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Dextropropoxyphene dependence: a cautionary note.

T Edwin1, N Nammalvar, V Ramanujam

  • 1Institute of Psychiatry, Government Rajaji Hospital, Madurai, Tamil Nadu.

The Journal of the Association of Physicians of India
|May 22, 2001
PubMed
Summary
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Chronic pain patients frequently develop drug dependence, particularly from opioid analgesics. Physicians must exercise caution to prevent iatrogenic dependence and prescription drug abuse.

Area of Science:

  • Pain Management
  • Pharmacology
  • Addiction Medicine

Background:

  • Chronic pain is a prevalent condition often managed with opioid analgesics.
  • Opioid analgesics are widely available, including over-the-counter, increasing abuse potential.
  • Iatrogenic drug dependence is a significant concern in pain management.

Observation:

  • A case of chronic back pain with dextropropoxyphene dependence is presented.
  • Chronic pain serves as a substantial risk factor for developing drug dependence.

Findings:

  • Opioid analgesics pose a risk of dependence, even when prescribed appropriately.
  • Physicians need heightened awareness when prescribing opioids for chronic pain.

Implications:

Related Experiment Videos

  • Increased physician caution is crucial in managing chronic pain patients with opioid analgesics.
  • Understanding risk factors for opioid dependence is vital for prevention.
  • Strategies to prevent prescription drug abuse in general practice are discussed.