From the Popular Press: What Your Patients are Reading:

An expert panel of the American Geriatric Society has removed almost all non-steroidal anti-inflammatory drugs (NSAIDs) from the list of recommended medicines for older adults with chronic, persistent pain. According to this panel, long-term use of NSAIDs such as ibuprofen, naproxen, and high-dose aspirin is so dangerous that it would be safer for elderly people to take opiates such as codeine or morphine for pain relief, if they can’t get relief from acetaminophen. NSAIDs are known to be an effective treatment for chronic pain conditions, but long-term use of moderate to high doses in older patients is associated with increased risk for ulcers, gastrointestinal bleeding, heart attack, stroke, hypertension, and kidney impairment. Although opioids come with the serious risk of addiction and dependence, studies found that opioide abuse in elderly patients is low. Patients being subscribed opioids should be screened for substance abuse, as should their caregivers. Chronic pain affects an estimated 25-50% of elderly people living in the community, and up to 85% of nursing home residents. It can take a large toll on a patient’s quality of life, and deserves treatment. Clinicians should weigh the risks and benefits of NSAIDs and opiates on a case-by-case basis.

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