Clinical Nuggets and Pearls: Chronic Neuropathic Pain and Opioid Tolerance

Author(s):  Jones Marty

Issue:  Jan/Feb 2002 - Compounding for Pain Management and Dental Medicine
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Abstract:  The author focuses on chronic neuropathic pain and opioid tolerance. He provides a seven-step protocol for using N-methyl-D-aspartate antagonists to reduce opioid load and an algorithm for treating chronic neuropathic pain. Side effects caused by opioids and N-methyl-D-aspartate antagonists are compared and contrasted, and a figure illustrates a map of the human dermatomes.

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