PHARMACOTHERAPY IN ELDERLY NEUROPATHIC PAIN

  • Thomas Eko P

Abstract

The incidence of pain increases with age. Neuropathic pain are common in elderly patients and pose challenges in both their diagnosis and treatment. The most common neuropathic pain in elderly are radiculopathy due to foraminal or spinal stenosis, diabetic neuropathy, and postherpetic neuralgia. Pain in the elderly is often unrecognized and undertreated. The main problem with pain in older adults relates to impaired quality of life secondary to pain which may be expressed by depression (including increased suicide risk), anxiety, sleep disruption, appetite disturbance, and weight loss, cognitive impairment, and limitations in the performance of daily activities. Pain management in elderly patients requires a different perspective from that of younger patients. Causes, comorbidities, and responses to both pain and its treatment differ between young healthy and older patients. Effective pain management in elderly patients should include both pharmacologic and nonpharmacologic strategies. Pharmacological approaches are the first line of pain management in older person for neuropathic pain. Pharmacologic strategies call for administration of nonopioid analgesics, opioid analgesics, and adjuvant medication. Polypharmacy, drug-drug and drug-disease interactions, age-associated changes in drug metabolism, and the high frequency of adverse drug reactions need to be carefully considered in using medications in this population

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Author Biography

Thomas Eko P
Bagian/SMF Neurologi Fakultas Kedokteran Universitas Udayana/Rumah Sakit Umum Pusat Sanglah Denpasar
How to Cite
EKO P, Thomas. PHARMACOTHERAPY IN ELDERLY NEUROPATHIC PAIN. Medicina, [S.l.], v. 44, n. 1, oct. 2013. ISSN 2540-8321. Available at: <https://ojs.unud.ac.id/index.php/medicina/article/view/6836>. Date accessed: 03 june 2020.
Section
Articles

Keywords

pain management, neuropathic pain, elderly, pharmacological therapy