Table 2.
Pharmacological treatment and current co-prescription of patients >65 years of age with chronic non-cancer pain
| Name | Past | Present (time of consultation) | ||||||
|---|---|---|---|---|---|---|---|---|
| Opioids/psychotropic/NSAID/neuropathic adjuvant drugs | Opioids and/or other analgesics | NSAIDS | Antiepileptics/other neuropathic adjuvant drugs | Psychotropic/hypnotics and sedatives | Diabetic | Cardiac | Vitamins/others | |
| 1 | Tramadol, oxycodone and acetaminophen, duloxetine, trazodone | Acetaminophen ES 1–2 tablets/week | Celecoxib 200 mg daily |
Zopiclone | Aspirin | Pantoprazole, alendronate and cholecalciferol, calcium, vitamin D, co-enzyme Q10 | ||
| 2 | Codeine, morphine, celecoxib | Venlafaxine | Metformin, insulin | Valsartan, diltiazem, metoprolol, simvastatin, clopidogrel, furosemide | Omeprazole, raloxifene, docusate, cyanocobalamin, calcium, risedronate sodium | |||
| 3 | Codeine, pregabalin | Acetaminophen and codeine 8 mg 1 tablet/day MED = 1.2 |
Amitriptyline | Furosemide, atenolol | Prednisone, cyclosporine, calcitriol, betahistine, diphenoxylate and atropine | |||
| 4 | Acetaminophen, tramadol, pregabalin, nortriptyline, clonazepam, duloxetine, diclofenac, ibuprofen | Acetaminophen ES | Ibuprofen when necessary | Gabapentin | Rosuvastatin, hydralazine | Co-enzyme q10, multi-vitamin, omega 3, folic acid, vitamin d | ||
| 5 | Nortriptyline, lorazepam | Levothyroxine, vitamin B12, calcium carbonate | ||||||
| 6 | Oxycodone and acetaminophen (rarely), acetaminophen and codeine 8 mg, 2 tabs, alternating with methocarbamol/acetaminophen 2 tablets every 5 h MED = 4.8 |
Diclofenac | Pregabalin | Metformin, insulin | Irbesartan and Hydrochlorothiazide, atorvastatin, Clonidine | Fluticasone puffer, omeprazole, estradiol (topical), tolterodine, stool softener, vitamin B, fish oil | ||
| 7 | Gabapentin | Acetaminophen ES 500 mg, three times a day, Oxycodone 5 mg two times a day MED = 15 |
Clonazepam | Metformin, Glyburide | Amlodipine, enalapril, atorvastatin, aspirin | Carbidopa and levodopa, warfarin, ferrous gluconate | ||
| 8 | Oxycodone | Acetaminophen and Codeine 30 mg, 1 tablet daily MED = 4.2 |
Atorvastatin, indapamide, aspirin, valsartan | Etidrocal, eye drops, vitamin D | ||||
| 9 | Meperidine, tramadol, codeine, oxycodone and acetaminophen, desipramine, amitriptyline | Acetaminophen 6 tablets/day | Lorazepam | Hydrochlorothiazide, simvastatin, quinapril, eprosartan and hydrochlorothiazide | Alendronate, lansoprazole | |||
| 10 | Acetaminophen and codeine, amitriptyline, naproxen | Gabapentin | Zopiclone, desvenlafaxine | Risedronate, glucosamine | ||||
ES extra strength, MED morphine equivalent dose (mg)