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Acta Médica Peruana
versão On-line ISSN 1728-5917
Resumo
CALVO QUIROZ, Armando. Pain in the rheumatic patient. Acta méd. peruana [online]. 2007, vol.24, n.2, pp.46-50. ISSN 1728-5917.
The concept of pain in the rheumatic patient is reviewed; this pain has been traditionally considered nociceptive, that is, caused by tissue damage. The importance of chronic pain in these patients is described, and different therapies are discussed; among the non-pharmacological therapies the roles of education, family, and other factors are presented; several pharmacological therapies are discussed, such as acetaminophen, nonsteroidal antiinflammatory drugs (NSAIDs), opioids; a few general principles are defined. An in depth analysis of risk factors to develop gastric complications using NDAIDs and coronary disease with COX-2 inhibitors is provided.