Urol. praxi. 2023;24(3):165-167 | DOI: 10.36290/uro.2023.066

Treatment of chronic pain

MUDr. Marek Hakl, Ph.D.
Centrum léčby bolesti, MedicineCare, s. r. o., Brno

Chronic pain is a serious socioeconomic issue. Its treatment requires a multidisciplinary approach. However, pharmacotherapy is the mainstay of treatment of chronic pain. The strategy of pharmacological treatment is based on the three-step analgesic ladder. Step 1 consists of non-opioid analgesics; if ineffective, these can be combined with weak opioids in Step 2 and/or strong opioids in Step 3. If necessary, strong opioid medication can be gradually discontinued.

Keywords: chronic pain, non-opioid analgesics, weak opioids, strong opioids.

Accepted: September 25, 2023; Published: October 2, 2023  Show citation

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Hakl M. Treatment of chronic pain. Urol. praxi. 2023;24(3):165-167. doi: 10.36290/uro.2023.066.
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References

  1. Breivik H, Collett B, Ventafridda V, et al. Survey of chronic pain in Europe: Prevalence, impact on daily life, and treatment. Eur J Pain. 2006;10(4):287-333. Go to original source... Go to PubMed...
  2. Müller-Schwefe G. Make a CHANGE: optimising communications and pain management decisions. Curr Med Res Opin. 2011;27(2):481-488. Go to original source... Go to PubMed...
  3. Skála B. Doporučené postupy pro farmakoterapii bolesti a jejich dopad v oblasti primární péče. Bolest. 2008;3:151-155.
  4. Metodické pokyny pro farmkoterapii nádorové bolesti. Bolest suppl. 2016;1:22-29.




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