Spread the Word: There Are Two Opioid Crises!

Abstract:

:Pain is associated with emotional and physical suffering that severely impacts quality of life. Many guidelines for the treatment of moderate to severe cancer pain indicate the use of opioids. For a small proportion of the global population, opioids are readily accessible, but are consequently also subject to risk of overuse and misuse. On the other hand, many regions provide limited access to licensed opioid therapeutics and patients struggle for better pain management. The use of prescription opioids for treatment of severe cancer and acute pain is well established, but opioid use in chronic non-cancer pain is controversial and not supported by the literature. The opioid crisis and the increasing overdose fatalities in some countries have resulted in a resurgence of opiophobia in these countries, but even worse, amplified opiophobia in countries with lower opioid consumption. In this narrative review, we highlight how the opioid crisis of overuse in some countries can negatively impact appropriate access to opioids elsewhere. The availability of opioids for clinical and recreational use differs between countries worldwide-this is an important factor in determining the occurrence of a 'crisis of recreational use of opioids' or a 'crisis of under-prescription of opioids' for pain management.

journal_name

Drugs

journal_title

Drugs

authors

Marchetti Calônego MA,Sikandar S,Ferris FD,Moreira de Barros GA

doi

10.1007/s40265-020-01342-8

subject

Has Abstract

pub_date

2020-08-01 00:00:00

pages

1147-1154

issue

12

eissn

0012-6667

issn

1179-1950

pii

10.1007/s40265-020-01342-8

journal_volume

80

pub_type

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