<p>Chronic non-cancer pain is a major health concern for older adults (aged ≥ 65&#xa0;years). If non-pharmacological interventions and non-opioid analgesics are ineffective, opioids may be considered for pain management. Dosage reductions, longer dosing intervals and enhanced monitoring should be considered when prescribing opioids for older adults. Concerns over adverse events and opioid misuse in older adults have led to increased impetus for opioid deprescribing. An individualised approach to opioid deprescribing should be taken, with further research required to determine optimal deprescribing interventions.</p>

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Individualise chronic non-cancer pain management and opioid deprescribing in older adults

  • Thomas B. Burgess,
  • Connie Kang

摘要

Chronic non-cancer pain is a major health concern for older adults (aged ≥ 65 years). If non-pharmacological interventions and non-opioid analgesics are ineffective, opioids may be considered for pain management. Dosage reductions, longer dosing intervals and enhanced monitoring should be considered when prescribing opioids for older adults. Concerns over adverse events and opioid misuse in older adults have led to increased impetus for opioid deprescribing. An individualised approach to opioid deprescribing should be taken, with further research required to determine optimal deprescribing interventions.