This site is intended for health professionals only

At the heart of general practice since 1960

Read the latest issue online

Gold, incentives and meh

Report this comment to a moderator

Please fill in the form below if you think a comment is unsuitable. Your comments will be sent to our moderator for review.

Report comment to moderator

Required fields.


Prescribe chronic pain medications for shorter periods of time, researchers advise


The clue is in the term "chronic pain". Fine, give them short term opiates/pregabalin, but they will be back, in pain, looking for more. The answer?? BAN these drugs for chronic pain, or at least only initiate and FOLLOW UP in secondary care. A Shared Care protocol similar to methotrexate via rheumatology would be a better model, but it will take a large invstment in Pain Clinic services. But the current system of a Pain Clinic letter cheerfully asking us to titrate up pregabalin/ oxycodone and "the patient is now discharged, it's your problem now old son", is totally unacceptable, reckless and dangerous.

Posted date

12 Dec 2017

Posted time