Pharmalgesio Cursuri

MANAGEMENT OF PAIN PHARMACOTHERAPY IN COMMUNITY AND HOSPITAL PHARMACY

Program Duration: 1 year (2009-2010) / 72 lecture hours

MODULE 1
Physiology and pathophysiology of pain (18 course hours / 3 weeks-6 hours / week).

1. Initiation and transmission of pain.

2. Types of receptors involved in nociception.
3. Neuromediators involved in pain.
4. Neuronal plasticity.
5. Immunoactivation:
- inflammatory process
- pain-inflammation-immunoactivation

MODULE 2
“Pharmacotherapy of Pain” – 18 course hours/ 3 weeks/ 6 hours weekly
(Algesiology issues in pharmaceutical practice: analgesic pharmacotherapy)

Phase I – Analgesic Drugs

1. Analgesic drugs with peripheral action
2. Centrally acting analgesics.

Phase II adjuvant in the therapy of pain states
1. Biologically active substances of plant origin used as adjuvant in pain therapy,
2. Principles of ortomolecular therapy applied to pain therapy

MODULE 3
“Patients with pain”

Phase I Pain in cancer
1. The most common painful situations in cancer (cancer of the pancreas, metastatic bone pain, paraneoplastic syndromes),
2. Use of opioids in cancer pain,
3. Use of adjuvant drugs in cancer pain
4. Ethical considerations regarding the use of analgesic drugs in cancer
5. Case study.

Phase II Pain in women - gynecology and obstetrics

1. Analgesia at birth,
2. Postoperative pain management,
3. Management of pain in gynecologic pathology:
- dysmenorrhea,
- pelvic-pain,
- the lower genital tract infections
4. Case study.

Phase III
Pain in Children
- Pediatrics, pediatric surgery, pediatric intensive care
- Case study.

MODULE 4
Communication with patient

1. Recent data on the latest pharmaceutic products and other substances used in treating pain
2. Pharmacist-patient communication techniques in terms of prescription of analgesics (adapted to the location and distribution system particularities: urban areas, rural, disadvantaged, special communities)
3. The legislative framework which regulates the use and distribution of analgesic drugs,
4. Case Study.