Show Summary Details
Page of

Ethnicity and Psychopharmacotherapy in Pain 

Ethnicity and Psychopharmacotherapy in Pain
Chapter:
Ethnicity and Psychopharmacotherapy in Pain
Author(s):

Keh-Ming Lin

DOI:
10.1093/med/9780199768875.003.0027
Page of

PRINTED FROM OXFORD MEDICINE ONLINE (www.oxfordmedicine.com). © Oxford University Press, 2020. All Rights Reserved. Under the terms of the licence agreement, an individual user may print out a PDF of a single chapter of a title in Oxford Medicine Online for personal use (for details see Privacy Policy and Legal Notice).

date: 05 April 2020

Psychotropics, especially antidepressants, antipsychotics (neuroleptics) and anticonvulsants, have been widely used as “adjuvants,” frequently prescribed along with analgesics to “boost” the latter’s clinical effects. Such effects have been demonstrated in a number of well-designed studies examining therapeutic efficacy, particularly with regard to the combined use of antidepressants.13 In addition to serving as adjuvants, psychotropics also are widely used in pain patients for a number of other reasons: (1) severe and/or persistent pain affects daily functioning and mental status; (2) pain frequently disturbs sleep, leading to widespread use of hypnotics; (3) underlying pathology such as cancer, HIV infection, or diabetic neuropathy may be life threatening or chronically progressive, eliciting severe psychological responses including depression and anxiety. Comorbidity thus is extremely high between pain conditions and various psychiatric disorders, leading to even more frequent combined use of analgesics and psychotropics.

As clinicians increasingly work with patients from diverse cultural and ethnic backgrounds, knowledge and understanding of the effect of these factors on determining the choice, dosing, and side effect profiles of these medications would seem increasingly crucial in clinical attempts to bring the best care possible to the majority of patients whose pain is a prominent component of their suffering.

Access to the complete content on Oxford Medicine Online requires a subscription or purchase. Public users are able to search the site and view the abstracts for each book and chapter without a subscription.

Please subscribe or login to access full text content.

If you have purchased a print title that contains an access token, please see the token for information about how to register your code.

For questions on access or troubleshooting, please check our FAQs, and if you can't find the answer there, please contact us.