Opiates and fibro

[emd123]

For those of you that have a "no opiates for fibro" policy (assuming no other severe pain generator that otherwise justifies opiates) what is your single best reference, article, or peer reviewed source that you would refer to, to show that opiates worsen or don't help fibro?

---

Members don't see this ad.

 

[101N]

Any of these:
1.Opioid use in fibromyalgia is associated with negative health related measures in a prospective cohort study.Fitzcharles MA, Faregh N, Ste-Marie PA, Shir Y.
Pain Res Treat. 2013;2013:898493. doi: 10.1155/2013/898493. Epub 2013 Mar 18.

2. Chronic opioid use in fibromyalgia syndrome: a clinical review.
Painter JT, Crofford LJ.
J Clin Rheumatol. 2013 Mar;19(2):72-7. doi: 10.1097/RHU.0b013e3182863447.
PMID: 23364665 [PubMed - in process]

3.Opioid use, misuse, and abuse in patients labeled as fibromyalgia.
Fitzcharles MA, Ste-Marie PA, Gamsa A, Ware MA, Shir Y.
Am J Med. 2011 Oct;124(10):955-60. doi: 10.1016/j.amjmed.2011.05.031.


4.The use of opioids in fibromyalgia.Ngian GS, Guymer EK, Littlejohn GO.
Int J Rheum Dis. 2011 Feb;14(1):6-11. doi: 10.1111/j.1756-185X.2010.01567.x. Epub 2010 Aug 23. Review.

 

[emd123]

Any of these:
1.Opioid use in fibromyalgia is associated with negative health related measures in a prospective cohort study.Fitzcharles MA, Faregh N, Ste-Marie PA, Shir Y.
Pain Res Treat. 2013;2013:898493. doi: 10.1155/2013/898493. Epub 2013 Mar 18.

2. Chronic opioid use in fibromyalgia syndrome: a clinical review.
Painter JT, Crofford LJ.
J Clin Rheumatol. 2013 Mar;19(2):72-7. doi: 10.1097/RHU.0b013e3182863447.
PMID: 23364665 [PubMed - in process]

3.Opioid use, misuse, and abuse in patients labeled as fibromyalgia.
Fitzcharles MA, Ste-Marie PA, Gamsa A, Ware MA, Shir Y.
Am J Med. 2011 Oct;124(10):955-60. doi: 10.1016/j.amjmed.2011.05.031.


4.The use of opioids in fibromyalgia.Ngian GS, Guymer EK, Littlejohn GO.
Int J Rheum Dis. 2011 Feb;14(1):6-11. doi: 10.1111/j.1756-185X.2010.01567.x. Epub 2010 Aug 23. Review.

Thanks. That was quick. I figured you of all posters, would be on top of that.

 

[clubdeac]

101N has a library 1,000,000 articles deep that speak to the negative effects of opiates....I love it

 

[101N]

101N has a library 1,000,000 articles deep that speak to the negative effects of opiates....I love it

It's funny, you'd think that burdeon of proof for any medical therapy would be published, peer-reviewed, articles demonstrating efficacy. But opioids got a big pass for 20yrs and now- unlike any other ligitimate medical therapy- we are asked to provide evidence to prove they don't work.

A bass-ackwards presumption of efficacy; thanks for that legacy Russ and Purdue.