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The treatment of pain with opioids<\/b><\/span> is an effective tool in certain cases, but it is also complex and involves significant risks if it is not carried out under medical supervision. At MIVI Salud<\/span>, we insist on the importance of rigorous clinical rigorous clinical follow-up<\/b><\/span> to ensure patient safety and treatment efficacy. <\/p>\n <\/p>\n <\/p>\n The self-medication with opioids<\/b><\/span> poses a high health risk. These drugs act directly on the nervous system, with potent and potentially dangerous effects. <\/p>\n <\/p>\n Addiction and dependence<\/b><\/b><\/p>\n Continued use can lead to physical and psychological dependence. In addition, the body develops tolerance, leading to the need for higher and higher doses. <\/p>\n<\/li>\n Drug interactions<\/b><\/b><\/p>\n Opioids can interact with other medications, supplements or even foods, increasing the risk of serious adverse effects.<\/p>\n \ud83d\udc49 For example, prolonged use of anti-inflammatory drugs can also lead to problems such as kidney failure or hypertension.<\/p>\n<\/li>\n Dosing errors<\/b><\/b><\/p>\n Without medical control, there is a risk of overdose or ineffective treatments that do not resolve the pain.<\/p>\n<\/li>\n<\/ul>\n <\/p>\n <\/p>\n <\/p>\n Opioid treatment should always be supervised by specialists in a pain unit. Pain Unit<\/b><\/span>where an individualized follow-up of the patient is carried out.<\/p>\n <\/p>\n 1. Previous evaluation of the patient<\/b><\/b><\/p>\n Risk factors such as a history of addiction or psychological disorders are analyzed.<\/p>\n Periodic reviews<\/b><\/b><\/p>\n First check-up: between week 1 and 4<\/p>\n<\/li>\n Follow-up in chronic pain: every 3 months<\/p>\n It allows to assess efficacy and detect side effects (drowsiness, falls, cognitive alterations…).<\/p>\n<\/li>\n<\/ul>\n <\/p>\n 3. Medication control<\/b><\/b><\/p>\n It avoids duplication or dangerous combinations between treatments prescribed by different physicians.<\/p>\n 4. Special attention to vulnerable patients<\/b><\/b><\/p>\n In elderly people, control is key to prevent falls, sedation or interactions.<\/p>\n <\/p>\n <\/p>\n In chronic chronic non-cancer pain<\/b><\/span>In chronic non-cancer pain, prolonged opioid use is not always the best option. Therefore, the current approach prioritizes safer and more effective long-term strategies. <\/p>\n <\/p>\n Use the minimum effective dose<\/b><\/b><\/p>\n It is recommended not to exceed 90 mg\/day of morphine or equivalent, except in very justified cases.<\/b><\/span>except in very justified cases.<\/p>\n<\/li>\n Improve patient functionality<\/b><\/b><\/p>\n Not only to reduce pain, but also to recover quality of life: work, move, rest better.<\/p>\n<\/li>\n Apply alternative treatments<\/b><\/b><\/p>\n In a Pain Unit, priority is given to therapies such as:<\/p>\n
\nWhy is it dangerous to self-medicate with opioids?<\/b><\/h2>\n
Main risks of opioids<\/b><\/h3>\n
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\nThe importance of a Pain Unit<\/b><\/h2>\n
Keys to medical control<\/b><\/h3>\n
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\nTreatment of chronic non-oncologic pain (CNOCP)<\/b><\/h2>\n
Treatment objectives<\/b><\/h3>\n
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