Analgesic therapy and a problem of comorbidity

Analgesic therapy is an essential element of combination treatment in patients with rheumatic diseases (RDs). However, pain killers can cause serious complications. This risk is especially great in patients with comorbidities. Therefore, the individual choice of pharmacological agents for controllin...

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Main Author: A. E. Karateev
Format: Article
Language:Russian
Published: IMA-PRESS LLC 2019-09-01
Series:Современная ревматология
Subjects:
Online Access:https://mrj.ima-press.net/mrj/article/view/941
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author A. E. Karateev
author_facet A. E. Karateev
author_sort A. E. Karateev
collection DOAJ
description Analgesic therapy is an essential element of combination treatment in patients with rheumatic diseases (RDs). However, pain killers can cause serious complications. This risk is especially great in patients with comorbidities. Therefore, the individual choice of pharmacological agents for controlling acute and chronic pain in a particular patient largely depends on the presence of comorbidity. This review discusses the incidence of comorbidities in different RDs, the characteristics of adverse reactions from the intake of main analgesics, such as paracetamol, opioids, nonsteroidal anti-inflammatory drugs (NSAIDs), as well as the rational choice of a NSAID in real clinical practice.
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spelling doaj.art-194d5d63316a4e25bcaef9b0bd4043332023-03-13T08:39:27ZrusIMA-PRESS LLCСовременная ревматология1996-70122310-158X2019-09-0113311612510.14412/1996-7012-2019-3-116-1252197Analgesic therapy and a problem of comorbidityA. E. Karateev0Научно-исследовательский институт ревматологии им. В.А. НасоновойAnalgesic therapy is an essential element of combination treatment in patients with rheumatic diseases (RDs). However, pain killers can cause serious complications. This risk is especially great in patients with comorbidities. Therefore, the individual choice of pharmacological agents for controlling acute and chronic pain in a particular patient largely depends on the presence of comorbidity. This review discusses the incidence of comorbidities in different RDs, the characteristics of adverse reactions from the intake of main analgesics, such as paracetamol, opioids, nonsteroidal anti-inflammatory drugs (NSAIDs), as well as the rational choice of a NSAID in real clinical practice.https://mrj.ima-press.net/mrj/article/view/941ревматические заболеваниякоморбидностьбольанальгетическая терапияпарацетамолопиоидынпвп
spellingShingle A. E. Karateev
Analgesic therapy and a problem of comorbidity
Современная ревматология
ревматические заболевания
коморбидность
боль
анальгетическая терапия
парацетамол
опиоиды
нпвп
title Analgesic therapy and a problem of comorbidity
title_full Analgesic therapy and a problem of comorbidity
title_fullStr Analgesic therapy and a problem of comorbidity
title_full_unstemmed Analgesic therapy and a problem of comorbidity
title_short Analgesic therapy and a problem of comorbidity
title_sort analgesic therapy and a problem of comorbidity
topic ревматические заболевания
коморбидность
боль
анальгетическая терапия
парацетамол
опиоиды
нпвп
url https://mrj.ima-press.net/mrj/article/view/941
work_keys_str_mv AT aekarateev analgesictherapyandaproblemofcomorbidity