Dolor perdurable II. Tratamiento / [Enduring pain II. Treatment].
Vertex rev. argent. psiquiatr
; 24(111): 351-8, 2013 Sep-Oct.
Artigo
em Espanhol
| LILACS, BINACIS
| ID: biblio-1176931
Biblioteca responsável:
AR5.1
ABSTRACT
Pain disorders present highly challenging therapeutic problems, owing in part to complex co-morbidities associated with pain disorders, notably including psychiatric disorders characterized by depressed mood or anxiety. Many treatments are employed to treat pain-disorder patients, and most are unsatisfactory. Virtually all analgesic medicines in long-term use provide only partial efficacy and present substantial risks of adverse effects, loss of benefit over time, or dependency and risk of abuse. Commonly employed drugs with analgesic properties include non-opioids (mainly nonsteroidal anti-inflammatory agents [NSAIDs] or acetaminophen), many natural or synthetic opioids (including opiates and phenylpiperidines), some antidepressants (especially those with noradrenergic activity), a few anticonvulsants, skeletal muscle relaxants or topical remedies, and a growing variety of experimental treatments. The major overlap between pain and psychiatric disorders, as well as the currently unsatisfactory state of treatments available for chronic pain syndromes, encourage a comprehensive approach to assessment and clinical management of patients with chronic pain. Many current treatment programs for pain disorder patients offer narrowly specialized and incomplete treatment options. Ideally however, such care should be provided by multi-disciplinary teams with expertise in neurology, general medicine, pain management, physical medicine and rehabilitation, as well as psychiatry. Psychiatrists as well as pain specialists can serve an essential role in leading comprehensive assessment and general management of such complex and challenging patients who are typically only partially responsive to available treatments.
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Coleções:
Bases de dados internacionais
Temas:
Doenças crônicas e degenerativas
Base de dados:
LILACS
Assunto principal:
Dor Crônica
Idioma:
Espanhol
Revista:
Vertex rev. argent. psiquiatr
Assunto da revista:
Psiquiatria
Ano de publicação:
2013
Tipo de documento:
Artigo
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