Navigation Links
New Guidelines Recommend Opioids for Seniors' Pain

NSAID use for persistent aches needs to be curbed, Geriatrics Society says

THURSDAY, May 7 (HealthDay News) -- The use of non-steroidal anti-inflammatory drugs (NSAIDs) or cox-2 inhibitors to treat persistent pain in seniors should be drastically reduced, according to new pain management guidelines released this week by the American Geriatrics Society (AGS).

The original guidelines recommended the use of over-the-counter or prescription NSAIDs and cox-2 inhibitors such as aspirin or ibuprofen before seniors were prescribed an opioid drug to treat persistent pain.

But this is a risky strategy in older patients, because the cardiovascular, gastrointestinal and other risks posed by the drugs often outweigh the benefits, the authors of the new guidelines said. They said NSAIDs and cox-2 inhibitors should be used rarely, and with extreme caution, in highly selected patients.

All older patients with moderate to severe pain or diminished quality of life due to pain should be considered for opioid therapy, which may be safer for many patients than long-term use of NSAIDs, according to the updated guidelines.

"Because the most common strategy for management of persistent pain among older persons is the use of pharmacologic agents, and because this is also the area of greatest risk, we chose to focus on pharmacotherapy in this update," Dr. Bruce Ferrell, guidelines panel chair, said in an AGS news release.

"Since the two previous AGS publications, new drugs have been introduced and management strategies have been more fully evaluated, so we felt it was important to focus on pharmacotherapy in this update," Ferrell explained.

The new guidelines will appear in the August issue of the Journal of the American Geriatrics Society.

Persistent pain is common among older people. If ongoing pain is ignored or incorrectly treated, patients can suffer problems such as falls, sleep disruptions, depression and anxiety, according to background information in the release.

"Persistent pain isn't a 'normal' part of aging and should not be ignored. As seniors become susceptible to more complex health ailments, the need for a clear and precise pain management plan is key," Dr. Cheryl Phillips, AGS president, said in the news release.

More information

The National Pain Foundation has more about seniors and pain.

-- Robert Preidt

SOURCE: American Geriatrics Society, news release, May 5, 2009

Copyright©2009 ScoutNews,LLC.
All rights reserved  

Related medicine news :

1. Board of Trade Issues Business Preparation Guidelines for H1N1 Virus Outbreak
2. American Slide Chart/Perrygraf "SlideGuides" and "SpinGuides" Help Drug Companies Satisfy New PhRMA Guidelines
3. EMPOWERx E-Prescribing Solution Provides Latest Treatment Guidelines for 2008-2009 H1N1 Influenza Virus
4. Video: CREON(R) (Pancrelipase) Delayed-Release Capsules First and Only Pancreatic Enzyme Product to Receive FDA Approval Under New Guidelines
5. T-System Releases Free Clinician Swine Flu Templates, Incorporating Updated CDC Interim Guidelines for Diagnosis and Treatment
6. Guidelines for medical home demonstrations released by major physician groups
7. Guidelines: Pregnancy Safe with Epilepsy, but Valproate Should be Avoided
8. An Innovative New Book Helps Consumers Find Out if Their Doctors are Following Official Treatment Guidelines
9. PDAs, more education help doctors follow cholesterol treatment guidelines
10. Cardinal Rigali Criticizes Draft NIH Guidelines for Destructive Stem Cell Research
11. NCCN Updates Kidney Cancer Guidelines to Incorporate FDA Approval of Everolimus
Post Your Comments:
Related Image:
New Guidelines Recommend Opioids for Seniors' Pain
(Date:6/27/2016)... ... June 27, 2016 , ... ... authorized OSHA Training Institute Education Center headquartered in Northern California, has issued an ... extreme heat at their worksites. Employers with workers exposed to high temperatures ...
(Date:6/27/2016)... ... , ... "FCPX editors can now reveal their media with growing colorful split ... Austin - CEO of Pixel Film Studios. , ProSlice Color brings the split ... now reveal the media of their split screens with growing colorful panels. , ProSlice ...
(Date:6/27/2016)... ... June 27, 2016 , ... ... health professionals, announced today its affiliation with Tennessee Counseling Association. This ... the network of the Tennessee Counseling Association, adding exclusive benefits and promotional offers. ...
(Date:6/27/2016)... Lafayette, California (PRWEB) , ... ... ... a pioneer in the patient payment industry today announced its strategic partnership ... and health system workflows. , The two companies’ proven, proprietary technology combine ...
(Date:6/27/2016)... ... 27, 2016 , ... A revolution is underway. Brooklyn-based ... experience for the millions of people who require these medical transport services annually. ... through the use of technology. Now, SmartEMS has put forth an industry-changing app ...
Breaking Medicine News(10 mins):
(Date:6/26/2016)... Australia,s successful biotechnology scientists, Dr Graham ... Noxopharm Limited [ABN 50 608 966 123] ("Noxopharm"). Noxopharm is seeking ... ASX. Noxopharm is a clinic-ready company with its first ... study later this year. NOX66 ... cancer patients - the ability of cancers to become resistant to ...
(Date:6/26/2016)... Jazz Pharmaceuticals plc (Nasdaq: JAZZ ... Antitrust Improvements Act of 1976, as amended ("HSR"), with ... ("Celator"; Nasdaq: CPXX ) expired effective June ... As previously announced on May 31, 2016, Jazz ... under which Jazz Pharmaceuticals has commenced a tender offer ...
(Date:6/26/2016)... , June 27, 2016  VMS Rehab Systems, Inc. ... will take whatever measures required to build a strong ... which is currently listed on the OTC Markets-pink current ... Chairman and CEO, "We are seeing an anomaly in ... understand, not only by the Company, but shareholders and ...
Breaking Medicine Technology: