One study showed that pseudoaddiction
can adversely influence pain management, and suggest that more emphasis should be placed on patients' pain and analgesic needs when responding to concern-raising behaviors problems in SCD.
Physical dependence, pseudoaddiction
and addiction can result in patients seeking medications in improper ways.
occurs when individuals demonstrate some behaviors associated with addiction.
The notion of pseudoaddiction
was developed in pain medicine to describe the desperate drug seeking of the undertreated pain patient and to distinguish it from the desperate drug seeking of the addict.
Assessment is primarily clinical and requires an awareness of appropriate terminology, an index of clinical suspicion, and expertise teasing apart pain, addiction, and pseudoaddiction
is described as opioid-seeking behavior with requests for dose escalations caused by inadequately treated pain .
results from undertreatment of pain, and may resolve with proper therapy.
can be attributed to inadequately controlled pain; egregious behaviors, such as the use of illicit drugs, cannot be ascribed to pseudoaddiction
The physician must be well conversant with the differential diagnosis and definitions of physical dependence, tolerance, pseudotolerance, aberrant behaviors, addiction, and pseudoaddiction
Often, this is a manifestation of pseudoaddiction
an attempt to acquire enough medication to reduce intractable pain, from doctors who undermedicate them, usually because of fear of causing addiction or fear of arrest by overzealous law enforcement agents.
is a delicate issue, especially when you consider the potential for survey and legal problems.
If the potential for pseudoaddiction
as a diagnosis is a possibility, then the patient with unrelieved pain and high levels of distress must be evaluated (see Table 1).