Guidelines

South African guideline for the use of chronic opioid therapy for chronic non-cancer pain

Milton Raff, Jim Crosier, Steve Eppel, Helgard Meyer, Brian Sarembock, David Webb

Abstract


Chronic pain may have a significant impact on health-related quality of life and can be difficult to manage. In carefully selected patients, and as part of a comprehensive pain management strategy, opioid analgesia may help to achieve long-term pain control with a manageable side-effect profile and a low risk of serious adverse effects. However, appropriate evaluation, including biopsychosocial screening and risk screening is essential before initiating an opioid and during continued therapy. This guideline aims to assist practitioners in screening and selecting appropriate patients with chronic non-cancer pain to initiate, monitor and continue pain management with opioid therapy. 


Authors' affiliations

Milton Raff, Christiaan Barnard Memorial Hospital, Cape Town, South Africa

Jim Crosier, Christiaan Barnard Memorial Hospital, Cape Town, South Africa

Steve Eppel, Christiaan Barnard Memorial Hospital, Cape Town, South Africa

Helgard Meyer, Department of Family Medicine, Faculty of Health Sciences, University of Pretoria, South Africa

Brian Sarembock, Christiaan Barnard Memorial Hospital, Cape Town, South Africa; Rheumatic Diseases Unit, Groote Schuur Hospital, Cape Town, South Africa

David Webb, Pattacus Medical Consulting, Johannesburg, South Africa

Keywords

chronic non-cancer pain; opioids; clinical guideline

Cite this article

South African Medical Journal 2014;104(1):78-89. DOI:10.7196/SAMJ.7316

Article History

Date submitted: 2013-07-28
Date published: 2013-10-11

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