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Chronic pain

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Buprenorphine/naloxone for chronic non-cancer pain

By Dr. Katelyn Halpape on March 26, 2025

One in five Canadians live with chronic non-cancer pain (CNCP). Due to the historical role opioids had as a key component of CNCP treatment, a number of patients living with CNCP are on long-term opioid therapy (LTOT). I discuss the off-label use of buprenorphine/naloxone as a distinctive treatment option for CNCP and LTOT.

Algorithm for assessment and approach to utilizing gabapentin and pregabalin in chronic neuropathic pain

Therapeutic considerations of gabapentin versus pregabalin in treating chronic neuropathic pain

By Anthony Lau, Katherine Daley, Hans Haag, Dr. Martha Ignaszewski on July 22, 2024

I now advocate for deprescribing gabapentin when patients do not achieve adequate pain relief for chronic neuropathic pain at a cumulative daily dose of 1800 mg. Instead, I consider pregabalin as a substitute for gabapentin in patients with inadequate pain control rather than further dose escalations.

Practice tip (for BC practitioners) utilizing PathwaysBC beyond specialist lookups — finding patient handouts, requisitions, point-of-care tools

By Drs. Tracy Monk, Nick Graham, Karin Kausky, Michele Thomasse, and Ryan Gallagher on March 22, 2022

We all used PathwaysBC.ca to help us find specialists for our patients, to look up wait times and what information to include in a referral, but we learned that Pathways could help streamline our clinical work in so many more ways.

Advance care plan (ACP) for patients with multiple co-morbidities

Hope for patients with fatigue, pain, and unexplained symptoms

By Dr. Ric Arseneau on October 13, 2015

Fatigue, pain, and unexplained symptoms are commonly seen in physician offices, however they are often experienced as “unsatisfying” for doctors. Our patients need an explanatory model to help them understand their illness. If we don’t provide one, patients will create their own or seek one elsewhere.

How a family physician can help patients with chronic pain: a guide to navigating patient internet resources in BC

How a family physician can help patients with chronic pain: a guide to navigating patient internet resources in BC

By Dr. Daniel Ngui on May 13, 2013

2 websites have changed my practice: PainBC.ca provides options beyond medications & piPain.com People in Pain Network hosts a self-management awareness program.


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