The book centers on the treatment of pain using the appropriate opioid
and a suitable co-medication whenever necessary. While many physicians
or health care providers either subscribe or advocate analgesics in
response to a painful situation, their basic knowledge when and how to
apply them frequently is scarce. And often there is a lack of sufficient
knowledge on their potential side-effects, their mode of action, 2+
their possible interactions with other agents such as ß-blockers, Ca
-antagonists, ACE inhibitors and/or benzodiazepines. In addition, not
all analgesics are equivalent or equally proficient at alleviating
certain painful ailments. Although there have been many of articles and
books written on the subject of effective pain treatment, very few have
centered on the rational use of opioids. In fact opiophobia is still
around with some caregivers who consider an opioid not to be the
first-line drug in severe pain. On the contrary, the myth is still
around that an opioid is potentially dangerous even when used in serious
painful situations, and although the WHO has stated that opioids are
elementary in therapeutic strategy taking into account that they are
used by mouth, by the ladder, at fixed time intervals and advocating a
time consistent release formulation, they are not available in every
country.