• Br J Community Nurs · Apr 2007

    Review

    Pandemonium over painkillers persists.

    • David Cowan.
    • Faculty of Health and Social Care, London South Bank University. david.cowan@lsbu.ac.uk
    • Br J Community Nurs. 2007 Apr 1; 12 (4): 166-9.

    AbstractChronic non-cancer pain remains under-treated. Five years ago it was highlighted that more research was needed into the safety and efficacy of NSAIDs and opioid drugs in older people (Cowan, 2002). Concerns remain over NSAID-induced pathology and now there are safety concerns over the continued use of supposedly safer COX-2 agents. There also remain concerns over the problematic use of opioids, including the potential for psychological and physical dependence. While more research is still needed to inform prescribing for older people, it is also apparent that we still need long-term studies of commonly used pain medications for the whole spectrum of age groups. Data derived from such studies would inform nurse prescribing.

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