Opioids and SSRI's

[drusso]

Antidepressants Can Interfere With Pain Relief Of Common Opioids

"Wilkerson echoes the importance of a discussion between physicians and patients about SSRI use and pain management options, a conversation that can be complicated by mental illness. "Patients shouldn't feel stigmatized for being depressed or in pain," she says, "patients have to advocate for their best personal care."

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[No Pain All gain]

Antidepressants Can Interfere With Pain Relief Of Common Opioids

"Wilkerson echoes the importance of a discussion between physicians and patients about SSRI use and pain management options, a conversation that can be complicated by mental illness. "Patients shouldn't feel stigmatized for being depressed or in pain," she says, "patients have to advocate for their best personal care."

1 point difference on NRS. Meaningless. Of course they didn’t report what the improvement in depression measures was such as PROMIS depression.

Unidimensional pain scales are relatively useless when treating chronic pain. Need to use a metric system that measures the pain experience. We have been using a system in our clinic that helps track these outcomes and also incorporates a simple to use but powerful device registry.

If anyone is interested send me a DM.