Martin D. Cheatle
PhD
Associate Professor
Director
Pain and Chemical Dependency Program
Perelman School of Medicine University of Pennsylvania
Center for Study of Addiction
Philadelphia, PA
Disclosures:
Nothing to disclose
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| suicide
Suicidal Thoughts: A Potentially Deadly Side Effect
Individuals who suffer from chronic pain often present with significant medical and psychiatric comorbidities that can exacerbate the pain experience and contribute to a further erosion of quality of life and disability. Suicide is a serious side effect of chronic pain.
Article
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| abuse
Substance Use Disorder: The Tools of Treatment
Dr. Cheatle reviews some medication and non-medication treatment options for addressing substance use disorder. The message to primary care: a multimodal approach works best, and treatment of the SUD without attention to management of the patient’s underlying pain is the likely route to relapse.
Article
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| chronic pain
Pain, Addiction, and Suicide: Recognition and Response
I think we’ve been so focused on this opioid crisis that we have forgotten that these are very brittle people who have significant psychiatric co-morbidities, including...
Article
Medication-Assisted Treatments for Opioid Use Disorder
Working on the ProblemVideo
Back to the Future: Opioid Abuse Risk Assessment Strategies
Video
The Importance of Sleep to Patients in Chronic Pain
To Sleep Perchance to Dream of Less PainVideo
A Match Made in Hell: Chronic Pain and Suicidal Thoughts
A Silent EpidemicVideo
| abuse
Substance Use Disorder: The Tools of Treatment
Dr. Cheatle reviews some medication and non-medication treatment options for...Video
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Buprenorphine: A Molecule for All Seasons
Podcast
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| opioid use disorder (OUD)
Back to the Future: Current and Future Opioid Abuse Risk Assessment
Back to the Future:Podcast
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| opioid use disorder (OUD)
Back to the Future: Current and Future Opioid Abuse Risk Assessment
Current and Future Opioid Abuse Risk Assessment and Mitigation Strategies
Both chronic pain and the harms associated with prescription opioid abuse, including serious adverse events and fatalities, are enormous public health problems. Opioid therapy has been a cornerstone of a multimodal approach to the management of chronic pain. However, the increased rate of opioid prescriptions has been paralleled by the abuse of prescription opioids in the US, escalating more than 113% between 2004 and 2013. Recent clinical guidelines and professional society position papers for opioid prescribing recommend that prior to initiating opioid therapy in selected candidates, providers should screen patients to identify those at risk for developing an opioid use disorder (OUD) and that patients maintained on opioids long term should be routinely monitored for the development of aberrant drug related behaviors suggestive of abuse. (Recorded at PAINWeek 2019)Podcast
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| comorbidities
Comorbidities in Chronic Pain Patients
Individuals who suffer from chronic pain often present with significant medical and psychiatric comorbidities that can...Podcast
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| medication
Facilitating Treatment Adherence in Pain Medicine
Surveys of healthcare providers indicate that one of the most distressing features of clinical practice is that of patient...Podcast