OPIOID IN THE PAIN MANAGEMENT OF ACUTE GOUT ARTHRITIS: FRIEND OR FOE?

Introduction: Intense and severe pain is the most common symptom of acute gout arthritis (GA) flare. A recent study revealed that opioids are commonly prescribed for acute gout flare. Objective: This review aims to explain current evidence of opioid usage in the management of pain for acute GA f...

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Main Authors: Mega Nilam Sari, Florence Pribadi, Eva M. Anigomang, Gede T.W. Suara, Karmila A. Wardani, Kharisma A. Perdana, Lidya Anin, Yasmine P. Fadhilah, Kevin Luke
Format: Article
Language:English
Published: Universitas Nahdlatul Ulama Surabaya 2023-02-01
Series:Jurnal Ilmiah Kesehatan
Subjects:
Online Access:https://journal2.unusa.ac.id/index.php/JHS/article/view/3102
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author Mega Nilam Sari
Florence Pribadi
Eva M. Anigomang
Gede T.W. Suara
Karmila A. Wardani
Kharisma A. Perdana
Lidya Anin
Yasmine P. Fadhilah
Kevin Luke
author_facet Mega Nilam Sari
Florence Pribadi
Eva M. Anigomang
Gede T.W. Suara
Karmila A. Wardani
Kharisma A. Perdana
Lidya Anin
Yasmine P. Fadhilah
Kevin Luke
author_sort Mega Nilam Sari
collection DOAJ
description Introduction: Intense and severe pain is the most common symptom of acute gout arthritis (GA) flare. A recent study revealed that opioids are commonly prescribed for acute gout flare. Objective: This review aims to explain current evidence of opioid usage in the management of pain for acute GA flare. Method: The literature search was conducted on PubMed and Google Scholar in June 2022. Relevant articles published in the last 10 years were included. Results: The evidence of opioid use in managing acute gout arthritis flares is scarce. Currently, no guidelines recommend opioids as an initial analgesic choice in managing acute GA flare. Opioids are indicated in the flare with severe kidney dysfunction if only oral corticosteroids and intra-articular corticosteroids are not effective in reducing pain. Conclusion: Opioids should be used as only adjuvant and last choice in selected cases.
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spelling doaj.art-e024e186e95141a1b59ee0359b00c2e52023-03-29T23:33:28ZengUniversitas Nahdlatul Ulama SurabayaJurnal Ilmiah Kesehatan1978-67432477-39482023-02-01160110.33086/jhs.v16i01.3102OPIOID IN THE PAIN MANAGEMENT OF ACUTE GOUT ARTHRITIS: FRIEND OR FOE?Mega Nilam SariFlorence Pribadi0Eva M. AnigomangGede T.W. SuaraKarmila A. WardaniKharisma A. PerdanaLidya AninYasmine P. FadhilahKevin LukeUniversitas Ciputra Introduction: Intense and severe pain is the most common symptom of acute gout arthritis (GA) flare. A recent study revealed that opioids are commonly prescribed for acute gout flare. Objective: This review aims to explain current evidence of opioid usage in the management of pain for acute GA flare. Method: The literature search was conducted on PubMed and Google Scholar in June 2022. Relevant articles published in the last 10 years were included. Results: The evidence of opioid use in managing acute gout arthritis flares is scarce. Currently, no guidelines recommend opioids as an initial analgesic choice in managing acute GA flare. Opioids are indicated in the flare with severe kidney dysfunction if only oral corticosteroids and intra-articular corticosteroids are not effective in reducing pain. Conclusion: Opioids should be used as only adjuvant and last choice in selected cases. https://journal2.unusa.ac.id/index.php/JHS/article/view/3102Acute PainGout ArthritisOpioidAnalgesicPain Management
spellingShingle Mega Nilam Sari
Florence Pribadi
Eva M. Anigomang
Gede T.W. Suara
Karmila A. Wardani
Kharisma A. Perdana
Lidya Anin
Yasmine P. Fadhilah
Kevin Luke
OPIOID IN THE PAIN MANAGEMENT OF ACUTE GOUT ARTHRITIS: FRIEND OR FOE?
Jurnal Ilmiah Kesehatan
Acute Pain
Gout Arthritis
Opioid
Analgesic
Pain Management
title OPIOID IN THE PAIN MANAGEMENT OF ACUTE GOUT ARTHRITIS: FRIEND OR FOE?
title_full OPIOID IN THE PAIN MANAGEMENT OF ACUTE GOUT ARTHRITIS: FRIEND OR FOE?
title_fullStr OPIOID IN THE PAIN MANAGEMENT OF ACUTE GOUT ARTHRITIS: FRIEND OR FOE?
title_full_unstemmed OPIOID IN THE PAIN MANAGEMENT OF ACUTE GOUT ARTHRITIS: FRIEND OR FOE?
title_short OPIOID IN THE PAIN MANAGEMENT OF ACUTE GOUT ARTHRITIS: FRIEND OR FOE?
title_sort opioid in the pain management of acute gout arthritis friend or foe
topic Acute Pain
Gout Arthritis
Opioid
Analgesic
Pain Management
url https://journal2.unusa.ac.id/index.php/JHS/article/view/3102
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