Pharmacotherapies in Geriatric Chronic Pain Management

Zachary A. Marcum; Nakia A. Duncan; Una E. Makris

doi:10.1016/j.cger.2016.06.007

Pharmacotherapies in Geriatric Chronic Pain Management

Zachary A. Marcum, Nakia A. Duncan, Una E. Makris

Research output: Contribution to journal › Review article › peer-review

32 Scopus citations

Abstract

Pharmacologic management of chronic pain in older adults is one component of the multimodal, interdisciplinary management of this complex condition. In this article, we summarize several of the key barriers to effective pharmacologic management in older adults and review the existing (albeit limited) evidence for its effectiveness and safety, especially in a medically complex population with multimorbidity. This review covers topical formulations, acetaminophen, oral nonsteroidal antiinflammatory drugs, and adjuvant therapies. The article concludes with a suggested approach to managing chronic pain in the older patient, incorporating goals and expectations for treatment as well as careful monitoring of medication adjustments.

Original language	English (US)
Pages (from-to)	705-724
Number of pages	20
Journal	Clinics in Geriatric Medicine
Volume	32
Issue number	4
DOIs	https://doi.org/10.1016/j.cger.2016.06.007
State	Published - Nov 1 2016

Keywords

Adverse drug events
Chronic pain
Medication
Older adults
Polypharmacy

ASJC Scopus subject areas

Geriatrics and Gerontology

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10.1016/j.cger.2016.06.007

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title = "Pharmacotherapies in Geriatric Chronic Pain Management",

abstract = "Pharmacologic management of chronic pain in older adults is one component of the multimodal, interdisciplinary management of this complex condition. In this article, we summarize several of the key barriers to effective pharmacologic management in older adults and review the existing (albeit limited) evidence for its effectiveness and safety, especially in a medically complex population with multimorbidity. This review covers topical formulations, acetaminophen, oral nonsteroidal antiinflammatory drugs, and adjuvant therapies. The article concludes with a suggested approach to managing chronic pain in the older patient, incorporating goals and expectations for treatment as well as careful monitoring of medication adjustments.",

keywords = "Adverse drug events, Chronic pain, Medication, Older adults, Polypharmacy",

author = "Marcum, {Zachary A.} and Duncan, {Nakia A.} and Makris, {Una E.}",

note = "Funding Information: Funded by: National Institutes of Health Grant number(s): KL2TR001103 ; UL1TR001105 . Publisher Copyright: {\textcopyright} 2016",

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AU - Marcum, Zachary A.

AU - Duncan, Nakia A.

AU - Makris, Una E.

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N2 - Pharmacologic management of chronic pain in older adults is one component of the multimodal, interdisciplinary management of this complex condition. In this article, we summarize several of the key barriers to effective pharmacologic management in older adults and review the existing (albeit limited) evidence for its effectiveness and safety, especially in a medically complex population with multimorbidity. This review covers topical formulations, acetaminophen, oral nonsteroidal antiinflammatory drugs, and adjuvant therapies. The article concludes with a suggested approach to managing chronic pain in the older patient, incorporating goals and expectations for treatment as well as careful monitoring of medication adjustments.

AB - Pharmacologic management of chronic pain in older adults is one component of the multimodal, interdisciplinary management of this complex condition. In this article, we summarize several of the key barriers to effective pharmacologic management in older adults and review the existing (albeit limited) evidence for its effectiveness and safety, especially in a medically complex population with multimorbidity. This review covers topical formulations, acetaminophen, oral nonsteroidal antiinflammatory drugs, and adjuvant therapies. The article concludes with a suggested approach to managing chronic pain in the older patient, incorporating goals and expectations for treatment as well as careful monitoring of medication adjustments.

KW - Adverse drug events

KW - Chronic pain

KW - Medication

KW - Older adults

KW - Polypharmacy

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JO - Clinics in Geriatric Medicine

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Pharmacotherapies in Geriatric Chronic Pain Management

Abstract

Keywords

ASJC Scopus subject areas

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