Long-term opioid therapy for chronic noncancer pain: second update of the German guidelines, 2020, Petzke et al

Open access, https://journals.lww.com/painrpts/F...m_opioid_therapy_for_chronic_noncancer.3.aspx

Posted particularly for this bit (my bolding)

 

so where did these people get actual evidence of so called somatoform disorders or are they giving somatoform a different meaning from the bps version .

 

Skimming through the paper it does not seem to look at low dose opiate patches, which can be very effective for long-term chronic pain, according to the pain clinic consultant.

These include patches, which release 5 microgram/hr of buprenorphine, over 7 days.

 

So you can be condemned to a life time of agony because you have a doctor who is overly influenced by BPS theories?

Pain drugs should be given by need and whether they relieve pain. People who have severe pain should be prioritised over people who abuse drugs.

They are seeing minimising the risk to people who take massive doses of these drugs as a higher good than the quality of life of sick people and the risk of suicides among them.

There must be a better way of helping drug addicts than making other people suffer. It makes you wonder if it is just a lip service answer. Cut done on the cost of pain prescriptions and don't set up services for addicts or address any of the social problems which can lead to addiction.