TY - JOUR
T1 - Opioid use in HIV patients with neurological changes
AU - Paice, Judith A.
AU - Pugliese, Janet C.
AU - Fitzpatrick, Joyce E.
PY - 1995
Y1 - 1995
N2 - The neurological changes that are common in the HIV population may complicate the use of analgesics, particularly opioids. These changes, in combination with care providers' fear of opioids, often lead to the inappropriate use of antagonists, such as naloxone. Used injudiciously, naloxone can lead to withdrawal syndrome, return of severe pain, and other adverse effects. The authors describe the many disease and treatment-related causes for pain in patients with HIV disease, as well as common neurologic conditions that alter cognition and complicate the use of opioids. A case study is included to illustrate the dangers of inappropriate naloxone use.
AB - The neurological changes that are common in the HIV population may complicate the use of analgesics, particularly opioids. These changes, in combination with care providers' fear of opioids, often lead to the inappropriate use of antagonists, such as naloxone. Used injudiciously, naloxone can lead to withdrawal syndrome, return of severe pain, and other adverse effects. The authors describe the many disease and treatment-related causes for pain in patients with HIV disease, as well as common neurologic conditions that alter cognition and complicate the use of opioids. A case study is included to illustrate the dangers of inappropriate naloxone use.
KW - HIV neurologic changes
KW - opioid use
KW - pain management
UR - http://www.scopus.com/inward/record.url?scp=0029330860&partnerID=8YFLogxK
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U2 - 10.1016/S1055-3290(95)80006-9
DO - 10.1016/S1055-3290(95)80006-9
M3 - Article
C2 - 7495990
AN - SCOPUS:0029330860
SN - 1055-3290
VL - 6
SP - 28
EP - 36
JO - Journal of the Association of Nurses in AIDS Care
JF - Journal of the Association of Nurses in AIDS Care
IS - 4
ER -
