Chronic Pain Management in Older Adults

Main Article Content

Sirasa Ruangritchankul
Orapitchaya Krairit


Chronic pain in the elderly usually has negative impacts on physical and psychological status, therefore, early diagnosis and treatment should be performed. The principle of chronic pain management is assessment of pathophysiology which leads to different choices of treatment. Furthermore, chronic pain management in the elderly should be combined nonpharmacological such as cognitive-behavioral therapy and pharmacological treatment in order to increase efficacy of pain control. Pharmacological management for chronic pain is composed of 3 categories including nonopioid analgesics, opioid analgesics, and adjuvant medications. The strategies of pharmacological treatment in the elderly are consideration of start with a low dose and slow titration. Moreover, physicians and pharmacists should be aware of drug-drug interactions, drug-disease interactions, as well as adverse drug reactions and events during treatment.


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How to Cite
Ruangritchankul, S., & Krairit, O. (2019). Chronic Pain Management in Older Adults. Ramathibodi Medical Journal, 42(2), 63–78.
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