Pharmacologic Management Services

In the majority of chronic pain states, daily administration of medication is the rule rather than the exception. A variety of agents exist, abd accurate diagnosis of both the etiology and nature of the pain is critical in choosing the proper agent. For example, neuropathic pain can be unresponsive to high dose opiate therapy, but may respond dramatically to a simple evening dose of amitryptiline. We are of the philosophy that if a patient is truly suffering, we will use whatever means are necessary to treat their pain. Chronic opiate therapy incurs some concerns, so we do not consider this therapy lightly, but, when indicated, we will pursue this route. The commonly used classes of medications are discussed below.

• Local Anesthetics
  
  
  
• NSAID's
  
  
  
• Opioid Pharmacology
  
  
  
• Chronic Opioid Therapy
  
  
  
• Patient Controlled Substance Agreement