Mathe A, Sudre E, Averous V
Service de médecine palliative et accompagnement, CHU de Bordeaux, Bordeaux, France.
Service de médecine palliative et accompagnement, CHU de Bordeaux, Bordeaux, France.
Rev Med Interne. 2024 Jul;45(7):400-408. doi: 10.1016/j.revmed.2024.05.010. Epub 2024 Jun 4.
The use of strong opioids in medical units is recurrent, mainly for analgesic purposes. The risk of occurrence of an overdose or an opioid use disorders causes very legitimate concerns for the physician, which may limit the use of opioid treatment or the adaptation of the doses necessary to relieve the patient. We provide a summary of the literature aimed at defining the indications, the adverse effects and the risks involved, the prescribing methods in order to reassure professionals and promote the safe use of these molecules.
在医疗单位中，强效阿片类药物的使用屡见不鲜，主要用于镇痛目的。过量用药或阿片类药物使用障碍的发生风险引起了医生非常合理的担忧，这可能会限制阿片类药物治疗的使用或限制调整缓解患者疼痛所需的剂量。我们提供了一份文献综述，旨在明确其适应证、不良反应及相关风险、处方方法，以消除专业人员的顾虑并促进这些药物的安全使用。
