While necessary, these efforts have inadvertently “had an adverse effect by creating ‘opioidphobia’ amongst prescribers, thus denying opioids when required for sickle pain,” Kalpna Gupta, PhD, professor of medicine in the division of hematology/oncology at the University of California, Irvine, told us in an interview. Nonetheless, increasing reports indicate that pain management in SCD has been complicated by efforts to stem the opioid epidemic. In the absence of other proven pain management strategies in SCD, opioid analgesics represent the standard treatment approach for acute and chronic pain in these patients.
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