A Review of the Pharmacological Management of Chronic Pain in Patients with Heart Failure.

Autor:	Majeed MH; Dr. Majeed is with the Department of Anesthesiology and Critical Care Management, Johns Hopkins Hospital in Baltimore, Maryland.; Dr. Ali is with the Department of Psychiatry, Icahn School of Medicine at Mount Sinai (Elmhurst) in Queens, New York.; Dr. Khalil is with Good Samariton Hospital in Lebanon, Pennsylvania.; Dr. Bacon is with the Department of Anesthesiology, The University of Mississippi Medical Center School of Medicine in Jackson, Mississippi.; Dr. Imran is with Providence VA Medical Center/Rhode Island Hospital in Providence, Rhode Island., Ali AA; Dr. Majeed is with the Department of Anesthesiology and Critical Care Management, Johns Hopkins Hospital in Baltimore, Maryland.; Dr. Ali is with the Department of Psychiatry, Icahn School of Medicine at Mount Sinai (Elmhurst) in Queens, New York.; Dr. Khalil is with Good Samariton Hospital in Lebanon, Pennsylvania.; Dr. Bacon is with the Department of Anesthesiology, The University of Mississippi Medical Center School of Medicine in Jackson, Mississippi.; Dr. Imran is with Providence VA Medical Center/Rhode Island Hospital in Providence, Rhode Island., Khalil HA; Dr. Majeed is with the Department of Anesthesiology and Critical Care Management, Johns Hopkins Hospital in Baltimore, Maryland.; Dr. Ali is with the Department of Psychiatry, Icahn School of Medicine at Mount Sinai (Elmhurst) in Queens, New York.; Dr. Khalil is with Good Samariton Hospital in Lebanon, Pennsylvania.; Dr. Bacon is with the Department of Anesthesiology, The University of Mississippi Medical Center School of Medicine in Jackson, Mississippi.; Dr. Imran is with Providence VA Medical Center/Rhode Island Hospital in Providence, Rhode Island., Bacon D; Dr. Majeed is with the Department of Anesthesiology and Critical Care Management, Johns Hopkins Hospital in Baltimore, Maryland.; Dr. Ali is with the Department of Psychiatry, Icahn School of Medicine at Mount Sinai (Elmhurst) in Queens, New York.; Dr. Khalil is with Good Samariton Hospital in Lebanon, Pennsylvania.; Dr. Bacon is with the Department of Anesthesiology, The University of Mississippi Medical Center School of Medicine in Jackson, Mississippi.; Dr. Imran is with Providence VA Medical Center/Rhode Island Hospital in Providence, Rhode Island., Imran HM; Dr. Majeed is with the Department of Anesthesiology and Critical Care Management, Johns Hopkins Hospital in Baltimore, Maryland.; Dr. Ali is with the Department of Psychiatry, Icahn School of Medicine at Mount Sinai (Elmhurst) in Queens, New York.; Dr. Khalil is with Good Samariton Hospital in Lebanon, Pennsylvania.; Dr. Bacon is with the Department of Anesthesiology, The University of Mississippi Medical Center School of Medicine in Jackson, Mississippi.; Dr. Imran is with Providence VA Medical Center/Rhode Island Hospital in Providence, Rhode Island.
Jazyk:	angličtina
Zdroj:	Innovations in clinical neuroscience [Innov Clin Neurosci] 2019 Nov 01; Vol. 16 (11-12), pp. 25-27.
Abstrakt:	Background: The incidence rates of heart failure (HF) and chronic pain increase with age. In the geriatric population, both disorders often coexist and pose a challenge to clinicians in treating them simultaneously. Methods: We conducted an online literature search for reports of the heart failure effects of pharmacological treatments for chronic pain. Results: Topical pain medications are favored agents because of their efficacy, tolerability, and favorable side-effect profile. Acetaminophen is a preferred oral medication for the treatment of pain in patients with HF. Due to deleterious effects including HF, the long-term use of oral nonsteroidal anti-inflammatory drugs and gabapentinoids are discouraged. Conclusion: Prescribers should thoroughly consider the risk-benefit ratio and individual patient-risk profile before instituting pharmacological treatment for chronic pain in patients with HF. Competing Interests: FUNDING:No funding was provided. DISCLOSURES:The authors have no conflicts of interest relevant to the content of this article. (Copyright © 2019. Matrix Medical Communications. All rights reserved.)
Databáze:	MEDLINE
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