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OTC, prescription pain medications: pain plus depression may lead to medicine overuse.(Clinical Rounds)

OB GYN News

| June 01, 2004 | Perlstein, Steve | COPYRIGHT 2004 International Medical News Group. This material is published under license from the publisher through the Gale Group, Farmington Hills, Michigan.  All inquiries regarding rights should be directed to the Gale Group. (Hide copyright information)Copyright

ORLANDO, FLA. -- Patients with comorbid pain and depression are significantly more likely to use over-the-counter and prescription pain medication than those with pain only. Bruce A. Arnow, Ph.D., said in a poster presentation at the annual meeting of the American Academy of Pain Medicine.

Those with comorbid pain and depression are also significantly more likely to take more pain medication than they have been prescribed, according to a survey of 5,808 HMO members, reported Dr. Arnow of Stanford (Calif.) University Medical Center.

Based on the results of the survey, Dr. Arnow and his colleagues concluded that physicians should screen their patients for depression before prescribing pain medication, and should alter their medication recommendations accordingly.

Investigators divided the respondents into four groups: chronic pain (pain for at least 6 months) and no depression, chronic pain plus depression, depression only, and neither pain nor depression.

Depressed patients with pain were significantly more likely to report using both over-the-counter and prescription pain medication than were those in the pain-only group, Dr. Arnow reported. They were also ...

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