Pain Formulary PrintPrint23AugPRESSFINAL _2017
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3. Medicines for Complex or Persistent <strong>Pain</strong><br />
The effectiveness of medicines for complex and persistent<br />
pain should be regularly evaluated for continued efficacy.<br />
Periodic dose taper will allow assessment of the natural<br />
history of the pain and confirm usefulness of continued<br />
treatment.<br />
There is little evidence for efficacy of paracetamol<br />
for complex and persistent pain. If there are no<br />
contraindications, ambulant patients can be advised<br />
to try OTC paracetamol 1g qds but should stop if<br />
there is no effect within 3 days.<br />
If a patient is already taking paracetamol and is reporting<br />
benefit, encourage the patient to reduce the dose where<br />
possible to minimise toxicity.<br />
16<br />
<strong>Pain</strong> <strong>Formulary</strong> PrintFinal _<strong>2017</strong>.indd 16 23/08/<strong>2017</strong> 14:12:47
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