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Analgesics in the elderly.

I Edwards¹, E Salib

¹Warrington Community Health Care Trust & Liverpool University, UK.

Aging & Mental Health

|February 6, 2002

Summary

This summary is machine-generated.

Elderly patients using weak opioid analgesics long-term may develop dependence. A study found 40% of long-term users met criteria for Dependence Syndrome, highlighting a need for further research.

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Area of Science:

Geriatric Medicine
Pharmacology
Pain Management

Background:

Long-term use of weak opioid analgesics is common in elderly patients.
Potential for tolerance and dependence with prolonged opioid use requires investigation.

Purpose of the Study:

To investigate the prevalence of opioid dependence in elderly patients on long-term weak opioid analgesics.
To assess potential tolerance and dependence issues in this demographic.

Main Methods:

A semi-structured questionnaire using Diagnostic Criteria for Research (DCR-10) for Dependence Syndrome.
Sample of 25 elderly patients on continuous low-potency opioid analgesics for at least one year.
Prevalence assessment within a primary care setting.

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Main Results:

An estimated 40% of patients on low-potency opioids met DCR-10 criteria for Dependence Syndrome.
Approximately 2.8% of the elderly GP population were on continuous opioid therapy for over a year.
The study is believed to be the first of its kind in primary care.

Conclusions:

A significant proportion of elderly patients on long-term weak opioid analgesics may develop dependence.
The findings suggest a higher-than-expected prevalence, warranting critical examination and further research.
The specificity of DCR-10 as a screening tool in this context requires further validation.