Practice Point

Nature Clinical Practice Neurology (2007) 3, 368-369
doi:10.1038/ncpneuro0525  
Received 10 April 2007 | Accepted 23 April 2007 | Published online: 29 May 2007

Opioid prescription in people with mental health problems—what is the way forward?

Thomas R Tölle*, Till Sprenger and Michael Valet

Correspondence *Department of Neurology, Technical University of Munich, Ismaninger Stras zlige 22, 81675 Munich, Germany

Email
 toelle@lrz.tu-muenchen.de

This article has no abstract so we have provided the first paragraph of the full text.

Publicity campaigns in many parts of the world have increased awareness of the need for adequate pain treatment. In some countries this heightened awareness has resulted in a change in prescription practice, with opioid pain medications now being among the most frequently prescribed drugs in the US.1 Opioids are also increasingly being used for noncancer pain, although clinical standards for this practice are still underdeveloped. In particular, the well known co-occurrence of chronic pain and mental health disorders, and the relationship between mental health disorders and opioid use, have not been sufficiently assessed and are not always taken into consideration when making therapeutic decisions.2

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