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Farmakologisk behandling af kroniske noncancersmerter

For patienter med kroniske smerter er målet med den farmakologiske behandling smertelindring, ikke smertefrihed.
Gitte Handberg Smertecenter Syd, Odense Universitetshospital Ugeskr Læger 2017;179:V01170052
Ugeskr Læger 2017;179:V01170052
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Pharmacological treatment of chronic non-cancer pain
19% of the grown-up Danish population suffer from a chronic pain condition. Most patients are treated by general practi­tioners (GPs), and only a smaller group need specialist treatment. This article goes through the pharmacological possibilities available with a special focus on treatment by GPs. For chronic pain as fibromyalgia and low back pain non-steroidal anti-inflammatory drugs and paracetamol are not recommended on a regular basis. The main pharma­cological treatment is tricyclic antidepressants and gaba­pentinoids. If opioids are needed, long acting drugs are preferred.
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