Collaborators and Contributors

EPIC has been developed in collaboration with Educational Awareness Solutions, Global Education Group, Applied Clinical Education, Intelligent Medical Decisions, Inc., and the American Society of Pain Educators. On behalf of the collaborating organizations, we hope you will find this site and the provided resources to be a useful support to help further expand your knowledge and understanding of pain management.

Chronic Pain FAQ’s

Do you think that opioid-induced narcotic hyperalgesia is real?
I believe it has happened to some patients, but have seen it very infrequently in the past decade, and the literature does not support this as a significant clinical problem at this point. However, the current data may support opioid-induced hyperalgesia, post-surgery, in patients who have received certain kinds of fentanyl products. The main thing is to talk to the patient and always determine whether the medicine is doing more "for the patient" or "to the patient," and adjust the therapy appropriately.
-- Response provided by John F. Peppin, DO, FACP

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