Division of Pain Management, Stanford School of Medicine, 450 Broadway St, Pavilion A, 1st Floor, Redwood City, CA, 94063, USA.
Stanford Headache and Facial Pain Program, Department of Neurology and Neurological Sciences, Stanford University School of Medicine, 213 Quarry Road, Palo Alto, CA, 94304, USA.
Curr Pain Headache Rep. 2017 Sep 20;21(11):45. doi: 10.1007/s11916-017-0644-6.
This review is intended to help the headache physician think through and plan for management issues concerning the use of opioids. We ask the headache physician to consider if there are instances where prescribing or continuing prescriptions of opiates is plausible, and if so, how can the physician proceed as safely as possible. Our goal is to start a conversation regarding the inevitable encounter with a patient on opiates or requesting opiates.
The use of opiates in our society has reached a crisis in staggering death and addiction rates. Recent guideline published by the CDC can assist us in developing an algorithmic approach towards opiate use. Recent advances in addiction medicine can also assist us in protecting our patients. Every headache physician will undoubtedly encounter patients on opiates. There still are appropriate reasons to treat patients with opiates. Every headache physician may need to prescribe opiates and they may be indicated. It is important to learn the correct way to approach, manage, and treat patients on opiates.
本文旨在帮助头痛医师全面考虑和规划与阿片类药物使用相关的管理问题。我们请头痛医师思考在何种情况下开具或继续开具阿片类药物处方是合理的，如果合理，应如何尽可能安全地进行。我们的目标是就不可避免地遇到使用阿片类药物或要求使用阿片类药物的患者展开讨论。
在我们的社会中，阿片类药物的使用已达到惊人的死亡率和成瘾率的危机。最近疾病预防控制中心发布的指南可以帮助我们制定阿片类药物使用的算法方法。成瘾医学的最新进展也可以帮助我们保护患者。每位头痛医师都将不可避免地遇到使用阿片类药物的患者。仍有一些合理的理由可以用阿片类药物治疗患者。每位头痛医师可能都需要开具阿片类药物处方，而且可能有指征。学习正确的方法来处理、管理和治疗使用阿片类药物的患者非常重要。
