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Assessment of Morphine-induced Hyperalgesia and Analgesic Tolerance in Mice Using Thermal and Mechanical Nociceptive Modalities
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Opiates and elderly: use and side effects.

Diane L Chau1, Vanessa Walker, Latha Pai

  • 1University of Nevada School of Medicine, Reno, NV, USA diane.chau@va.gov

Clinical Interventions in Aging
|August 9, 2008
PubMed
Summary
This summary is machine-generated.

Managing pain in elderly patients presents unique challenges. This review highlights crucial precautions and side effect management when prescribing opioids for geriatric pain control.

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Area of Science:

  • Geriatric Medicine
  • Pain Management
  • Pharmacology

Background:

  • Pain management is a universal healthcare challenge, particularly complex in the elderly due to physiological, pharmacological, and psychological factors.
  • Opioids are primary analgesics but require careful consideration in geriatric patients with altered metabolism, excretion, and reduced physical reserve.
  • A chart review of 300 US veterans indicated that 44% of patients receiving analgesics also received opioids.

Purpose of the Study:

  • To address the special considerations, precautions, and side effect management for opioid use in the geriatric population.
  • To inform healthcare providers on the safe and effective prescribing of opioids for elderly patients.
  • To emphasize the importance of awareness regarding the unique challenges of geriatric pain management.

Main Methods:

  • The study involved a random chart review of 300 US veterans.
  • Analysis focused on patients receiving analgesics, specifically noting concurrent opioid use.
  • The article synthesizes current knowledge on geriatric pharmacology and pain management.

Main Results:

  • Opioid analgesics are frequently prescribed to elderly patients.
  • A significant proportion of geriatric patients receiving pain relief also receive opioids.
  • The review underscores the need for specialized knowledge when prescribing opioids to older adults.

Conclusions:

  • Healthcare providers must exercise caution and be aware of specific considerations when prescribing opioids to the elderly.
  • Minimizing side effects is critical for effective pain management in geriatric patients.
  • This article provides guidance on precautions and managing opioid-related adverse events in older adults.