January 2007, Volume 37 Number 1 , p 18 - 19
D'ARCY, YVONNE CRNP, CNS, MS
Yvonne D'Arcy is a nurse practitioner in pain management and the pain and palliative care outcomes manager at Suburban Hospital in Bethesda, Md.
IF STANDARD pain management techniques and medications aren't relieving your patient's pain, you might want to consider other options. In this article, I'll discuss some new pain management medications.
Canada considers cannabinoids
Sativex, approved in Canada for treating neuropathic pain in adults with multiple sclerosis, is a cannabinoid analgesic. Cannabinoids have long been considered as drugs of abuse rather than therapeutic agents, although dronabinol (Marinol), a prescription marijuana extract, has been used to treat chemotherapyrelated nausea in oncology patients and anorexia in AIDS patients. 1
Sativex uses a similar set of painrelieving pathways as opioids, attaching to receptor sites in the brain, spinal cord, and peripheral afferents. When used as prescribed, it also ...