Opioids, Depression and the Principle of Balance
There has been significant publicity for this as well as other risks. Would not the following be a balanced approach?
- to be aware of the possibility of depression with prolonged use and to look for it and treat it if it happens,
- to avoid using opioids as first line treatment for non-cancer pain, and nevertheless,
- to use opioids when it is indicated instead of condemning the person to pain when nothing else helps.