• PAIN MEDICINE

    Pain

    The Pain Experience based on : https://www.racgp.org.au/clinical-resources/clinical-guidelines/key-racgp-guidelines/view-all-racgp-guidelines/drugs-of-dependence/part-c2/approach-to-pain-management Definition and Types of Pain: Biopsychosocial Model of Pain: Individual Pain Experience: Management of Pain: Patient-Doctor Relationship: Role of the GP: Placebo Effects: Determinants of Placebo Effects: Pathways for Placebo Effects: Ethical Considerations and Practical Use: Pathophysiology-based Classification Nociceptive Pain Neuropathic Pain Nociplastic…

  • PAIN MEDICINE

    Pain – Adjuvant medications

    Caffeine Antidepressants General Considerations Tricyclic Antidepressants (TCAs) Musculoskeletal Pain Neuropathic Pain Fibromyalgia Serotonin Noradrenaline Reuptake Inhibitors (SNRIs) Musculoskeletal Pain Neuropathic Pain Fibromyalgia Selective Serotonin Reuptake Inhibitors (SSRIs) Anticonvulsants Alpha-2-Delta Ligands (Gabapentin and Pregabalin) Neuropathic Pain Fibromyalgia Carbamazepine Valproate Lamotrigine Naloxone (Low-Dose ) Naloxone, traditionally known as an opioid antagonist used…

  • PAIN MEDICINE

    Pain – non-drug therapies

    Psychological Interventions Psychological assessment and treatments aim to manage pain, distress, and disability. These can be provided by primary physicians or in collaboration with clinical psychologists. The efficacy of these interventions varies, and for chronic neuropathic pain, there is insufficient evidence to support their effectiveness. Activity and Exercise Interventions Exercise…

  • PAIN MEDICINE

    Drug Misuse Behaviours

    Drug Misuse Behaviours Characteristics of Drug-Seeking Patients Spectrum of Drug Misuse Behaviours Managing Drug Misuse Managing Manipulative Behaviors Strategies for Clinicians Summary

  • PAIN MEDICINE

    Patient selection for opioid therapy

    from :Prescribing drugs ofdependence in generalpractice, Part C1 – RACGP Opioid Use in Pregnancy and Breastfeeding Pregnancy Breastfeeding Opioid Use in Workers’ Compensation Injuries Risks Rehabilitation Focus Prescribing Opioids to Patients Who Drive Risks Guidelines Licensing Opioid Therapy in Sleep Apnoea or Disordered Breathing Risks Recommendations Opioid Therapy in Patients…

  • PAIN MEDICINE

    Opioid Indications and Prescribing Guidelines

    Comprehensive Assessment and Management Awareness of Risks Opioid Indications Opioid Prescribing Guidelines Non-Cancer Pain Cancer Pain Minimize Risks: Prescribe opioids at the lowest effective dose for the shortest timeframe. Comorbidities: Avoid prescribing opioids to patients with alcohol or substance use disorders or polydrug use. Seek specialist opinion for these patients.…

  • PAIN MEDICINE

    Opioids – general pharmacology

    Medications Evidence for Use of Opioids for Chronic Non-Cancer Pain (CNCP) Evidence in Different Chronic Pain Conditions Musculoskeletal Pain Neuropathic Pain challenge of putting evidence into practice Translating Evidence to Practice Efficacy of Analgesics Clinical Trials vs. Real-World Practice Implications for Clinical Practice Specific Treatment Considerations Opioids – Mode of…

  • PAIN MEDICINE

    opioid use in Australia

    Trends in Opioid Use in Australia General Trends Increasing Use and Prescription Patterns Over-the-Counter Opioid Trends Non-Medical Use of Opioids Reasons for Opioid Prescription Demographics and Opioid Prescribing Geography and Opioid Prescribing Implications of Prescribing Variation Problematic Use of Opioids Prevalence and Incidence Sources and Treatment Seeking Overdose and Mortality…

  • PAIN MEDICINE

    Acute dental pain

    Description of Pain and Associated Features Description of Pain Likely Cause Initial Management by Medical Practitioners Dental Treatment Intermittent dental pain experienced when exposed to stimuli (hot, cold, sweet), resolves when removed Reversible pulpitis – Advise avoiding provoking food/drink– Cover cavity with inert material (e.g., chewing gum, Blu Tack)– Advise…

  • CANCER,  PAIN MEDICINE,  PALLIATIVE CARE

    Cancer Pain

    Total/holistic approach – physical, psychological, spiritual, social Cancer Pain Management: A Narrative Review of Current Concepts, Strategies, and Techniques by François Mestdagh, Arnaud Steyaert and Patricia Lavand’homme – https://www.mdpi.com/1718-7729/30/7/500 Opioids in Cancer Pain Management: An Update of the Mainstay Approach Importance and Guidelines Weak Opioids Strong Opioids Comparative Efficacy and…

  • PAIN MEDICINE

    tapering opioids

    NPS Medicinewise. 5 steps to tapering opioids for patients with chronic non-cancer pain. 2020. Step 1: Explore the Patient’s Expectations Empower the Patient Provide Reassurance Step 2: Review Pain Management Plans Step 3: Develop a Tapering Plan Step 4: Expect Some Withdrawal Symptoms Step 5: If in Doubt, Seek Support…