MANAGEMENT OF CANCER PAIN

Dessy R Emril
Pain and Headache Division
Neurology Department
Medical Facylty of
Syiah Kuala University
 During this module…
Managing patients with chronic non-cancer pain.
• Review chronic pain in the private practice setting
• UseDefining
standardized tools to assess pain, function, and risks
Cancer Pain
• Review current and emerging non-pharmacological pain treatments
• Review approaches to improving function with chronic pain patients in
the primary practice environment.
• Review best-practice guidelines for opioid and non-opioid prescribing
• Review local patient and physician resources

NOT in scope for this module

1. Pain resulting from cancer or cancer treatment
2. Palliative pain treatment
3. Acute (less than 3 months) pain resulting from
injury, accident or post-surgery.
Tramadol – “strong” opioid?

Tramadol: STRONG
Opioid

British Pain Society

2010 Guideline
Tramadol – “weak opioid”?

Tramadol: WEAK
Opioid

NOUGG 2010 Guideline