Skip to main content

Main menu

  • Home
  • Articles
    • Current
    • Published Ahead of Print
    • Archive
    • Supplemental Issues
    • Collections - French
    • Collections - English
  • Info for
    • Authors & Reviewers
    • Submit a Manuscript
    • Advertisers
    • Careers & Locums
    • Subscribers
    • Permissions
  • About CFP
    • About CFP
    • About the CFPC
    • Editorial Advisory Board
    • Terms of Use
    • Contact Us
  • Feedback
    • Feedback
    • Rapid Responses
    • Most Read
    • Most Cited
    • Email Alerts
  • Blogs
    • Latest Blogs
    • Blog Guidelines
    • Directives pour les blogues
  • Mainpro+ Credits
    • About Mainpro+
    • Member Login
    • Instructions
  • Other Publications
    • http://www.cfpc.ca/Canadianfamilyphysician/
    • https://www.cfpc.ca/Login/
    • Careers and Locums

User menu

  • My alerts

Search

  • Advanced search
The College of Family Physicians of Canada
  • Other Publications
    • http://www.cfpc.ca/Canadianfamilyphysician/
    • https://www.cfpc.ca/Login/
    • Careers and Locums
  • My alerts
The College of Family Physicians of Canada

Advanced Search

  • Home
  • Articles
    • Current
    • Published Ahead of Print
    • Archive
    • Supplemental Issues
    • Collections - French
    • Collections - English
  • Info for
    • Authors & Reviewers
    • Submit a Manuscript
    • Advertisers
    • Careers & Locums
    • Subscribers
    • Permissions
  • About CFP
    • About CFP
    • About the CFPC
    • Editorial Advisory Board
    • Terms of Use
    • Contact Us
  • Feedback
    • Feedback
    • Rapid Responses
    • Most Read
    • Most Cited
    • Email Alerts
  • Blogs
    • Latest Blogs
    • Blog Guidelines
    • Directives pour les blogues
  • Mainpro+ Credits
    • About Mainpro+
    • Member Login
    • Instructions
  • RSS feeds
  • Follow cfp Template on Twitter
Review ArticlePractice

Canadian guideline for safe and effective use of opioids for chronic noncancer pain

Clinical summary for family physicians. Part 1: general population

Meldon Kahan, Angela Mailis-Gagnon, Lynn Wilson and Anita Srivastava
Canadian Family Physician November 2011, 57 (11) 1257-1266;
Meldon Kahan
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • For correspondence: kahanm@stjoe.on.ca
Angela Mailis-Gagnon
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Lynn Wilson
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Anita Srivastava
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • Article
  • Figures & Data
  • eLetters
  • Info & Metrics
  • PDF
Loading
Submit a Response to This Article
Compose eLetter

More information about text formats

Plain text

  • No HTML tags allowed.
  • Web page addresses and e-mail addresses turn into links automatically.
  • Lines and paragraphs break automatically.
Author Information
First or given name, e.g. 'Peter'.
Your last, or family, name, e.g. 'MacMoody'.
Your email address, e.g. higgs-boson@gmail.com
Your role and/or occupation, e.g. 'Orthopedic Surgeon'.
Your organization or institution (if applicable), e.g. 'Royal Free Hospital'.
Statement of Competing Interests

Vertical Tabs

Jump to comment:

  • Clarification: Use of meperidine
    John Kent
    Published on: 30 November 2011
  • Published on: (30 November 2011)
    Clarification: Use of meperidine
    • John Kent

    Congratulations to the authors for a clear and concise article. The tables are very helpful.

    With regard to the use of meperidine in CNCP, while the risk of seizures is noted with parenteral meperidine, it is increased several fold by the use of oral meperidine. given orally, the molecule undergoes hepatic metabolism to normeperidine, which also accumulates in the face of renal failure. Seizures can occur followi...

    Show More

    Congratulations to the authors for a clear and concise article. The tables are very helpful.

    With regard to the use of meperidine in CNCP, while the risk of seizures is noted with parenteral meperidine, it is increased several fold by the use of oral meperidine. given orally, the molecule undergoes hepatic metabolism to normeperidine, which also accumulates in the face of renal failure. Seizures can occur following "reasonable" 100 mg doses of oral meperidine (personal experience in a hospital setting).

    Conflict of Interest:

    None declared

    Show Less
    Competing Interests: None declared.
PreviousNext
Back to top

In this issue

Canadian Family Physician: 57 (11)
Canadian Family Physician
Vol. 57, Issue 11
1 Nov 2011
  • Table of Contents
  • About the Cover
  • Index by author
Print
Download PDF
Article Alerts
Sign In to Email Alerts with your Email Address
Email Article

Thank you for your interest in spreading the word on The College of Family Physicians of Canada.

NOTE: We only request your email address so that the person you are recommending the page to knows that you wanted them to see it, and that it is not junk mail. We do not capture any email address.

Enter multiple addresses on separate lines or separate them with commas.
Canadian guideline for safe and effective use of opioids for chronic noncancer pain
(Your Name) has sent you a message from The College of Family Physicians of Canada
(Your Name) thought you would like to see the The College of Family Physicians of Canada web site.
CAPTCHA
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
Citation Tools
Canadian guideline for safe and effective use of opioids for chronic noncancer pain
Meldon Kahan, Angela Mailis-Gagnon, Lynn Wilson, Anita Srivastava
Canadian Family Physician Nov 2011, 57 (11) 1257-1266;

Citation Manager Formats

  • BibTeX
  • Bookends
  • EasyBib
  • EndNote (tagged)
  • EndNote 8 (xml)
  • Medlars
  • Mendeley
  • Papers
  • RefWorks Tagged
  • Ref Manager
  • RIS
  • Zotero
Respond to this article
Share
Canadian guideline for safe and effective use of opioids for chronic noncancer pain
Meldon Kahan, Angela Mailis-Gagnon, Lynn Wilson, Anita Srivastava
Canadian Family Physician Nov 2011, 57 (11) 1257-1266;
del.icio.us logo Digg logo Reddit logo Twitter logo CiteULike logo Facebook logo Google logo Mendeley logo
  • Tweet Widget
  • Facebook Like
  • Google Plus One

Jump to section

  • Article
    • Abstract
    • Guideline development
    • Quality of evidence
    • Main message
    • Conclusion
    • Notes
    • Footnotes
    • References
  • Figures & Data
  • Info & Metrics
  • eLetters
  • PDF

Related Articles

  • Lignes directrices canadiennes sur l’utilisation sécuritaire et efficace des opioïdes pour la douleur chronique non cancéreuse
  • Canadian guideline for safe and effective use of opioids for chronic noncancer pain
  • PubMed
  • Google Scholar

Cited By...

  • Opioid stewardship: implementing a proactive, pharmacist-led intervention for patients coprescribed opioids and benzodiazepines at an urban academic primary care centre
  • Opioid prescribing is a surrogate for inadequate pain management resources
  • La prescription dopioides: un substitut au manque de ressources en controle de la douleur
  • Prescrire du cannabis fume pour la douleur chronique non cancereuse: Recommandations preliminaires
  • Prescribing smoked cannabis for chronic noncancer pain: Preliminary recommendations
  • Tramadol
  • Searching for hope
  • Canadian guideline for safe and effective use of opioids for chronic noncancer pain: Clinical summary for family physicians. Part 2: special populations
  • Google Scholar

More in this TOC Section

Practice

  • Is 45 the new 50 in colorectal cancer screening?
  • Approach to diagnosis and management of childhood attention deficit hyperactivity disorder
  • Determining if and how older patients can safely stay at home with additional services
Show more Practice

Clinical Review

  • Is 45 the new 50 in colorectal cancer screening?
  • Approach to diagnosis and management of childhood attention deficit hyperactivity disorder
  • Determining if and how older patients can safely stay at home with additional services
Show more Clinical Review

Similar Articles

Navigate

  • Home
  • Current Issue
  • Archive
  • Collections - English
  • Collections - Française

For Authors

  • Authors and Reviewers
  • Submit a Manuscript
  • Permissions
  • Terms of Use

General Information

  • About CFP
  • About the CFPC
  • Advertisers
  • Careers & Locums
  • Editorial Advisory Board
  • Subscribers

Journal Services

  • Email Alerts
  • Twitter
  • RSS Feeds

Copyright © 2021 by The College of Family Physicians of Canada

Powered by HighWire