08/07/2021
Careful dose adjustment is key to good pain management, as is awareness of the various delivery systems that might minimize systemic side effects. “Start low and go slow” is a principle worth attending to. Realize, as well, that elderly patients long treated with controlled substances may have developed a high level of physical tolerance to medication effects such that aggressive treatment can be used with some in this age group, at least within reason. Each person must be assessed individually.
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