Cureus, 2023 · DOI: 10.7759/cureus.44583 · Published: September 2, 2023
Pain treatments, especially for long-lasting pain, need to carefully balance the benefits of easing pain against the risks of side effects. Many common pain treatments can cause unwanted side effects. Even common over-the-counter pain relievers can have side effects, and stronger medications like opioids can cause constipation. It's important for doctors to check what medicines older patients are taking, because taking many medicines at once can be risky. Sometimes, stopping certain medicines may be a good idea, but this should be done carefully with a doctor's help. The goal is to make sure pain relief doesn't cause more problems than it solves.
Weigh potential benefits against risks of pain treatments for each patient.
Consider PAMORAs for opioid-induced constipation to preserve analgesia without severe gastrointestinal side effects.
Regularly review medications in elderly patients to avoid polypharmacy and prescribing cascades, considering deprescribing when appropriate.