Tapering chronic opioid therapy in neuropathic facial pain: an interdisciplinary approach

J Opioid Manag. 2008 May-Jun;4(3):167-71. doi: 10.5055/jom.2008.0022.

Abstract

This case report presents a patient with chronic orofacial pain who was considered to be an appropriate candidate for chronic opioid therapy, a treatment uncommonly considered at most facial pain centers. Her opioid treatment proved ineffectual, and conservative approaches were addressed. She was successfully tapered off the use of a long-acting opioid within a relatively short time, using an interdisciplinary approach involving an aggressive biobehavioral approach.

Publication types

  • Case Reports

MeSH terms

  • Adaptation, Psychological
  • Adult
  • Analgesics, Opioid / administration & dosage*
  • Analgesics, Opioid / therapeutic use*
  • Anxiety / complications
  • Anxiety / psychology
  • Behavior Therapy
  • Facial Pain / drug therapy*
  • Facial Pain / etiology
  • Facial Pain / therapy
  • Female
  • Graves Disease / complications
  • Humans
  • Occlusal Splints
  • Patient Care Team
  • Peripheral Nervous System Diseases / complications
  • Peripheral Nervous System Diseases / diagnosis
  • Peripheral Nervous System Diseases / drug therapy*
  • Physical Examination

Substances

  • Analgesics, Opioid