by a therapeutic trial and reassessed regularly. Overall goal of analgesic therapy is improved function and quality of life.

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Attribution-NonCommercial-NoDerivatives 4.0 International