Opioids

(eg. morphine, oxycodone)
11%

S'améliore avec le traitement

29%

S'améliore avec le contrôle

60%

Ne s'améliore pas

Qu'est-ce qui est considérée comme une amélioration?

Un exemple d’une diminution de la douleur de 30% est une diminution de 6 à 4 sur une échelle de douleur de 1 à 10

0
1
2
3
4
5
6
7
8
9
10

Combien de personnes sont s'améliorer

40%

Amélioration par traitement ou placebo

60%

Aucune amélioration

Opioids Risques

Constipation
24%
7% (placebo)
Somnolence/Fatigue
27%
8% (placebo)
Nausea
25%
8% (placebo)
Dizziness
18%
8% (placebo)
Stopped due to side effects
14%
6% (placebo)

Autres considérations

  • Last option due to risk of dependence, side-effects, and long-term serious harms
  • If absolutely needed, doses should be kept ≤ 90 mg/day of morphine equivalents
  • Should be used short-term
  • Risk of addiction with long term use
  • Side effects are more common in older patients and may lead to falls
  • Approximate cost (CAD) for 30-day supply (without dispensing fee): $14 to $30

Besoin de plus d'informations?

Voir notre Neuropathic Pain résumé des données

Neuropathic Pain

Why doesn’t this calculator cover all treatment options available?

This online calculator does not cover all treatment options available for neuropathic pain. We only included the medication treatments that had the highest quality evidence. A healthcare provider may consider other options not listed in this calculator to manage symptoms, depending on specific needs.

Where can I find the evidence used to create this calculator?

The data used for this calculator can be found within the Neuropathic Pain Systematic Review

Additional tools created with this data can be found at Neuropathic Pain Decision Aid

What is neuropathic pain?1

1. Taylor D. Neuropathic Pain. https://www.emedicinehealth.com/neuropathic_pain_nerve_pain/page2_em.htm. Updated November 2017. Accessed January 13, 2018.

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2. Moore RA, Derry S, Aldington D, Cole P, Wiffen PJ. Amitriptyline for neuropathic pain in adults. Cochrane Database Syst Rev. 2015 Jul 6;(7):CD008242.

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3. Watson P. Neuropathic Pain. https://www-e-therapeutics-ca.login.ezproxy.library.ualberta.ca/search. Updated May 2017. Accessed January 13, 2018.

Neuropathic pain is a type of pain generally caused by damaged nerves in the body. This damage may have resulted from a medical condition like diabetes, exposure to a toxin, alcohol, or previous surgery. Because the nerves are damaged, pain is not felt the same way as other types of pain.

Unlike pain from an injury, neuropathic pain can happen from normal, light touch, such as from clothing brushing against skin. This leads to feelings of pain that can be described as « burning », « shooting » or « tingling ». Every person experiences neuropathic pain differently. Neuropathic pain can feel constant, come and go, or it can change in intensity.

Can neuropathic pain be treated or cured?3

3. Watson P. Neuropathic Pain. https://www-e-therapeutics-ca.login.ezproxy.library.ualberta.ca/search. Updated May 2017. Accessed January 13, 2018.

In most cases, neuropathic pain cannot be cured. However, the pain can be managed.

The main goal of treating neuropathic pain is reducing pain to a realistic level that allows a patient to live comfortably. We are rarely able to eliminate the pain entirely.