逐渐减少阿片类药物用量：一项全面的定性综述

Tapering opioids: a comprehensive qualitative review.

作者信息

Davis Mellar P, Digwood Glen, Mehta Zankhana, McPherson Mary Lynn

机构信息

Geisinger Medical System, Danville, PA, USA.

Department of Pharmacy Practice and Science, University of Maryland School of Pharmacy, Danville, PA, USA.

出版信息

Ann Palliat Med. 2020 Mar;9(2):586-610. doi: 10.21037/apm.2019.12.10. Epub 2020 Jan 16.

DOI:10.21037/apm.2019.12.10

PMID:32008341

Abstract

This state-of-the-art review comprehensive covers the benefits and risks of tapering opioids. The review discusses opioid strategies and pitfalls that may occur during tapering. The purpose of this review is to expand the knowledge of clinicians regarding tapering opioids and equip them to be able to successfully reduce and stop opioid therapy when appropriate.

摘要

这篇前沿综述全面涵盖了逐渐减少阿片类药物使用的益处和风险。该综述讨论了在逐渐减少阿片类药物使用过程中可能出现的策略和陷阱。本综述的目的是扩展临床医生关于逐渐减少阿片类药物使用的知识，并使他们有能力在适当的时候成功减少和停止阿片类药物治疗。