Abstract

The elderly patient's pain is undervalued and difficult to manage because of the multiple co-morbidities and drug interactions specific. While several international recommendations exist for the management of pain management in the elderly patient, a French multidisciplinary consensus of experts in pain and geriatrics was published in 2017. Analgesics can be used in elderly patients by following certain precautions. It will mainly be necessary to introduce the treatments one by one in order to monitor their own efficacy and their tolerance, it will be necessary to adapt the dosages to: the age, hepatic or renal failure and especially the co-prescriptions. In order to optimize the treatment, the combination of non-pharmacological therapies must be considered and proposed. Finally, to promote adherence, it will be important to explain to the patient and his entourage the treatment put in place, its expected benefit, and its potential adverse effects.

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