Long-term therapy of chronic non-malignant XXXX with potent opioids in an active police officer.

@entity1 @entity1643 @entity1340 @entity284 @entity158 @entity130
PURPOSE: To report the successful long-term use of @entity284 and @entity1340 in treating @entity1643 in a marine police officer. PRINCIPAL FINDINGS: The @entity1 sustained a work-related @entity130 fallen down stairs while on duty in 1990. After multiple operations for a prolapsed L5/S1 intervertebral disk, he was first seen at our @entity158 clinic in 1994. Numerous systemic medications, invasive procedures, physiotherapy and psychotherapy were used to treat his @entity158 , but without sustained effect. @entity284 was started in late 1995 and @entity1340 in 2000. The current maintenance doses are @entity284 20 mg and @entity1340 200 mg, both twice daily. Apart from some initial disruption, the @entity1 was soon able to return to full time work. Regular performance reports from his supervisors have always been excellent. CONCLUSION: The use of @entity284 in this police officer with @entity1643 has been very successful despite the demanding nature of his job. The controversy surrounding, and further suggestions regarding long-term use of opioid therapy for non-malignant @entity158 are discussed.
