Pain management

The medicinal cannabis guide for pharmacists

The Medicinal Cannabis Scheme provides pathways for registered...

June 2022

Acute low back pain

Low back pain is a leading contributor to disability in New...

May 2022

An overview of medicinal cannabis for health practitioners

Recent regulatory changes will make medicinal cannabis much...

March 2022

Gabapentinoids: when and how should they be prescribed?

Limited pharmacological treatment options to manage chronic...

December 2021

Endometriosis: diagnosis and management

Endometriosis is characterised by the presence of endometrial-like...

February 2021

Codeine: all formulations prescription-only

All combination codeine products will be reclassified as prescription-only...

October 2020

Codeine reclassified as a prescription-only medicine: a community pharmacy perspective

The range of analgesics available over-the-counter (OTC) in...

October 2020

Understanding the role of opioids in chronic non-malignant pain

There is no evidence that opioids such as tramadol are effective...

October 2018

Avoiding the triple whammy in primary care: ACE inhibitor/ARB + diuretic + NSAID

Angiotensin converting enzyme (ACE) inhibitors, angiotensin-II...

May 2018

Pain theme Peer Group Discussion

The following questions can be used as discussion points for...

April 2018

Prescribing gabapentin and pregabalin: upcoming subsidy changes

From 1 May, 2018, pregabalin will be available to prescribe,...

March 2018

Prescribing tramadol appropriately

Tramadol is an atypical opioid used for moderate pain when paracetamol...

February 2018

Selected topics in acute pain management for primary care

There are a multitude of causes of acute pain, however, the...

February 2018

Paracetamol dosing for children in primary care

Paracetamol dosing errors can lead to acute liver failure in...

February 2018

When to consider strong opioids for patients with acute pain

There are few indications for prescribing a strong opioid for...

February 2018

The principles of managing acute pain in primary care

The primary aim of acute pain management is to provide treatment...

February 2018

Medicinal cannabinoids: current regulations for prescribing

Recent amendments have been made to regulations concerning the...

February 2018

Managing pain in osteoarthritis: focus on the person

The progression of osteoarthritis varies from person to person....

January 2018

Celecoxib: the “need to know” for safe prescribing

Celecoxib is a selective cyclo-oxygenase-2 (COX-2) inhibitor...

January 2018

Methylnaltrexone is a subsidised treatment option for opioid-induced constipation in palliative care

Methylnaltrexone injections are now subsidised for the treatment...

January 2018

Diagnosing and managing headache in adults in primary care

A systematic approach is recommended when assessing patients...

December 2017

Oxycodone prescribing: New Zealand solutions to a global problem

Inappropriate prescribing of opioids for non-cancer pain is...

October 2016

Diagnosis and management of axial spondyloarthritis in primary care

Ankylosing spondylitis is a relatively uncommon inflammatory...

August 2016

Managing patients with neuropathic pain

Neuropathic pain results from a lesion or disease affecting...

May 2016

Oxycodone Update

This report provides an update on the use of oxycodone over...

March 2016

Chronic pelvic pain in women

February 2016

Chronic pelvic pain in women

Chronic pelvic pain can cause significant disruption to the...

September 2015

Upfront: An avoidable death: the importance of communication in clinical care

The following treatment injury case study was prepared by the...

August 2015

The Year in Review - What did we learn in 2014?

In 2014 we published over 60 medical education articles in Best...

February 2015

Identifying and managing addiction to opioids

The increased use of opioid analgesics in recent years, particularly...

October 2014

Helping patients cope with chronic non-malignant pain: it’s not about opioids

The role of opioids in the management of chronic non-malignant...

September 2014

Investigating myalgia in patients taking statins

Muscle pain (myalgia) and weakness is experienced by up to 10%...

August 2014

Oxycodone Update

Since 2011, bpacnz has produced a series of reports and articles...

August 2014

Oxycodone: how did we get here and how do we fix it?

Following on from the interview with Dr Jeremy McMinn in the...

July 2014

The role of triptans in the treatment of migraine in adults

Paracetamol or a non-steroidal anti-inflammatory drug (NSAID)...

July 2014

News Updates

Evidence that alternate dosing of paracetamol and ibuprofen...

July 2014

Assessing diabetic peripheral neuropathy in primary care

Diabetic peripheral neuropathy is one of the most common long-term...

June 2014

Upfront: “A disaster in the making”: it’s time to take action against misuse of oxycodone

Dr Jeremy McMinn is a consultant psychiatrist and addiction...

June 2014

The use of analgesics in children

This report discusses the use of analgesics for the treatment...

May 2014

Managing patients with renal colic in primary care: Know when to hold them

Approximately one in ten people will be affected by renal colic...

April 2014

Managing pain in children aged under 12 years

“Pain is what the patient says it is”. This definition of pain...

March 2014

Non-steroidal anti-inflammatory drugs (NSAIDs): Making safer treatment choices

Non-steroidal anti-inflammatory drugs (NSAIDs) are successfully...

October 2013

Calcium pyrophosphate deposition disease: The arthropathy formerly known as “Pseudogout”

A number of clinical syndromes are associated with the precipitation...

October 2013

Polymyalgia rheumatica: Look before you leap

Polymyalgia rheumatica is an inflammatory condition that causes...

June 2013

Strong opioids for pain management in adults in palliative care

Pain is estimated to be the most prevalent symptom preceding...

December 2012

Oxycodone update

In June 2011, bpacnz produced a report on oxycodone dispensing...

May 2012

Update on oxycodone: what can primary care do about the problem?

The volume of oxycodone prescribed in New Zealand is continuing...

May 2012

The fear of enabling; misuse of prescription medicines

Misuse of prescription opioids is increasing worldwide and many...

June 2011

Oxycodone use still increasing

Oxycodone is a strong opioid used for the treatment of moderate...

June 2011

Oxycodone Prescribing

Examines oxycodone prescribing compared to that of morphine.

June 2011

Snippets: Fentanyl patches

This article has been archived. If you would like access...

December 2010

Snippets: Dextropropoxyphene & Donepezil

Donepezil to be funded on pharmaceutical schedule | Dextropropoxyphene...

July 2010

Snippets: Gabapentin Humalog & Tramadol

Humalog, Tramadol and Gabapentin

June 2010

Common issues in paediatric oral health

How to recognise and manage common oral health issues in younger...

April 2010

Oxycodone: place in therapy

Oxycodone is a strong opiod and is a second line option (after...

November 2009

Acute low back pain

Acute low back pain is common and most patients will fully recover...

June 2009

Management of non-specific back pain and lumbar radicular pain

Key aspects of management include reassurance, education and...

June 2009

Five-minute back examination with neurological assessment

Instructions and illustrations for performing a quick examination...

June 2009

Correspondence: Dose titration for pain

December 2008

WHO Analgesic Ladder: Methadone - safe and effective use for chronic pain

Methadone is a strong opioid that may be suitable for people...

December 2008

WHO Analgesic Ladder: which opioid to use at step two?

There are several different opioid options that can be considered...

December 2008

Symptomatic management of osteoarthritis

The key treatment of osteoarthritis is to provide information...

October 2008

Safe Prescribing of Morphine in Primary Care

Advice from the 'Safe and Quality Use of Medicines Group'.

October 2008

Pharmacological management of chronic pain

Managing pain includes helping the patient understand why they...

September 2008

Pharmacological management of neuropathic pain

The treatment of neuropathic pain involves a different step-wise...

September 2008

The problem of pain memory: persistent central sensitisation pain

Pain memory occurs when the nervous system has become up-regulated...

September 2008

Widened access to fentanyl patches

Fentanyl is a synthetic opioid which is available as a transdermal...

September 2008

Snippets: NSAIDs dextropropoxyphene and antibiotic resistance

Drug information of topical interest

February 2008

Dilemmas: Recognition and treatment of pain in elderly people

Chronic pain is common in elderly people, however it is often...

February 2008

Lumiracoxib linked to deaths in Australia

Medsafe have just announced that approval for lumiracoxib (Prexige)...

September 2007

A slow death from colchicine

Contributed by Safe and Quality Use of Medicines.

September 2007

Safe use of paracetamol in children

The evidence-base for the information contained in this article...

May 2007

NSAIDs and coxibs

Cardiovascular risk associated with NSAIDs and coxibsNSAIDs...

October 2006

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