TABLE OF CONTENTS Introduction Etiology of Pain Types of Pain Assessment of Pain Drug Treatment Analgesic Drugs for Cancer Pain Treatment General Principles Analgesic Medications Opioid Analgesics Routes of Administration Opioid Side Effects Opioid Tolerance and Dependence Co-Analgesic (Adjuvant) Drugs Psychological and Psychiatric Techniques Psychosocial Interventions Psychological Considerations Cognitive Behavioral Therapy Psychotropic Drugs Suggested Reading FIGURES 1. Algorithm for Pharmacologic Management TABLES I. Clinical Features of Neuropathic Pain II. Equianalgesic Doses for Converting Morphine to Transdermal Fentanyl III. Methods for Converting Other Opioids To Equianalgesic Dose of Morphine IV. Oral and Parenteral Narcotic Analgesic Dose Equivalances And Relative Potency of Drugs As Compared With 10mg Morphine I.M. For Treatment of Severe Pain V. Milk And Molasses Enema Instructions VI. Nonopioid Analgesics For Treatment of Mild To Moderate Pain VII. The Use of Weak Opioids for the Treatment of Moderate Pain VIII. The Use of Strong Opioids for the Treatment of Severe Pain IX. Adjuvant Analgesics X. Nonsteroidal Anti-Inflammatory Agents APPENDICES A. Pain Scales B. Daily Pain Diary C. Intractable Pain Treatment Act D. Amendment to the Intractable Pain Treatment Act E. Board Rules: Authority of Physician to Prescribe for the Treatment of Pain F. A Bill of Rights for People with Cancer Pain

The entire Guidelines for the Treatment of Cancer Pain, 1997 document is available for download in PDF format. This guide has been updated. Click here to download the complete, revised Guidelines for Treatment of Cancer Pain, 2003 in PDF format. New! You will need Adobe's Acrobat Reader to view and print the PDF documents.