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Pharmacotherapies in Geriatric Chronic Pain Management.
Marcum ZA, Duncan NA, Makris UE. Pharmacotherapies in Geriatric Chronic Pain Management. Clinics in geriatric medicine. 2016 Nov 1; 32(4):705-724.
Pharmacologic management of chronic pain in older adults is one component of the multimodal, interdisciplinary management of this complex condition. In this article, we summarize several of the key barriers to effective pharmacologic management in older adults and review the existing (albeit limited) evidence for its effectiveness and safety, especially in a medically complex population with multimorbidity. This review covers topical formulations, acetaminophen, oral nonsteroidal antiinflammatory drugs, and adjuvant therapies. The article concludes with a suggested approach to managing chronic pain in the older patient, incorporating goals and expectations for treatment as well as careful monitoring of medication adjustments.